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HomeMy WebLinkAbout55773_WILKINS, DRU_20100604❑ CAMA / ❑ DREDGE & FILL CENERAL PERMIT ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue 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 Applicant Name Address ! (}!y City State ZIP Phone # (`) ~ �C. Fax #-- Authorized Agent Affected ❑ CW ❑ EW ❑ PTA [3ES ❑ PTS AEC(s): ❑ IDEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no I �`r/6 i Y,' � Previous permit # Date previous permit issued . ❑ Rules attached.. Project Location: County . L I tL ; Street Address/ State Road/ Lot #(s) Subdivision _ City ZIP Phone # ( �/ River Basin Adj. Wtr. Bod(nat man un Closest Maj. Wtr. Body ■■��■■■■■ nn■�r� AV H■�ul�■t �■ ■■■■■■■� ■NI■■■■.■`......■....■...■■C.■.■. ..... • = . . :. .:. - .. ■■■MEN ■■■IN:■■■■■■■■■■�■■■�'■■n■■■■® ■ '•� ■■ UMMIN .■W'E■■■■■ ■■■ � ��' ■■■■ . -190 .■■■■MME■■■®.■.� 1GSM INNER ILI ■■■ ■■■■®■■■■■■■■■■ :�ill'■�■r�■1■■■■■��'.!■■■■■■■■■■■■■ ■■11t■\lA�J■��i■■■■■A■■■■■■■■■■■■■■■■■ ■ 'i ■■■■1■■�7■■■■■■ ■■■■■■■ �� .�� w&WM ,r.a.,�.W,.wiQawAIL'W. rnsrrrw�W, t►a►_• .2�11[�J��i/IIL'r�0N ■■■S" NINEMEN WINE ■■■■■OMEN .�■... 0 INE91511112101PIPME so NONE MIN INIME ■■■■ .. Agent or Applicant Printed Name s Signature Please read compliance statement on back of permit Application Fee(s) Check # ` Permit Officer's gnature Issuing Date Ekpiration 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 (252-946-648 I) 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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 Wednesday, May 26, 2010 10:12 PM Tim Grimes (252) 247-6332 9- p.02 ADJACENT T RIPARJAN PROPERTY OWNER STATEMENT RECEIi/Ep (FOR A PIEP/MUUR)NG PILING•SIBOATLIPTIBOATEOU,,gE,) f(��f 0 7 2010 i he-reby certify that I own properly adjacent to vr�Y DC (Name of Property Owner) M properly located at or LJF"C�. (Lot, Block, Road, eta) �1 1�t✓ �C a-��i���_ N.C- on in. . (Waterbody) ('Iowa and/or County) Applicant's Phone #: T?2- �o� Mailing Address: , c)e;kL 1`�Z11it , 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 roust be set back a mi•nitntim distance of FYtCeen feet (1_1) from rny area ofriparian access unless waived by me. (if you wish to waive the setback, you must initial the appropriate blank below_) —i I do pot wish to waive I do wish to waive that setback requirement - DESCRIPTION AND/OR DRAWING OF PROPOSED DI Vr0L0PIVIENI': (To be flifed in by individual proposing developtirenO (Information for Property Owner Applying for Ycrmiti) aiddress g City/State/Lip Telephone Number Signature Date (Riparian Property Owner Information) Signature Print or Type Namc Telephone Number Date RECENED JUN 02 2010 Morebecd City ®CM MAY-27-2010 16:41 FROM:TIM SLOAN 6365209 TO:2476332 P:1/1 Mon(!ay, ;,/;;4y --:4, ---u 1 :43 AM I Prn L-n ines!4L?z? z47-t!.W' P.62 W, 11 .1[),T,k4CEN'f'-PARR AN'PROPF,Wf".V OWNER. S71'ATEMENT (rFORA Th (Manat. of ,Property Owuef) :L�� �,- `Morehead City DCM ('J-.Qt, Blqur. ptoad, etc.) k Al I. (Wlaterttoo Y) (townandlor County) A,pplica st phone Marling Address: Ile has Aluib(Ato me, 2 � shc�wu below, the developuwat he ispropwmgl at ;hat kocation, and, I r oath op.sal. I unoerstanct that a piu!rnooring pilinp,,q I hoq�];Ftlb OXLI;e T11111c he f back it n=111 At'-,) lialaa7.tiG -,WX gUt,;� (.J.i VIRI LLJY J4a.% Vfltkj-- 1— waived A me. (If you 1" b. to waive the setback-, Tottwast initial the appropriate blank 1.)el 11 . not wl9i1 III wr. ve. do wish to w. '-Ve t)),it SCtl)aCk TeIiiiii:=rut. - ------- - ----- - - - - - - -- - - �F,sCpjyvrto,_i ANDIO.T-1 PPAWINC OF T)j?V.F.l.0PMFNT: (TO,be filled in by in dividu (a I proposing develop oz ent) K�\-A — — ---------------------- i n Torr non iux, rru v 1-Y -P--- -,-- kPA) I-n V.W&jipqv tixvrn noto toin n mitt loin) rot, J* or Ift) 11(-y .1038 10. ....... (ill.Mg7 clity/;,stmejZiP n Di er; vS%LAMLUA,. At C. Print or Type NarAc Data RECEIVED JUN 02 2010 Morehead City DCM FIRST CITIZENS BANK OUTER BANKS MARINE CONSTRUCTION, INC firstcitizens.com 1501 FIRST AVE MOREHEAD CITY, NC 28557 (252) 240-2525 PAY TO THE ORDER OF D F i�i R Fnllr NnndrPci ncl nn/1 n D.E.N.R. MEMO ) % 1100040 2 111' 1:0 5 3 100 3001:00 13 12 l8 2 1 All b U N Z. uw c.3 V W w :7Y z m O 2 4021 66-30/331 137 -6Z] 1201 n Y R m C * *400.00 0 DOLLARS 8 SIGNATURE IC C�vision of Coastal N9. flabitatimpact Computer Sheet Applicant: Dru Wilkins Date: June 4, 2010 General Permit #: 55773C 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) temp impacts)amount SB Dredge ❑ Fill ® Both ❑ Other ❑ 200 200 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