HomeMy WebLinkAbout58158_AULT, JAMES_20110712❑•CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification El 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 15A NCAC
_ EJ Rules attached.
Applicant Name '' . Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
Phone # ()_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Subdivision --- ---
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
M.
MEN
■■OMEN■■■■■■■
■■■■■■■■■■■■■■■■■■■■■iL9ti��■1!i■■■■■■■■■
Agent or Applicant Printed Name
Signature Please read''compliance statement on back of permit *�
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s)
Check #
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 howto comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(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
1
James Ault
Jenifer Ault C` �7-1
10,5Sheri Ct. ®� R E 2zlt
New Bern, NC 28560
a is
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BANK OF AMERICA
1:0520016331: 00393583 3 7� 215 _{
Me�ropol�. � Orsiyns BY Shanty , i0 OC ii- � �- 9� -fi
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date 5 13 -
Applicant Name
Mailing Address j rC>
I certify that I have authorized (agent) p �j��_�Q� 1�'i� to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) '(7.t ,
at (location) f°� 67
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmalive Action Employer — 50% Recycled 110% Post Consumer Paper
ADJACENT RIPARIAN Pp O�r.�F iBo �HOUSE'i }�x
(FOR A PIERIMOORINGi�vGsi�o
P l�
1 hereby certify that I own property adjacent to (Name of Property Owner)
property located at
I (Lot, Block, Road, etc.),
on !tir kk-))L( 0)y-, wAY in Avr-- koo�.slil�%s 0AR-IM6 �vd�:iyN.C.
(Waterbody) (Town and/or County)
Applicant's phone #:
Mailing Address:
has-de5r�il)�_d_io me, as sliovvn below, the development he is proposing at that location, and, I
have no objections to his proposal. l understand that apier/mooring pt mgs oa i GaA�ti��US-
must be set back a minimum distance of fifteen feet (151 from 1-11y 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 AN'D/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-tip+A>I
1a� Lt P--
---)
for Property Owner Applying
for Permit)
IOG �, ols'tl>r �
Mailing Address
)Nod �ke/1,�s� Ate, 24S12
Clity/State/zip
?62 • G 24---
Telephone Number
t ature
Date
7-((- 1/
(Riparian Property Ovvner Information)
Ave AUOU 5Sv Cal A 1/UA)
gnature
piep/+J2 BEtA�A%K
Print or 'Type Name
25z -Z�o -I 7 / 7
Telephone Number
Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA pIE•RINfooRING PILr1VG.YIBOATLIF'TIBOATHOUSE)
I hcrcoy certify that 1 own property adjacent to en WN ' c I _�_ �.____'s
V - (NitII
f Property Owner)
t
pxope.ty located at— 1D( Ota4� -_.--._---- -- —y
(Lot, Mock, Road, etc.)
on ifs,-4 � � in ��-� _ _ _ , N.C.
(Waterbody) (Torun andlor County)
,Applicant's phone #, Cot Mailing Address:_.
'kit: }tits dosczalrc:c� t�.tt e, �r� shown balow, the dev_ clopment he is proposing at that location, and, I
h:3ve no ol)jcctions to his props+sal. I understand thata pierhiloori lg pilings / haatlift / 1►tiattiiiuse
irrist by se[ back P. n.liniinUm distance of fifteen feet (I Y) fron) :ny area of riparian acces.-, unless
waived by rre. (If you wisii 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,,
(f'a be filled in by individual proposing development)
- --------------- - -------------------------------------
(Information for Property Owner Applying
for Yer. mil)
E PK 1
Mailing Address
City/Siatelzip
d.+ b 7-4F24i Z
Telephone Number
�- 2 • f
Signature Date
(Riparian Prop rty Owner Inforrnatia
ignature
Print or Type Name
Telephone Number
S� I °
Date
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SALTER PATH
2
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ACREAGE �O�H� N '� O I I I
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COORD.��IETHOD U / 26 1
TLELPHONE 0.42 AC. ECK 1 �' 31
(CHORD) EIR 21 0 I
N 00° 51 37 W PP / o�
+ WATER METER ' SIR
44.52 4o 1p
I BOLT � �� �
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ROCK DRIVE � � �� 2g�+�1 N �I
/ S�' EXISTING BULKHEADS f
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/ BOLT EIR �.� _ 1t3 O C.P. + RIPARIAN RIGHTS LINE
to
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RIPARIAN RIGHTS LINE \ \ -PG
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W I c: fTl i tt�i J
-� -� REFERENCE:
D
� I I Map Book 7 Page
�p(v R�sJames
SURVEY FORNOTE; �Q P�1,�8 C and Jenifer Au
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: James Ault
Date: July 12, 2011
General Permit #: 58158C
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
ow
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169
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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 ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10