HomeMy WebLinkAbout55753_FENNER, BAYARD_20100611❑CAMA / C?DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑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
❑ Rules attached.
Applicant Name Project Location: County
Address!; G" l Street Address/ State Road/ Lot #(s) (OQt2
City T
Phone #
Authorized Agent
❑ Cw
Affected
El OEA
AEC(s):
❑ PWS:
ORW:
yes / no
.)(EW )(PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (
Platf
Finge
Groi
Bulkl
Basir
Boat
Boat
Beac
Othe
Shor
SAV:
Sand
Mor
Phot
Waiv
Subdivision
City
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(Scale:
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A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name i
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
/ See note on back regarding River Basin rules.
Permit Officer's Signature,` �--
Issuing Date pirati n Date
Local Plan ningJurisdiction 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 (252-946-6481) 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.
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
■ Complete items 1, 2, and 3. Alsb complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
g;) 8 e,13 7 e—r-4) 4,e,
f-7�s r0.. ; AD P t 44
!`�/ Iv'/ ❑ Agent
X ❑ Addressee
B. jec/eived by (PAtteed Name) C. Date of Delivery
/
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
e Type
ry�
Certified Mail
❑ Express Mail
Registered
I3'lgeturn Receipt for Merchandise
Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(transfer from service label) 7o0 4 / 3 S O 000 a 3,1<1 S 7 9.3 3
1 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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UNITED STATES POSTAL
§�;ySERVICE 0 yy :Y ; �r� Fias�t4F��C�IQNass�il""p�
• Sender: Please print your name, address, and ZIP+4 in this box
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17 �t4 177- A)C, agss�
Postal
m CERTIFIED mAiLT. RECEIPT
(DomesticProvided)
OFFICIAL USE
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Postage $
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C3 Certified Fee
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M Return Reclept Fee Postmark
(Endorsement Required) Here
LnRestricted Delivery Fee
M (Endorsement Required)
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Total Postage &Fees $ �.
S
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or PO Box No. 8'r .
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ADJACENT PJFAP-IA-N PROPERTY 0-V1Y---'1iER STATEMENT
(FO.R ,4 PIER/1V00R.,rVG.P.ILZVG3'iBO4TLIET,BOATHOUSE)
I _hereby certify that I own property adjacent to VE y V{' n C
(Marne of Property Owner)
property located at _- L.D %._ .7.. �/Q/� L D. .._ �l,_�_'_ ..-__...p 1,N7 91—
(Lot, dock, Road, etc.) t-�� -
on. �f�('�` , in (�IQlCNML, Aj , IV.C.
(Waterbody) (Town and/or County)
Applicant's phone #: QSa-1020_ 47 Mailing Address:
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 miziimum distance of fifteen feet (I Y) 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
�Y
waive-
-- I du wish to waive that setback requirement.
------------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRANVING OF PROPOSED DE �
(To be filled in -by individual r '�nment)
(2'Rou)DrA
--------------------------------------------
(Information for Property Owner Agplyint
for Permit)
Mailing A dress
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City/StaieiZip
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(AmET6e OoX
iparian Proj aOwner Information)
is'J L J s SErf39c(�
Signature
Print or Type Nanie
7V�5--3/1l Z6-P ` _2-111t /s lV &
Telephone Number Telephone Number
Signature mate Date
A
7LA..
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date = -- / _ 45;;�Ol U
Name of Property Owner Applying for Permit:
Mailing Address:
I certify that I have authorized (agent) % �' i� �cr / l ���� to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) 2�--C1- � j��iflt-,Sl ,
at (my property located at)
This certification is valid thru (date)
Property Owner Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110%a Post Consumer Paper
TR PRESCOTT MARINE CONSTRUCTION LLC
545 ALLIGATOR LOOP RD 252-745-7135
MERRITT, NC 28556
Pay to the
Order of
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NC Division of Coastal Mgt. Habiia
Applicant: Bayard Fenner
Date: June 11, 2010
General Permit #: 55753C
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
OW
Dredge ❑ Fill ❑ Both ❑ Other ®
160
160
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST ;; www.nccoastaimanagement.net revised: 02/03/10