HomeMy WebLinkAbout43137_FORBUSH, WAYNE_200510031 CAMA / .: j DREDGE & FILL
GENERAL PERMIT
'Prev�us permit #
DNew ]Modification ❑Complete Reissue ❑Partial Reissue Dat 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 7 % ! 0 0% ~
t.% n ❑ Rules attached.
Applicant Name L14 �iye .l4cJ�,L% Project Location: County �e ? �. ',
Address r��/� yo 44r, Street Address/ State Road/ Lot #(s) 7- 43 01
City f L$ 'l f A State ZIP °9�� ��i7 ,`
Phone # 4;!0 1 Fax # (15 ,lO 73" 1,l5 Subdivision f ,14 i/ 7
Authorized Agent ZAAAE 114't rL r ee! City Ale ZIP
C CW 2& PTA VtS ❑ PTS Phone # ( <O)1,172 q ZIC% River Basin
Affected C) OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
AEC(s): Adj. Wtr. Body aSC1 c;'!' u.� Anatlman /unkn-
PWS: ❑FC:
ORW: yes 1 no PNA yes / no) Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity % i ;'t,
T p
Pier (dock) length
Platform(s) %(?1Yy,.c
Finger pier(s) A%O
Groin length
number
Bulkhead// Riprap length 75
avg distance offshore / ?-t.VC
max distance offshore
Basin, channel
I l t'rSl�
Pia/oSe� % 75
cubic yards -r Cav4rj I "t i
r _yLr � L,U„LF(E4� O
Boat ramp — — I tE /AJ -r;-'
ift Ep-�-+r�F �"` �� Pro . p H h pz�Pose0 V t YL-
Boathouse/ Boatl
Own:P i. r0705ZI•� W r. u . �jUL[ftL'
Beach Bulldozing/ --
Other f rG !Pe It 5 ti
i
� V J
r f i �„Ze•� �' ` �� � I
Pro"
Shoreline Length `
_ TC �X'STrNfI
SAM not sure es
Y
Sandbags: not sure yes / / J
Moratorium: n/a yes no. FOR S"µ �F`F122Ttj
Photos: es no 75-0 i �V N� L)Q
�" lv /rlc�fr4Lnh �S/� l n Vr
Waiver Attached: yes no, - -
A building permit may be required by: / 0--C r- 0- 2 a /-,n ; _; ;"� _ See note on back regarding River Basin rules.
Notes/ Special Conditions % 4,/1 ((iT Pir• %�nS rur,a4'UQs � J�,��M,,,,CkM[rin
r��!".i' 1/' �_ �I/ : r 4 �C, / I /7l C f� f' If1L T/_Ait d� � /3J r/A/ /.
I`Li f U/17 �7 ,' 1 s'.. i 'j~ a _ i / _ n _ , , t l �... i •--,- .. Ire.'
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''Agent or Applicant Printed Name
Permit Officer's Si nature
Pik' I
Signature ** Please read compliance statement on back of permit
Issuing Dat
T4xpira
n Date
C-
Application Fee(s) Check#
Local PlanningJurisdiction
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:
U 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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/05
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to &ov& co C&.. � 's
(Name of Property Owner)
property located at 750 �jQUAD A
(Street Address, Lot, Block, Road, etc.)
on &que- �Oo/VD , in O , N.C.
(Waterbody) (Town and/or Co nty)
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
20 t-4
Print or T Name
z�z 35 sz�3
Telephone Number
Date: q In, 0
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to vv� C" ,,ram( F✓bu5� �s
(Name of Property Owner)
property located at r% �D S O tt KA 0 v I ve-
(Street Address, Lot, Block, Road, etc.)
on tJo(r%,Aq- SourX— in 4 --j-s% C'"+cra Cd N.C.
