HomeMy WebLinkAbout56065_SIMPKINS, ANN_20100818iEl CAMA / Q DREDGE & FILL
CENTRAL PERMIT Previous permit #
-EA,lew' ❑Modification ❑Complete Reissue ❑Partial Reissue �— Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC`
j
Applicant Name
!° � # 11'\ � ,/�'1►� � � / '1 S
Address ! p "1 Jl� ii �/1�r� K 0 ,
City i �(.' X1 I I ~ 41f'[t✓ �, State i C ZIP
Phone # (r�) �r-` /Fax #
Authorized Agent i V � C' t r ,
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / not
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City r�, _ a ZIP
Phone # ( -) River Basin
Adj. Wtr. Body " ?`/x�1� (nat ./man /unkn)
Closest Maj. Wtr. Body{`''l
Type of Project Activity
(Scale:l ,zO )
Pier (dock) length_
Platform(s) —
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
r
Basin, channel`G� ti X
cubic yards_-
1
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length'
��
SAV: not sure yes (no
Sandbags: not sure yes (no
-
Moratorium: n/a yes Co �)Tr—
Photos: Y es ro
Waiver Attached: yes no
A buildingpermit may be required b :
P Y 9 Y
Notes/ Special Conditions
—
—
I I
— - -
-
—
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-
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-
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on back regarding River Basin
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—
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See note
rules.
�
�/X �ent,or Applicant Printed Name
1 n ture Please read compliance statement on back of erm�t�
Application Fee(s) Check #
Permit Officer' Signatur
IssuingDat Expi, tion -� to
- Z--- 0
Local Planning jurisdiction Rover File qame
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 9 10-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
ADJACE-NT RIPARIAN, PROPERTY OWNER STATEMENT
(FOP A .PIER17YI00R ING B_ILItVGSiBOATL,IFTIBOATHOUSE)
RECEIVED
I hereby certify that! own property adjacent to :2 r s
(Name of Prope ty Owner) AUG 13 2010
j � MOG��eo� City CCl�
property located at ....I.. _._ _.._ __.. _�Zn r'�-A-c
(Lot, Block, Road, etc.)
o n in , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: �2 �7 12 Mailing Address: ��y 8m facet
YL*1�
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
—(Toie flied in b,Iy� individual proposing development �ti''� 4
V — 7 -7
-------------------------------------------------------
(Information for Property Owner Applying
for Permit)
Mailing Address
F lC S " - C 2 �-z
City/State/Zip
Telephone Number
Signature Date
I--;- u,�
--------------------------------------------------------
(Riparian Property Owner I mation)
Signature
;.eq vc
rri i` or Type Name
�3C� �?-g
TelNumber ep one
4 D
Date
. ' ACENT RI-DARIA i PROPERTY OWNER STATEMENT
(FOR A PIER131100RING P.ILI!VGSiB0ATLIFTIBOATHO SE)
I hereby cerr_ifiJ that 1 own property adjacent to4��(,n�r s RECEIVED
(Name of Prope ty Owner)
, �} AUG 13 2010
property located at . _ ! _c�-j=-c,L--.-----'---_.-__---,
(Lot, Block, Road, etc.) A40reheadcity DCM
on iLII�- , in !C5 , N.C.
('Waterbody) (Town and/or County) p
Applicant's phone #: ''2 4:.�% 7Z Mailing Address: l�� S3ct� IPA
YL---Ij
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
049__,< I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DE17ELOPMENT: �
(To -die f Iled in by in ual proposang development �
------------------------------------------------------------------7------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address
City/State/Zip
-7 7 2
Telephone Number
Signature Date
Signature
Ella, L. �o�arsf7L--,,
rrInt or Type Name
-- �— / 9n
Telephone Number
Date
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management RECEIVED
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
AUG 13 2010
Iorehead Clay DCM
Date
�r
Applicant Name ---
Mailing Address I / '9 �4
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) D4'tC1 'S L- k '4% h ic> '
at (location) --b Li
This certification is valid thru (date)
Signature G�rY� —_q �--�-
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post consumer Paper
MUD BUCKET DREDGING INC 4532
507 HEDRICK BLVD
MOREHEAD CITY, NC 28557-3045 66-112/531
Date A.
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Pay to the
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BRANCH BANKING AND TRUST COMPANY
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Ann Simpkins
Date: August 18, 2010
General Permit #: 56065C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount
OW
Dredge ❑ Fill ❑ Both ® Other ❑
1,200
120
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
•