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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 �/d "117 i5li �i City/State/Zip - �o-aSs -_�� - Telephone Number Date v _ �--_ 1�"� X Signature — ►"�`1 lft nl f= /_, BA—�AZ7 Print or Type Alame a?Sr? 2,+� - .2-24,9 Telephone Number Date 3-2.. ' }3c--5T PPIPp6T-y Cyr FFd 27 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 r: p r J MEMCGI WACHOVIA BANK, NA APEX, NC 27502 66-021/530 11*00974011, I:053000 2 L9i: 20000 176848 2i3"m :r 09740 DOLLARS'