HomeMy WebLinkAbout58153_MURRAY, JUANITA S_20110712LAMA / ❑ DREDGE & FILL
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 `
Project Location: County
ff
Address
City State . � r-.._ZIP
Street Address/ State Road/ Lot #(s)
Phone # () Fax # ()
Subdivision
Authorized Agent i
City ZIP
Affected ❑ CW ❑ EW ❑ PTA [I ES ❑ PTS
Phone # O River Basin
AEC(s): ElOEA ❑ HHF ElIH ❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
El 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
Signature ** Please read compliance statement on back of permit **
PermitOfficer's Signature
Issuing DatA Expiration bate
Application Fee(s)
Check# Local Planning Jurisdiction
Rover File
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 (9 I 0-796-7215) 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.
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
Bogue Banks Marine Construction, Inc. WACHOVIA BANK, NA
1 D Turner's Dairy Rd 66-21/530
Morehead City, NC 28557
(252) 247-4428
PAY TO THE
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11=79SAI'a i:0530002191:2000024831 0 2112
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7953
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06/08/2011 12:40 FAX 0 004
ADJACENT RIPARIAN PROPERTY Oti'VNER. STATEMENT
(TOR A 1'l1s'R/11IOOk,C.NGJ1jLINGSII3()AII,Ifr'7/130.sfTIIOC/�S'f)
I horeby certify that I own property adjacent to L_ L _'s
(Name of Property own el-)
properly located at _ _ _I 3 ( PD.N D R.
-- --
(.T_.ot, Block, Road, etc.)
Oil
(Waterbody) (Town and/or Coulity) _
qtq-�"!a-,sad
Applicant's phone #1 11q -Q'T 1 - I I u a- Mailing Address: 86iQ
Ile has described to mc, as shown below, the development he is proposing at that location, and, I
brave :no objections to his proposal..I understand that a pier/mooring pilingvkbel w / 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 initisil tb � tp�ofr*� blank
below.) t
T I dodo not wish to waive DcM-h1Hne1ry
�! do wish to waive that setback requirement,
DESCRIPTION AND/OR DILAWJNG OI, PROPOSED DEVELOPMENT:
("I'd he fillet! in by individual proposing development)
Rep�Rce
Seaww1 ago �kAkp-
k(�pa;Qs 4o
bock. `T) 1
,hf
(.rrrformation for Property Owner Applying
for Permit)
Mailing Address
I�
city/sLaLe ZIP TT
'1'elepholle Number
r i �[1rl S Ut'k ]Dam
(Riparian Property Owner Iriforrxmation)
Signature
t'rijct w Type Na)nti
Telephone Number
5� /L _ �/ Dire
A. ,
ADJACENT RIPARIAN PROPERTY OWNER S''x"A'Z'YMENT
(Pt R A PIER/MOORING P,ILIN(;SIBOATLIFTIBOAZXio!'jVF)
1 hereby certify that I own propei:ty adjacent to /d s
(Natne ol',prA,perty �r+z�e�'}
property located at _ 131 OLRA
(Lot, Block, Road, etc.)
(Waterbody) (Town aridlorComity)
otiq —g q .15a.8
Applicant's phone #:q 19 -2 1 -,l4A , Mailing Address: 3 t, 10
He has describ(:d to ine, as shown Below, the development he is proposing at that location, and, I
have nc) objections to his proposal. I understand that a pier/mooriq pilings l boatlift / boatlsouse
must be set back a minimum distance of fifteen feet (15') frona my area of riparian access unless
waived by me. (If you wish to waive the setback, you inu9t jntdR1 the appropriate blank
below.)
(w, I do�tiQt wish to waive
I do wish to waive that setback iequirement.
DESCRUTION ANTI/OR DRAWING OF PROPOSED DEVELOPMENT:
ENT:
(' 9 fie filled hi by individual proposing tleveloptnent)
��o CLt10-
c alljf, arJo rj7Z) 1 r1GtljC
(Information for Property Owner Applying
for Permit)
3 w i 0 b
Mailing Address
Cityr'State il�
q.1q-naaS� �'IQ-R�r� �►u�
"Telephone Number
Sigria(:urr Date,
Lam, t"d-0 C'e.
BECENED
Fir UUL 0 7 2011
f-------- ----- .--_- ...-
(Riparian Propel•ty Owner IROX98SW
Signature
�.? 9 �.� ..'�! '7��L Cam,.--� .�•.� %Z�
Pi iti ui Type l�Fai!'tc
Telephone Number
Date
06/08/2011 12:40 FAX l�005
A ZT�,A
MCDENR
Nolth C volini-i [Ar"pallment CA DIV,frO11010f7t and Wtur.,,O
Division of Coastal Management.
D'11c.
\3 Applicalit IN.Ilslf-
7 6
1 r�:rti1'�' 11t;ti 7. Irio�•c•;lrlilt!leirrd �n1:c:rlf).VC7..�.lJs�..�PtN�S CONS;.,. to it(., jilt Illy
111A)RUI 1,61. the 1113.1-posi., (1fat)(11ring tot- Itild obtaiiii1it" :111 (=AMA Perillik
III s L k I I () v vI I I J it k. i I -,I v t i v i i ). } ' ea U) 4 RCPA-1 R .... boc�
Kc
I hi.'i i-cutification i4 Valid d%vo fd:llk",
RECEIVED
JUL 0 7 2011
DCM-MHD CITY
wwwnrxO,1,;1-q11l); 111.191:111'011
rr .... .• • 1 M
-eplicant:
Date:
`J
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
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
tempimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
ltempimpacts
lr ,�
redge ❑ Fill Both ❑ Other ❑
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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 ❑
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