HomeMy WebLinkAbout55379_TAYLOR, BILL_20100416❑CAMA / ❑ DREDGE & FILL
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GENERAL PERMIT Previous permit # `-
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources j J f�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ( f
[Rules attached.
Applicant Name -' ' Project Location: County__ -
Address t Street Address/ State Road/ Lot #(s)
City State . ZIP r _�. I . `� 4 i
Phone # ( ) Fax # ( ) Subdivision
Authorized Agent `\���1 CityZIP 1
❑ CW ❑ EW ❑ PTA ELES ElPTS Phone # ( ) River Basin •I
Affected [IOEA ❑] HHF ElIH ElUBA El N/A AEC(s): Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number ,
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards _
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no I
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: )
__ See note on back regarding River Basin rules.
9
The time period requirement for this
1 2 31
development Is suspended unti 1 - -
2010, pursuant to Senate Bill 831. The
Permit Officer's.Signature effective date of expiratign for this
permit is -'t�— I ` t l
Issuing Date Expiration Date
Local Plan ningJurisdiction r�, Rover FileName'
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 [)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:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
Date:
r
l
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)
ternimpacts
amount
_
QR)Dredge
--
❑ Fill oth ❑ Other ❑
—
—f —
—
—
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge: ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge: ❑ fill ❑ Boll, 1-1Olher U
Dredge Ej 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 ❑
xa�
Bogue Banks Marine Construction, Inc.
111 D Turner's Dairy Rd
Morehead City, NC 28557
(252)247-2248
PAY TO THE
ORDER OF.
WACHOVIA BANK, NA
66-021/530
V
6,63111,
55 37<�/
ii'00 ? 2 5 511' i:0 5 3000 2 L9i: 20000 248 3 L40 211'
b
lY
7255
�, I - (0
$ �d0
DO LABS ;
n �',
NCDVNR-
North Carolina Department of Environment and Nat I ReSources
Division of Coastal Mar
apoment RFCFi
n4ic jl�ref i . Eas1Uy, Gr)verrfor CharlesS. Jones, Qirarator
:'� '�1�itn G. Ras�Jr., Secretary
Date YY
orObOOOC`,r®C,,
Applicant Name
Mailing Address _���- i� �� �P• ��h jam,/
1 evrtlt�' thlit f gave authorized (agent) 1A — — to act on ,may
behalf, for the purpose of applying for anti obtaining all C',AMA permits accessary to
install or t-onstruct (activity)
at (location) - -1 � � %� � N� Ska ire ,
5
This eel-tificallou iss valid thru (date.)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone; 252-808-28081 FAX 252-247-33301 Internet; www.nccoastalmanagementnet
Qn I AfrmmnUvoANInn rmnfnVpp—..IiO%R-mr'Ael11(1^/ pn�f n � (' ncumr+r Pannr
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORINGPILLYGS/BOA IF OA ,HOUSE)
I hereby certify that I own property adjacent to r IS
(Name of Property Owner)
property located at / /
(Lot, Block, Road, etc.) Ad . AL v 4UI®
on � S yr „�' , in
(Waterbody)
Applicant's phone #: 2S2�-S'Zf - 000
orehec c City L)Chl , N.C.
(Town and/or County)
Mailing Address: �ZYy,64",) 6-,,
N& Z& ra y
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 in by individual proposing development)
---------------------------------------------------------
(Information for Property Owner Applying
for Perm
Mailing Address
�/
Rili U-k
City/State/Zip
" '57,;z— 1 r/ 0 0 0
Telephone Vurnber
Signature Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Telephone Number
Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENTa
(FOR A PIER/MOORING PILINGS/BOAA LIFT/BOATHOUSE)
I hereby certify that I own property adjacent to is
(Name o rerty Owner)
�i /i �� fl fCflVfA
property located at
L11.
(Lot, Block, Road, etc.)
iQ
reh
on f is , in � C; AGM , N. C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailing Address: �� 6� h b���►t f"' o`�L
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 in by individual proposing development)
Ne4✓ se_. -. r-&
(Information for Property Owner Applying
for Permit) / /l y/
0�'
M
ailing Address
f-
City/State/Zip
E-- I- I -1
Telephone Numbe
Signature Date
(Riparian Property Owner Information)
1
Signature
�l
Print or Type Name
sz-W?aa//
Telephone Number
Date
We appreciate the opportunity to bid this project. We have been in the Marine Construction business for
15 years and are fully licensed and insured. Documents available upon request.
RECEIVEiy
APR 15 2010
MoehepCI City pCM
All work to be completed in a professional manner according to standard practices.
Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will be
An extra charge over and above this estimate. All agreements contingent upon strikes, accidents or delays beyond our control.
Owner to carry fire, tornado, hurricane and other necessary property damage insurance. Our employees are covered by worker's
compensation insurance.
Proposed By:
Date:
Acceptance: The above prices, specifications and conditions are satisfactory and are accepted.
You are authorized to perform the work specified.
Accepted By: f-111 Date: