HomeMy WebLinkAbout55294_HISLOP, JOHN_20100412❑ CAMA / []DREDGE & FILL
GFENERAL PERMIT
❑New ❑Modification ❑Complete Reissue OPartial Reissue
Previous permit #
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 a�..1 i� to
Address PO [�OK `35
City� Atf i State zip_�
Phone # (,) Fax # (�)
a
Authorized Agent As
Affected ❑ CW ❑ EW `PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ElHHF ElIH ElUBA ElN/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s) f �y
Subdivision } j
City_ E 9 u F,a r i zip � `b C)
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Phone # (? ) IV46- 52 it River Basin ) r iaa d
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SignSign a ** Please read compliance statement on back of permit
Application Fee(s) Check #
91
1--x )v�
Permit Officer' nature
Issuing to
EXpiration Date
sue) 17
Locaf 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 [)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/ 1-888-4RCOAST
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: 9 10-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
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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
p,
Date 3-1— o
Applicant Name 4
Mailing Address PL) 8Dx F-5
N C- 2 853 7
9y�
I certify that I have authorized (agent) t?�5 to act on my
`e (>/dt�
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location)
1451414 rVl a/►o
This certification is valid thru (date) !y' ! — / C)
Signatu
4- c 2Fs3
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastaimanagement.net
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
41-1F�,
I hereby certify that I own property adjacent to A d1i o -04 `p 'g
(Name of Property O ner)
Pmproperty located at a a / /? f t, I ,q 4 off' W
(Lot, Block, Road, etc.)
on % G (A/ , in Pr:4-�- )'o'lslb "� , N.C.
(Waterbody) (Town and/orCounty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
- 2-.V,1 W
J("J1q bash
-2m)w
Signature
Print or Type Name
%lz!�' -3026- -7e`(
Telephone Number
Date:
MAR-04-2010 08:11 PM OPEN CIRCUIT ELECTRIC 252 321 0787 P.01
MAR-00 kin r'It4L"Y'.%RE9-V. T:_r?r- .?' a 493 J51 � P. 02
t�U?4kry 0 WNER STATEWNT
property 0brent to ► ,) ,;a o1)
s
rvarne di Praparty O�•ner? _...�..
Amax; ry In;,►rr� �t � � ") �fl � r ��`. ®�
(L It, B10Ca1 Road,
—hat in
AIF
(waEerbody) (Town and/or County) ~� V.C.
He has daseribed to me ;d shown bel:jw, the development he is propodng at that location,
Lid, I have no objettioaa to Wj propw:l,
AE.4C'R�TION ANDMA DRAVING OF FFOpU- WV Dira.LCfpltk
To be kif in by !�td�' proporir,d development)
-Aob,1�✓
6,�t�,►� doc,K
• Frin� or Tv*e I�fame
a
�ri��l/l lGs/o�
� 222 ��eicursu/2✓Y%a�+.or .tea!
�ciGe� ✓tom 2cQ�r�
AY
ORDER OF_-JL�
565
66-1246/531
Q DATE
IWJ 7=70Oik zPYon
Ll.Axs @� Li! '.N>":�
FOUNDING SHAREHOLDER
Cape Carteret, NC 28584 j Liar
FOR t /L Z Z Z �7 j r Nr
1:0S3112t.66l: 0000L02511L-65
Apclican,: 43 �c. Y
Dates I12, 1
S,GZq ( C
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
temp impacts
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
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
DredaeiQ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other n
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 ❑
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: John Hislop Permit #: 55294C
Date: 4/12/10
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
temp impacts)
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
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Shallow Bottom
Dredge O Fill ❑ Both ❑ Other ❑
2646
2646
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 ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10