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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) f ) Phone # (? ) IV46- 52 it River Basin ) r iaa d Adj. Wtr. Body �t,.. c. - (nat /man /unkn) Closest Maj. Wtr. Body i�o - - i"J V-f IEE�R, "L'i■■■■■■■■■■■■■ OON■ EVESH■. �.■.■■■■■■■■■■■■�■■■NONE . • ... - . . . M.NNN■�IONOE■■■/'� .. • - _. _ ■ �..����I. P II/!�E!/I!■ENE■■■■ r ■■NUMM ■IE NOON �' �LF, r'r„ 1ii l ■■■ NONE ■ 1■■ENNEN WMFAVAK ■®■■IJ■E■E■■E ■■■ Oe/Id E■■E■■W■■E■■ ■■■■■IIEE■ENEE■E EAWWWIK�Ar ■■■NN_t1■NEN®N ��■■■ENNow" '� /.I �Fr �C4 ,1 / 4 I!■■■ E OEM■■■■E ■■� �■N■N■N■ ■E■■/l■■■■E■OC-9 J 1 ■■■■O�1■■■■■■■ ►� ■INS 0■■■■If■N■■■■■ ■�■■I■■■N■E■No Z�I/ i ■■m■E■■■E■ ■I� E■■EE■■■E■EN ■I�' i7NE■II■■NEr , �. ! 1MMIE■■■ ! �■E■■■■■EN■EN MMEREMEEMME EN :.. ■■�1'■■■■E■..C.►., No ■■■E■■■.....■ ..... . .. • MEMO n::���w EEEE■ENN . aEE■C■�■ IMMEC■■■EME �v.• .... M. • ■!1. . /,- �,:� is 0 s en r Applicant Painted Name, z �� �/ 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 Rawt�L,cy P 2-2"4 PfN i�stA 1� o1r d ,c i ,z � � o P prc, 2r-� 3� z k� 2 2 Pen s4A a 4-%Abtf+,0,A Co IG NCDENR 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 n.. (-,....,i r\--- A,, 3,, % n K;.....,G.,.. A..1;,, C....J.. " F(70/ [?nn. l-4 1 4IM 0-1 (`nnoe.mar 0—, 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