HomeMy WebLinkAbout60394_ABI BAYVIEW DR, LLC_20120821CAMA / DREDGE & FILL -
C�ENERAL 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 Street Address/ State Road/ Lot #(s)
City_ State ZIP
Phone # ( ) Fax # O Subdivision
Authorized Agent City ZIP
Affected CW EW PTA ES PTS Phone # ( ) River Basin
OEA HHF IH UBA N/A
AEC(s): Adj. Wtr. Body _ _(n_at /man /unkn)
PWS: FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length_-
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozing --
Other
Shoreline Length c�u I -
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
(Scale:. ) 1
Y - s 1. �— See note on back regarding River Basin rules.
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer'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.
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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)
kF,App cant:
Date:
Describe below the HABITAT disturbances for the application. All values should match the n e 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
to impacts)
irn act amount)
temp impacts)
amount
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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 ❑
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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
61 &Q" Da-e✓ GJ 1/1/ S
Mailing Address:
I certify that I have authorized (agent) /` / �F'-` '� S to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) G C4,v C�
at (my property located at) �7 8 3 l&, yy i r c i Uf �AMT►' /J PG �/��_
This certification is valid thru (date)
Property Owner Sigr�ttua Date
ADJACENT RIPARIAN PROPERTY OWNER_ STATEMENT
I hereby certify that I own property adjacent to I-jt'/1 LT .s
Name of Property Owner)
property located at 0?0.3 ,�� z , / d 3 I / Svc of IJ. r' c4 r %sees —
(Address, Lot, Block, Road, etc.)
on — ��L ���4 _ _ , in ��%n del, � __, N.C.
(Waterbody)( (City/Town and/or County)
TWO—.
't has described to me, as shown below, the development proposed at the above
to
I have no objection to this proposal. S F---E ooc- L4
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
SG-�z- ov4 "c4-)6 D
woT[;' P6�k hog i5I��c�
Sk r vie RS 5�4�
10 pcp-e'�41 l tw>=
d
WAIVER SECTION r. c
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (1�",you
wish to waive the setback, you must initial the appropriate blank below.) H,
I do wish to waive the 15' setback requirement. DCM-MHD CITY
__Fa --__ I do not wish to waive the 15' setback requirement.
Prin*qr Type Name L- /
Mng Add rass
CitAtate/Zip
Telephone Number
�7 a4- '/ 27
Date
(Ad' ent operty Owner Information)
r
Signor ure
Print or
�orT�yp�e Name
8cx-G4Y
Mailing Address
City/State/Zip
Telephone N7u7 e ,,j�
Date
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
on
(Waterbody)
of Property C
f \ -i -Q--i :J D,
I
it MCA N
(Address, Lot, Block, R ad, etc.)
in Gs ( {� C)l N.C.
(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDlOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
RF_.CEJvF
AUr o9 ?_012
DC?v1-A'HD CITY
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Prin/or Type N,�a?me /
Z S f I
Mqifit�g Add
Chty tatelZip
/a y yff- TyA%
Telephone Number
— /2-
Date
(Adjacent Property Owner lnformatier)
Signature • � y
Print or Type Name `
Mailing Address
c�G
CitylStatelZip
Telephone Number
. -2 2L l�L
Date
(Revised 61181 2)
V �
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- .,OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
(252) 240-2525
^FIRST CITIZENS BANK 4962
66-30/531
137
7/30/2012
ORTO THE 1
ER OF D.E.N.R. -- ---- ,$ **200.00
Two Hundred and 00/i00**********************************k*****k>k************
DOLLARS
OUTER BANKS MARINE CONSTRUCTION, INC 4962
F-132"
7/30/2012
200.00
First citizens 200.00
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