HomeMy WebLinkAbout56809_GREENLAW, PAUL_20100910iz
[�CAMA / ❑ DREDGE & FILL A110 Yll"
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑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 (SA NCAC
D Rules attached.
Applicant Name
Address
City
Phone # ()_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body gnat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of per it
zvy'��
Application Fee(s) Check #
PermitOfficer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction 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: 252-264-3 723
(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
=.pplicant;
Date:
Describe below the HABITAT disturbances for the application.
found in your Habitat code sheet.
All values should match the name, and units of measurement
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
im act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
.,
.� .2 .. f
AANO!lboI
North C�aroiina Department of Environment and 11,111atura! Resources
Division opl Coasi-al Management
PECEW
Nlichze! F. Easley; Governor �P�a�1es S. ,�oi3eS, D3ryotQ' William G. Ross Jr., Secret,ry
U
;i-iG 2 ¢ 2010
Date $3- la
Applicant ;dame Ppv 0 L- Gfailing Address 3
1 ,L) I t.S D IJ P C-- ? 7-
Morel,.
act City')vAj
I certify that I have autl'noa•izecl (agent) H)bbb1 E (l.SC6
to act on M7-
behalf, for the paaa•pose cia applying, for and obtaining all. CAMA Per necessary to
install or construct (acti'dty) L-1 T
at (locatioaa) l C/. ( P61qrs 61') C (RCC
tla�a� {date)
This certAfication is ,al-tl
�i�;aaat�na-e
RECIFIVE0
AIX
lWoretecid City I)Cpl
E_
P p
PROS e�ij
protzc_ L C--
(I-OL, BIC-CR, Road. et
on n L
('�Vaterbody) -E4441>
(T-ol-c-n ai2dior County)
hc has desc-Zbrj to dcvcic[)cnL he is proposing at [haticcaL,on, and, I have no obj,�:ceons to h. i s p r 0 -c-0 --d I L
- I under -stand ghat a pier/uncovered
um d' RL
must be back a minim boat Lif,
Waived by distance Of f, fc--,L (.IL5') -ft-cm my iafta Of riparian acc-tss unjicss
1 do
20 not wish to waive the -Ic bads recuL*DeM,
I —do wish to waive that setback ,ezuLrcme,-jt
DESCP=o,NA.ND/OR DRAB,- N G OF pR 0 po S ED D E VEL 0 P-"YMN-T:
(TO be filled i,7 bY individual proposing deve
t4Q
c-Y
L «j
I
------------- L -----------------
---------------------------
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t4-leop Y it) ate_ WQ-T
t� ----------
Prl'l,,t or Typ-- ivainer
r
RECEIVED
AUG 2 4 2010
prorr'2r- lccated at PEA 9-stA1 G(2C.�,e
(-L-ot, Black, Road, etc.)
on 13 g -b it�3'tbs Pa e'r�c-e
. N. C .( aterbadv)
(Town anoriCounty)
He has desc:�b11 to me a s iIO Wn be_ow, the develac)tent he. is proposing at Chat
location, and, I nave no obje;:tions to his propo---,[. I understand 4`hat a pier/uncovered boa[ lir
must be .set back a minimum distant✓ of Tilaern.r t (15') from my —a or riparian act;ss unless
waived by me.
:�
1 do not wish to waive the setback revLire,1.1ent
I do wish to waive that setback re�uirernenc.
DES CR=O i .A:N-D/OR DRAWL--NG OF PROPOSED;DEVELOP'YM-T:--------
�(To be filled i,z by irzdi L roposing deve4pmerzt)
t�
Signature
Prir:t or Tyv= Niane
m
-c
SAMMIE E. TURNER
MARINE CONSTRUCTION ACCT
252-725-3415
P.O. BOX 1885
MOREHEAD CITY, NC 28557
. FPAY
TO THE
ORDER
of
. RDER OF —n--
4937
66-112/531
DATE
s
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DOLLARS AMC F-1.,
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BRANGI� 00 BANKING TRUST COMPANY 57
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