HomeMy WebLinkAbout55297_STEELE, JOHN_20100318CAMA / QDREDGE & FILL ,5
GENERAL PERMIT Previous permit#
.nNew ❑Modification ❑Complete Reissue El 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 15A NCAC ~% + i4�
II Rules attached
Applicant Name
U 0 htn 7S'ttQ IQ
Address 13-
LA,
City V 6
to State � k• ZIP $rJ-391
Phone # ( )
Fax # (, )
Authorized Agent
"fit-c3d �
Affected ❑ CW
❑ EW PTA f)LES ❑ PTS
ElOEA
AEC(s):
ElHHF El IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/
Pier (dock) I
Platf
Fing<
Groi
Bulk
Basir
Boat
Boat
Beac
Othr
Shor
SAV:
Sand
Mor;
Phot
Project Location: County Of, 5 3ovq
Street Address/ State Road/ Lot #I
Subdivision
City �y�.�Pc ZIP 28S-3`�
Phone # ( sue) Wt- 1Z l2 River Basin ` , I (c•
Adj. Wtr. Body plaYJav (fiat- /man /unkn)
Closest Maj. Wtr. Body Pird ;
(Scale: I f 2 01 )
)rm(s)
I—
r pier(s)
i length r�
_._......_.
_._.
—
—I—
-I -- _
number -
lead/ Riprap length,' X1141 �. �.
avg distance offshore
max distance offshore_
,channel
cubic yards
ramp
louse/ Boatlift
i BulldozingR
r
nine Length
not sure yes--
r.
n
)ags: not sure yes-
torium: n/a yes
Ds: yes
_
-
--L
i
_
.—
— -
—
—
NIL .
Ole
1
_
Waiver Attached. es no
A building permit may be required by: 0n��vf ("' G
Notes/ Special Conditions
�.:. Al
or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
i r)G AL ,
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
l
Issuing Date I ' ExpWation`Date
Local PlanningJurisdiction Rover File Name
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 Cif 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:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
*IkEiVU2
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Tones, Director William G. Ross Jr., Secretary
Date
3-q-)o
Applicant Name ✓o � n
Mailing Address Jc� 5 Pla�,�s Lary
C: -LFS -f 0
I certify that I have authorized (agent) A AA5 K Boo l4/- S to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 60 1".e4d I
at (location) 1 3 S egfi -e— Lcm g— 4t4br!7� A C— 2-F5 3 1
This certification is valid
Signature
dateV 5— / — / D
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastaimanagement.net
n.. Cm..l ll.......+��.. R.� 1 Afif.m-,fi.,,. A.di— Cmnln.nr rno% Oon—iori 1 1f)Ol 6not rnenmor Pnnor
r I- I Z-VO
25 1
ADJACENT PdPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/NIOORING PILINGSIB OA TLIFTIB OA THO USE)
I hereby certify that I own property adjacent to J OA A S -e ee I C, 's
(Name of Property Owner)
property located at i 3 S Ka-h e L qn e '
(Lot, Block,
Road, etc.)
on
J C W in 4c4 N.C.
(Waterbody) (Town a d/or County)
Applicant's phone #: �/D'45�j Do23v flailing Address: 35 1 S Oqn LAn�
Jac rA I N� 2f5
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:
(To be filled ip-"ividual proposing development)
ex(srk e� Ad"-
--------------------------------------------------------
(Information for Property Owner Applying
for Permit)
35'IS Ptanije�s �qn �
Mailing Address
J C4 Ic
Cit-y;Stute;Zip
(Riparian Property Owner Information)
,9
Signature
/SIC. Z o254 fr,A LP r /%D�AIV--"
Print or Type ?`came
q10 45,5 0�3
;TeWlephone.gnaaire Date
ro —,� 7-
Telephone Number
J'/b'/D
Date
CERTIFIED► MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY- OWNER�NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: 10A4
Address of Property: 13 S KR 71 i' twit
(Lot or Strut #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development -
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
3��' I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 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 wish to waive the 15' setback requirement.
';�
I do not wish to waive the 15' setback requirement.
Sig a� Date
Print Name
191E 3 3
Telephone Number With Area Code
SHORELINE PIERS & BOATLIFTS, INC.
DBA SHORELINE MARINE CONST 252-646-3212
ASHLEY BROOKS NCDL 7666496
580 PEARSON CR
NEWPORT, NC 28570
PAY
TO THE ORDER OF_ /�( C.� /,j�( I n 6J
7127
66-21 /530
BRANCH 77614
DATE ✓ ' � �' � v
• VACHOVIA
Wachovia Bank, N.A.
/ wacho,Aa.com
FOR le"71-r .�-
1'007 L 2?11' 1:053000 2191:20546700 255 9110
B.curny
Feituret
OelaJa an
Beck.
NP
r�e le.
C a te: 41S 16
S52 q7 G
Describe belmv the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet '
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge ❑ Fill Both Other ❑
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)2_5
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Dredge ❑ Fill ❑ Both ❑ Other ❑
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Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