HomeMy WebLinkAbout54358_WILLIAM, DANNY_20090806❑ CAMA / ❑ DREDGE & FILL wV
GENERAL PERMIT bus permit #
EINew ❑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 15A NCAC
Applicant Name
Address
City State ZIP
Phone # O Fax # ( )
Authorized Agent
Affected ❑ CW DEW ❑ PTA
ElOEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards f r
i
Boat ramp
Boathouse/ Boatlift
Beach Bul
Other
Shoreline Length
SAV: not sure
yes
no
Sandbags: not sure
yes
no ,
Moratorium: n/a
yes
r1b"7
Photos:
yes
n
Waiver Attached:
'es
no
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
,,t...,.
City ZIP
ES ❑ PTS Phone # (i) # River Basin
UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
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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 #
n See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration ate
Local Planningjurisdiction Ro� File Nime-
14
1
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, certifythatthis 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
Q A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date 5'• $ '0 9
Name of Property Owner Applying for Permit:
�1-tgN4e rh 5
Mailing Address:
JUN 1 6 2009
Morehead City UGIVV
30 + FA �� `f v� 1 l 1 l ^���( 2i o�
'eel IM511 .1
I certify that I have authorized (agent) 'I i V d L' � I to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) )/ 6' S ! %> 5 ��-� kk *,& l
at (my property located at) 1511
This certification is valid thru (date)
Property Owner Sigyture Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
A.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to A W W S4 j4ST, 's
(Name ofProperty Owner)16
'. R
4 Lx
yam' 9
property located at s � � r V o t2.� 1 J�. 1 N S-�-I Lam' ,
(Lot, Block, Road, etc.)
on ,in ,
N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Z'i I '% M1 Mailing Address: 30 pit
27 f,, a
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 (I T) from my area of riparian access unless
waived by me. (If you wish to waive the setback,on must initial the appropriate blank
below.)
�I'do not wish to waive
Ku✓ I do wish to waive that setback requirement.
GMw►eQ �o j------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
10 1% 0 0
` "C �dJ s" 1) rrd5IF
dot
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(Information for Property Owner Applyinp (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
City/State/Zip �Pr�intorType Name
9 L a 2q, I Rqz I
Tel hone Number
Signature 0 Date
Telephone Number
Date
r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to w to S1 Z► tl l�}.r�T 's
(Name ofProperty Owner)
JU/V
property located at S N o► -4� V— 1 hr'S4-t w 4 v 4E 1 Z009
(Lot Block Road etc )
City ...
on �} 1." * 4-, in ���
(Waterbody) (Town and/or County)
Applicant's phone #: 9 lft Zrt ( $47-1 Mailing Address: 'to
�7 (,,;V?
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.)
. /1 do not wish to waive
K►iy 1 do wish to waive that setback requirement.
(o r DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
J>L*&�t
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a
Vcw, )�
(Information for Property Owner Applying (Riparian 1
for Permit) A/O jfj/(
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Mailing Address Signature
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City/State/Zip Print or Type Name
9 l 1 Z6L
Telephone Number
Signature Date
Q(l 3oG - �711
Telephone Number
r
Date
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G1114Y ED
head City ®CM
MUD BUCKET DREDGING INC
507 HEDRICK BLVD
MOREHEAD CITY, NC 28557-3045
PAY ��
TO THE .�
ORDER OF
BRANCH BANKING AND TRUST COMPANYS �/ s
1-900-BANK BBT BBT.com
3958
1 66-112/531
DATE �" 2
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FOR_
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.0531011 211.0005 293 2183411I'
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