HomeMy WebLinkAbout57871_ARMSTRONG, GARY_2011050957871
-� 11 CAMA 1 �❑ 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
Address
City
State ZIP
Phone # (,)
Fax # (J )
Authorized Agent
Affected ❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ NIA
❑ PWS:
❑FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
I
Subdivision
City ZIP -!
it t i
Phone # ( ) River Basin ' t
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
PermitOfficer's Signature
r
Signature ** Please read compliance statement on back of permit **
Issuing Date
Application Fee(s) Check # Local Planning Jurisdiction
Expiration Date
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/ 1-888-4RCOAST
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: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
Applicant.
Date:
'-/ --r75W)JU.,
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 Flame
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
to p impa is
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amo )
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 E� 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 ❑
NCPENR
No(tt'{ [;, fohna Department of Enviranrtwnt and Nat1.Jral
Division of Coastal Manage en?
h,4h,l+oc.•! )-. l ra la:a�, tAammr.-r Chari(t, S. jCir er" Dir".1or VtailJa:araa f; Rrat.:.)r. `;fwInt,'wr
8 t crtil;�' thagt.1 li:18,L, atithurixec9 {ul;tati) �� r'� `� c✓�t r tra vc t rart r1ly
laOudi" rigs• (lie purpose oc applying for .tart ubtaiiiing a II C'APVIA Permils rtecer"ary tU
>iss�;t:sll €ar cttra.4i:-tact (at•4it�Itti') ..........-NL�.-------U' V �(�� �'�c� � �eJ� _ ..
al (1[aaaiiiraaaj /y — C...,.. S fry
'I hi:a vt:riiR`icatic►at s valid tlRr:a fcl:ttel
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RECEIVED
MAY 2 2Gi1
DCM-MHD CITY
,100 (mu 'A'yc'mum, i4t1•)f;.'11{imd "'Ity, North
F'P11:a{w. ".152-80 8 2808 t FAX— 252-247-3:3?0 1 JW6, wt: www.riixow;taln•1an"•Iyll(IlIII it. Iit- t
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Postage $
1:3
Certified Fee
Return Receipt Fee
F-I (Endorsement Required)
Restricted Delivery Fee
(Endorsement
Required)
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Total Postage & Fees
C:1
L US E
Postmark
Here
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or PO Box No.
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Certified Mail Provides:
A mailing receipt
A unique identifier for your mailpiece
A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First -Class Mails or Priority Mails.
• Certified Mail is not available for any class of international mail.
■ NQ INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt maybe requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3611) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for `
a duplicate return receipt, a USPSO postmark on your Certified Mail receipt is
required.
r For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
• If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. tf a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT, Save this receipt and present it when making an inquiry.
PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047 j
Fu
FU
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n.1
_I- Postage $
C]
r a Certified Fee
Return Receipt Fee
d (Endorsement Required)
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Restricted Delivery Fee
O (Endorsement Required)
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r I Total Postage & Fees
f-1
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p Street, Apt. No.:
f - or PO Box No. 2 7nff
Postmark
Here
Certified Mail Provides:
A mailing receipt
A unique identifier for your mailpiece
A record of delivery kept by the Postal Service for two years
Important reminders:
■ Certified Mail may ONLY be combined with First -Class Maile or Priority Maile.
■ Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables, please consider Insured or Registered Mail.
■ For an additional fee, a Return Receipt may be requested to provide proof of
delivery. To obtain Return Receipt service, please complete and attach a Return S
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a LISPS® postmark on your Certified Mail receipt is j
required.
in For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking. if a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800, August 2006 (Reverse) PSN 7530.02-000-9047
■ Complete items 1, 2, and 3. Also complete A. Signa
item 4 if Restricted Delivery is desired. X
IN Print your name and address on the reverse
so that we can return the card to you. B. R ;iv(
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: v
❑ Agent
❑ Addressee
by (Printed Name) I C.
ss different from item 1? ❑ Yes
iveN address below: ❑ No
1 �
43., �feglstered
Type
ified Mail ❑ Express Mail
Q ❑ Return Receipt for Merchandise
red Mail ❑ C.O.D.
