HomeMy WebLinkAbout56916_WHITE, STEVE_20101020❑CfAMA / ❑ DREDGE & FILL �1
r=NERAL PERMIT ., K Previous permit #
❑New ❑Modification El 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
i l i
Applicant Name { Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
❑ Rules attached.
Phone # O Fax # O Subdivision
Authorized Agent CityZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) . River Basin
AEC(s): ❑ OFA ❑ HHF ❑ I ❑ 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
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
Issuing Date
ApplicationFee(s) Check# Local Planningfurisdiction
Expiration Date
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/ 1-888-4RCOAST
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
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Applicant:
Date: 1 O a) 0 �G
i
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
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 ❑
lo
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 ❑
..11 -asz-0, SCOAST ., yv +�fa{.��rea?yka?m�_���r +nA r.at asaiwxi�: "'Zv'x10
Date
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Applicant Name
AM RECEIVE)
'AWO �
NCDENR 0I,qr 18 2010
North Carolina Department of Environment and Natural Resources,worehepdc,ty0cm
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
�t 0
Mailing Address
I certify that I have authorized (agent) /j/4 G U)Q f ie-- ,it c to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) , NS{t tl i (4-4-
at (location) Z O
This certification is valid
Signature
(date)
i o /2 - 30
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Intemet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
ADJACENT RIPARIAN PROPERTY OWNER STATEMENTi?ECEIVED
(Bulkheads and Riprap) OCT 18 ?010
I hereby certify that I own property adjacent to 2 O �Q{ a%G `read city Pcm
(Name of Property Owner or Applicant)
Phone number you can be reached at 2 62 2 5 `j - .SC .S 6
Mailing address if different from location: idD R"-X 38'17 0 % 15s.y Z 7 flit ,
Property located at
tat j&c4tc4 N-C.
(Lot, Block, Road, etc.)
on o 4C Sa14rK , in l�r�/ #�c c . , N.C.
( aterbody) (Town and/or County)
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 individual proposing development)
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Print or Type Name
Telephone Number
Date: ( jtC
nccoastalmanagementnet/Permits/ADJACENTRIPARIANPROPERTYOWI ERSTATEMENT2.pdf
$ep 24 }10 -11;41 a W 1Ilco Construction
252-726-2158 p,2
ADJACENT RYPARLAN PROPER'>< Y OWNER STATEMENT RECEIVEi)
OC1 18 2010
1 hereby certify that I own property adjacent to _ 5�+�! l ci Gv: „ is
(Name orp'roperty Owxter) =act City QC&I
property lacaked at „ a2 0_ 4 N3a_c.'' `, �ay �F6 i ✓.f., ��
(LC t, Block, Road, etc.)
on 11-!�C> q �,�- Ssv.•t.,ot- -.�., in ,
eo, U N.C.
(Waterbody) (Town andfor County)
Applicant's pitu�e #:, agx - SDI 11�1Ning Address:
He has described to xne, as shoran belovv, the development he is proposing at that Location, and,1
have no objections to his proposal,�-
„i -�QN ;�-- ------------- ---
DESCRII' HON AND/OR DRAWING OF PROPOSED DEVE) PMR T:
(Ta be f Ued in by property owner proposing deodopmeno
�.e i
(Inivrination for Property Owner Applying (Rilmlian Property Owner Information)
for Permit)
Mailing Address
City/State/Zip
a s2, - as? I 5" 5
Tela hone Number
Signaturcatte
s-c>Y- 0737 ?a
Signature
Print or Type Name
Telephone Number
Date
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BLUE WATER MARINE
CONSTRUCTION INC.
PO BOX 93
MOREHEAD CITY, NC 28557-0093
PAY
TO THE ORDEJR OF c,-
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
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6633
66-112/531
DATE
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11'00006633n, 1:0 S 3 10 1 12 11:000 S 2 1 L,98E59 211l
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