HomeMy WebLinkAbout52665_YATES, DOREEN_20090108`^ 4
I-] CAMA / --1 DREDGE & FILL
�. GENERAL PERMIT Previous permit #
❑Ne w .`If-IMDdification ❑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
❑ Rules attached.
Applicant Name -
Address
City _
State ' . _ ZIP'
Phone # O
Fax # (�)
Authorized Agent
❑ CW
D EW
❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ElOEA
ElHHF
❑ IH ElUBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA
yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
CityZIP
Phone # (_ ) River Basin F
1
Adj. Wtr. Body- C i- (nat /man /unkn)
Closest Maj. Wtr. Body y
Type of Project/ Activity
(Scale: t 6 ! t )
Pier (dock) length
Platform(s) 1-- - — �-
Fingerpier(s)
Groin length
number
Bulkhead/ Riprap length I
avg distance offshore
max distance offshore -�
Basin, channel _� ,-.�_
— r- --
i
cubic yards I--'
Boat ramp -L_ I'-
Boathouse/ Boatlift
I
Beach Bulldozing j
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
�-
Moratorium: n/a yes no i
Photos: yes no
Waiver Attached: yes no (
�� -- -
b required b :
A buildingpermit may e u
P Y 9 Y
Notes/ Special Conditions
1
I
i
I
�
t
-
l
--
❑ See note
o n
back
b
r
regarding
S
r dln
g
River
Ri
Basin
rules.
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
PermitOfficer's Signature /� f
Issuing Date Expiration Date
/. Y'
t ��`-'
Local Planningjuri$diction Rover File Name
s1
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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: 919-733-1495
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
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
15,
Applicant Name
Mailing Address
r
I certify that I have authorized (agent) A i �X1r(U �ll/l� to act on my
l�1/i ll i Cam l7en-rus
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
6' X 3o' C:k 7b ��'isf''t� Z7ocK
install or construct (activity) WIC M6 ve BoaaLL'Al 1 42 An g s a tx l i' hs l/ 1 h n L-J AIJcc,� cr. L
at (location) C 5 7D .
This
Signature
� 3/ a
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Intemet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled \ 10% Post consumer Paper
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOOR17VG PILINGSIBOATLIFTIBOATHOIISE)
I hereby certify that I own property adjacent to are n Qfe s 's
(Name of Pr perty Owner)
property located at `-1 n b 15 e a( -k e- 1 r 't vi C
(Lot, Block, Road, etc.)
on fi CW , in e.W porgy, l QV+e.i'e—t , N.C.
(Waterbody) own 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. 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.)
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)
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-------------
1 Signature
'PVC' C wv( h
Print or Type Name
716-`36i -10O.�-
Telephone Number
Date:
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to `'i Ct . ` is
(Name of Pro erty Owner)
property located at 01 (Sate T�n \J c
(Lot, Block, Road, etc.)
on L�%'1 , in Mfg or+- C'C rf. -e-t N.C.
(Waterbody) own 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. 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)
Ne-4 S h p
p J p_ Moue. Bcolli�( ou--
O
Print or Type Name
s6/ - L3 / -/�(�
Telephone Number
Date: l 57 0 57
I DENNIS & SONS MARINE CONSTRUCTION LLC
109 SEAHORSE DRIVE` '
BEAUFORT, NC 28516
OFFICE: 252-504-6329
PAY
TO THE
OR c ^
ORDER OF 1flJ
0
BB&T-BRANCH BANKING & TRUST COMPANY
pQ (o.(o s� �,� 2 ca co �
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II■00i366114 1:0531011211:
1-112/531
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DATE ift
F eSecurity leawm
t i"Wed
r�Details m back.
. V
AUTHORIZED SIGNATURE NP
0005294419 471I• I
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE'S NAME: bOieer) ya`�e-'; PERMIT # rfl
LOCATION: W g Sec� CMG - � z, ; V.e-, FIELD REP. Ada C
!�cZ C MONITORED BY
PHONE:�q— DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION (V / /3 1 LO 2
1)
Do the measured dimensions of the development differ from those indicated in the permit and workplat?
YEScircle one].
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YE,''�IO pcipcle one]
3)
COMMENT:
FUTURUAONLTORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? "IN
[circle one].