4. Restricted Deliveryl (Extra Fee) ❑ Yes
L 2. Article Number
(Transfer from service lab( 7 011 0110 Ef0 01 'BAA4 0242
PS Form 3811, February 2004 Domestic Return Receipt 102e9s-02-M-lW
UNITED STATES POSTAL SERVICE
• Sender: Please print your name, address, and ZIP+4 in this box •
DoSvc 13aNks 1-Ufire Co>,st�w+ctior
ttt-D Turner's D"*!" Rt�
Moreljert, Cit4, NC 2s557
*aZ III 12 Ili !It III II111111111111t2ltl!IIIItIIIII lltltIlilt WIII1
■ Complete items 1, 2, and 3. Also 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 m 'Ifi'MV
or on the front if space permits.
1. Article Addressed to: n %�
Mr. Q my-<
L] Agent
El Addressee
ate ofiDelivery
delivery address differ t from item 1? ❑ Yes
YES, enter deliveryddress below: ❑ No
Se Ice Type
r T Certified Mail ❑ Express Mail
Registered ❑Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery! (Extra Fee) ❑ Yes
2. Article Number rr$"
(Transfer from servic 7 011 0110 0001 0424 0259
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATES (P.,joRT1Ai,y 3FF
• Sender: Please print your name, address, and ZIPT4 in this box •
13o5Ne l3a"its T.Urine Co"S"COO"
iii-D TNr"er's Drir4 R5
Moreller5 Cit4, NC 2$557
111111111111„111lilt fit tl111111111111
RECEIVED
MAY 6 2011
0�.. 1 :. :. 1: ► J :
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
' S
Address of Property:— �
a'S'S-70
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing;the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
if you have objections to what is being proposed, please tivrite the Division of Coastal
rllanagement, Hestron Plaza 11, 151-B, Fl)vy. 24, Morehead City, AIC, 28557 or call (252) 808-
2808 ivithin 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless ,valved 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.
Sim atqrerrn�
ate
Print Name
9 /C
Telephone Number With Area Code
- ----------
V;I-y
4
r.K
. . ........
MIUON Sol
ADJACENT RJPARJAi`i PROPERTY OWNER. STATEMENT
(FORA PIER/NIDORING PILINGSIBOATLITTIB'OATT IIO USE)
l hereby certify that I own property adjacent to �� //!/� �� 's
(Name f Property Owner)
property located at �__,.� !_._>_/�' ��°' ►
(Lot, Block, Road, etc.)
on in_ i��� ay ��✓I �/� N.C.
(Waterbody) ( own and/ r County)
Applicant's phone #: ��% ���'�dl Mailing Address:
T T
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 minimum distance of fifteen feet (15') from my area of riparian access Lidless
waived by me. (If you wish to waive the setback, you crust initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
---------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
i
� .z,,60
i
(Informat.ion for Property Owner Applying
forPermit)
Mailing Address----{��`—
A4 tl�4-e 0 01-- �f- z
C ity/Staff ic'Zip
Tel pllone�tu}�ber
Mai � 2®1N !.
-------------------------------------------------------- cvi
(Riparian Property Owner In formadowbMolp
Signature
Print or Type Nan -it
Telephone Number
3) mlat uur late Date
ADJACENT RIPARIAN PROPERTY OWNER. STATEMENT
(FOR A PIER/MOORING P.ILINGS/BOATL.IFT/BOAT.HOUSE).,�
l hereby certify that I own property adjacent to✓s
(Name A Property Owner)
eee-�-"
property located at S
(Lot, Bloch, .Road, etc.)
on — I'ti'de,
(Waterbody) Town and/or County)
Applicant's phone #: 6/6 `Sf d/Mailing Address: 371%"
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 minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
60 , x / ,a"!
----------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information) ---
for Permit) (� �
Mailing Address Signature
Cityr'Siaiei� ip 7 Pi
ij,t or Type Naum
Telep lone ua ber - , Telephone Number
i�;i]ai irCatG Date
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Bogue Banks Marine Construction, Inc. WACHOVIA BANK, NA 7849
111 D Turner's Dairy Rd 66-211530
Morehead City, NC 28557
(252)247-4428
PAY TO THE C 6
ORDE Fr
DOCKS, S-E-AWAf r j�f yREPAIi~S's
11200 7$ 4 9t" I:0 5 3000 2 L 9i: 20000 2 48 3 L 40 21I'