aterbody) (Town and/or County)
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
LfiNE P - H��� -S
Print or Type Name
Telephone Number
9/ aoo5 -
09/22/2005 10:44 TW5 PLANS 4 2523545517 N0.144 P001
M. WAYNE FORBUSH
P.O. Box 2224
Pace, Florida 32571
September 22, 2005
Dr. and Mrs. Lloyd Harris
7502 Sound Drive
Emerald Isle, North Carolina 28594
RE: LETTER OF AUTHORIZATION
Dear Lloyd and Lane:
I hereby authorize you, either together or individually, to act as our agent(s)
ning
in all business and/ actions associated with the construction ted at 7504 Sod
wall or bulkhead along the waterfront of our property
Drive, Emerald Isle, North Carolina 28594. In addition, this full
authorization extends to the reconstruction of our pier/dock located at the
same property
Sincerely,
M. Wayne Forbush
Detailed view for record 1 (Print'
Value
AREA 22740.16419
PERIMETER 778.50282
PARCEL83_ 50150
PARCEL83_I 50181
WHAT 0
PIN
MAPNUM 5394
BLOCK 21
PDOT 8377
CONDO_
MOTHER 0
MAPNAM 539418
PRID 15034D1920
PIN15 539418218377000
OWNER FORBUSH,M WAYNE ETUX
SANDRA
DBOOK 0706
DPAGE 00161
DDATE 0
SALE_PRICE 0
TAX_VALUE 485428
LAND_VALUE 194850
STRUC_VAL 286322
OTHER_VAL 4256
BLT_CONDO 0
HOUSE_NUM 0007504
Field --]I
Value
DIRECTION
ST_NAME IISOUND
ST_TYPE JJDR
CITY
EMERALD ISLE
ZIP 1128594
MAIL HOUSE 1110328
MAIL DIR
MAIL ST JISAGER
AVE gtg416
MAIL_STTYP
MAIL_CITY
FAIRFAX
MAIL_STATE IVA
MAIL ZIP
22030
MAIL_POBOX
TOWNSHIP
WHITE OAK
CITY -LIMIT
EMERALD ISLE
NBHD 11560043
FIRE DIST
RESCUE DST
LEGAL DSC
L13 P1 MARITIME FOREST
TOTAL ACR
0.521
Y BLT HOUS
1993
TOT SQ FT
2479
BATHROOMS
2.5
BEDROOMS 113
�o6u'
5OuPDSound Drive, Emerald Isle, Carteret Co
Parcels
/I/ Roads
T1 rc" y FO ie'5Se�x
ky
1c:21 K,<061A410
*3
7�
O
1 in, = 300.0 feet
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<1rv00
Detailed view for record 1 (Print)
Value
AREA 22740.16419
PERIMETER 778.50282
PARCEL83_ 50156
PARCEL83_I 50181
WHAT 0
PIN
MAPNUM 5394
BLOCK 21
PDOT 8377
CONDO_
MOTHER 0
MAPNAM 539418
PRID 15034D1920
PIN15 539418218377000
OWNER FORBUSH,M WAYNE ETUX
SANDRA
DBOOK 7706
DPAGE 00161
DDATE 0
SALE_PRICE 0
TAX_VALUE 485428
LAND_VALUE 194850
STRUC_VAL 286322
OTHER_VAL 4256
BLT_CONDO 0
HOUSE_NUM 0007504
Fielc
Value
DIRECTION
ST_NAME JISOLJND
ST_TYPE
DR
CITY
IEMERALD ISLE
ZIP 1128594
MAIL HOUSE 1110328
MAIL DIR
MAIL_ST JISAGER
AVE gtg416
MAIL_STTYP
MAIL_CITY
FAIRFAX
MAIL_STATE IVA
MAIL ZIP 1122030
MAIL POBOX
TOWNSHIP JIMITE
OAK
CITY -LIMIT
EMERALD ISLE
NBHD
560043
FIRE DIST
RESCUE DST
LEGAL DSC
03 P1 MARITIME FOREST
TOTAL ACR
0.521
Y BLT HOUS
1993
TOT SO FT
2479
BATHROOMS
2.5
BEDROOMS 3
FW: FAX
Page 1 of 1
Brownlow, Joy
From: Forbush, Melvin W CTR CTW-5, NIGHT VISION [melvin.forbush.ctr@navy.mil]
Sent: Thursday, September 22, 2005 1:47 PM
To: Brownlow, Joy
Subject: FW: FAX
-----Original Message -----
From: Forbush, Melvin W CTR CTW-5, NIGHT VISION
Sent: Thursday, September 22, 2005 12:45
To: 'Iharrisl@ec.rr.com'
Subject: FAX
Lane,
I faxed the two documents to the Brownlow's to ensure you have the Letter of Authorization now, in the event it's
needed soon.
If your fax becomes operational, I can fax same to you, if you like. Thanks, again.
Wayne
M. Wayne Forbush
Principal Training Program Analyst
Concurrent Technologies Corporation (CTC)
Office: 850-623-7363
Fax: 850-623-6415
Cell: 850-602-4201
9/22/2005
Lane A. Harris 03195 66-30 531 2356
NCDL 5017154 Ph (252) 354-5662 080
2430 Commerce Rd 1
acksonWle, NC 28546 DATE - 1
PAY TO T H E C v
t ORDER OF .,
e �d/
I-ook for: Micro Print signawre line, gray type and linesvork. First Citizens Bank Ingo on back. If not present, do not cash.
FYRST CITIZENS 090
�r\j�jTi First—,Alns Bank&Trust Company
�.
b' �1-1L7Y'` Jadcconvillo, N.C. 28540��
www.flrstdttzens.cam G"-.�Jl /V
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