HomeMy WebLinkAbout57093_BELAND, RICHARD_20110325❑ CAMA / ❑ DREDGE A FILL �y�
GENERAL PERMIT 6 Previous permit #
❑New ❑Modification El 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 I SA NCAC
❑ Rules attached.
Applicant Name
Address
CityState ZIP
Phone # O Fax # ( )
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body(nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
(Scale: )
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
311
.:
{.
r
It
i LIS
1 �
Shoreline Length
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
LJ See note on back regarding River Basin rules.
Agent or Applicant Printed
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit ** 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
❑ Neuse River Basin Buffer Rules
❑ Other:
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 complywith 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/ 1-888ARCOAST
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
NC Division of Coastal `Mgt. Habitat Impact Computer Sheet
Applicant: Richard Beland
Date: March 25, 2011
General Permit #: 57093C
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
SB
Dredge ❑ Fill ® Both ❑ Other ❑
1,400
140
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
J
revised: 02/03/10
ANT,-ry
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 � - a I- it
Name of Property Owner Applying for Permit:
III
Mailing Address:
I certify that I have authorized (agent) 6-5�'nStAA . dljk,.tg act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) II I
at (my property located at) J U
This certification is valid thru (date) 0
Property Owner Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.necoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORIIVG PIL17VGSBOATLIFTBOATBOUSE)
I hereby certify that I own property adjacent to �l'e i-tl A-&--b � .' Are 's
(Name of Property Owner)
property located at ! O B-057— 1�4A-PC
(Lot, Block, Road, etc.)
on A)�u S E (J E2 , in /�. APB 7 tt�!'1L�G 0 N.C.
(Waterbody) (Town an or County)
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.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To befrlled in by individual proposing development)
At--%���7�
(Applicant Information)
M, /a%iling Address ps
City/Slate/Zip-
Telephone Number
Date
(Riparian Property Owneylnfopmation)
Signature/ U
Print or Type Name
a�a-ag�?- 7a 5(,
Telephone Number
"S/'oZ/ X;AC/ /
WIN
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIER/MOORIIVGPILINGSIBOAYLIFTBOATHOUSE)
I hereby certify that I own property adjacent to �Iie M&--b �' 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on lJE-:7u.S6- in /,..fp 6' N.C.
(Waterbody) (Town an or County)
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 (15D from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Applicant Information) (Riparian Property Owner Information)
WAVKT
Maflfng,t
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City/State/Zip -
�o-aSs -_�� -
Telephone Number
Date
v _ �--_ 1�"� X
Signature — ►"�`1
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Print or Type Alame
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Telephone Number
Date
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BOBBY CAHOON
MARINE CONSTRUCTION AND LAND DEVELOPMENT
DBA BOBBY CAHOON CONSTRUCTION, INC.
6003 NEUSE RD.
GRANTSBORO, NC 28529
PH (252) 249-1617
w PAY TO THE NC 0 F- I V
' ORDER OF
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MEMCGI
WACHOVIA BANK, NA
APEX, NC 27502
66-021/530
11*00974011, I:053000 2 L9i: 20000 176848 2i3"m
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