HomeMy WebLinkAbout56995_TAYLOR, PAUL & BRENDA_20101231izlloll D ISS
❑CAMA / ❑ DREDGE & FILL ' 05
GENERAL PERMIT
Previous permit #
❑New ❑Modification El 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
❑ Rules attached.
Applicant Name
Address
City
Phone # (^)
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax #( )
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
❑ ES ❑ PTS Phone # ( ) River Basin
❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
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 **
Application Fee(s) Check #
PermIt i
it Officer's Signature
I � J
Issuing Date Expiration Date
Local Planning jurisdiction 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/ 1-888ARCOAST
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
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 flame
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tem p impacts)impact
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
ternimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
G
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 ❑
; + RECEIVED
NOV 18 2010
North (C-aroiir,a Department of Crivironmcnt and Nllatural ResourceMoreheodCity DCM
Michael F. Easiay, Governor Charles S. Jones, Director William G, Ross Jr., Secret jr/
Date I 1 a,- Yo
fkpplicantName 4-
Mailing Address I I %
?-,fx L. N c ? -16 /s
I certify that I have aaatborized (agent)
t
U►� o act on 3w� -
behalf, for the paarpose eta` applying for and obtaining all CAMA Permits necessary to
install or construct (activity) �—
at (location)
This certification is valAd thru (date)
Siganatui
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
P�� RECEIVcL,
I hereby certify that I own property adjacent to gf5L)A ' 76)gLoe— 'Nov
(Name of Property Owner) `� Zo10
®r'9 dC'°��i property located at 10 7 C..6J�r P�a6 o5 �v3No
(Lot, Block, Road, etc.)
on JM4)N MADV CRNfl (, , in-RTLA1tP QCA-. N.C.
(Waterbodyy) (Town and/or oun )
P � c) $ZC) -7 g 3G !�� g o c ow)
RiAApplicant's hone Mailin Address:
L ILL ;:?7,4
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
---------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
S
POi> UL-
0
4L,01"
- - - - - - - ,
P �
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
gnature Date
5
-----------------------------rt- - ---------------------
(Riparian Property Owner Information)
Signature
Print or Type Name
cif �3p-6/,�5
Telephone Number
Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 612!tp,DIN 7'p11
(Name of Property Owner) NOV1 S 2010
property located at t ���� ��� �� �1��►�`4 �d1'
(Lot, Block, Road, etc.) dY®OW
on (`l\4W �ii 0 e,iac u R L , in')�LA7#L. gc-44, Cg,-TFf-, , N.C.
(Waterbody) (Town ancd�/ rr C/ m )
Applicant's phone ��� ?� -Z'6 26 Mailing Address: CA90540Cg UP4
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
91c.- -- - - — _ - - -
--------------------------------------------------------------------------------- ----------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
City/State/Zip Print or Type Name
�-
Telephone Number �— Telephone Number
Signature Date Date
SAMMIE E. TURNER
MARINE CONSTRUCTION ACCT
252-725-3415
P.O. BOX 1885
MOREHEAD CITY, NC 28557
PAY
TO THE
ORDER OF
F"C-1)
4954
66-112/531
DATE --- ��
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BRANCH BANKING AND TRUST COMPANY
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