HomeMy WebLinkAbout57033_STRADER, EMERSON_20101222❑CAMA / El DREDGE & FILL
/bt / S �23
GENERAL P E R M IT - Previous permit #
❑New El Modification C,1Complete Reissue ❑Partial Reissu 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
❑ Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) Fax # (4) Subdivision
Authorized Agent City. ZIP
Affected ❑ CW ❑ EW ❑,PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature
Issuing Date Expiration Date
ApplicationFee(s) Check# Local Planningfurisdiction
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(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: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
3.�vc0
6'- . S
Applicant:
Date:
(5- j 7(9---! r
AWV) �0 a It
Describe below 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
to im acts)
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
"�—
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
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NCDENR
North Carolina Department of Environment and Natural
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director
Date
Applicant Name �/i/�� j;�i�/A(����
Mailing Address %)2 : t�e) R /o,/T
Resources ®ev
FC
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William G. Ross 2",5ecretarye9
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I certify that I have authorized (agent) IF-Of5i-e- W V6-8 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
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install or construct (activity) �R���JJAS� /i 1�L��✓ 1/iay�Jl ���� ��'�� �"'
at (location),/),,z A M2!T 7`/9
This certification
Signature
lid thro gate)
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Intemet: www.nccoastalmanagement.net
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
hereby certfy that 1 own property adjacent to �/r�'�12Sd//� 'Si%�P� 's
1 1141,615(Name of Property Owner)
property located at /��
I Address, Lot, Block, /Road, etc.)
on lJp C,�%�/% ��TP�LrJ�� , in '/P �-'yIL � , N.C.
(yyahwbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he Is proposing at that location, and, I have no objections to his proposal.
i
Sig re
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Print or Type Name
Use- 2yo_ firy
Telephone Number
Date
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
1 hereby certify that I own property adjacent to P 's
/ (Name of Property Owner)
property located at 129 �rbJ'i/��r��
Address, Lot, Block, Road, etc.)
on .� �FI> G>�R In l /N.C.
(���y) (Town and/or County)
He has described to me as shown in the attached application and project draMVB), the development
he Is proposing at that location, and, I have no objections to his proposal.
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Print or Type Name
/ y' - eyy- 7,20
- Telephone Number
Date
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SAMMIE E. TURNER 5058
MARINE CONSTRUCTION ACCT 66-1121531
252-725-3415
P.O. BOX 1885 J � 1 — 1
MOREHEAD CITY, NC 28557 DATE
PAY
TO THE
ORDER OF $
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1 1 BRANCH BANKING AND TRUST COMPANY
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