HomeMy WebLinkAbout57194_BUCK, RONNIE_20110412w.
❑CAMA / ❑ DREDGE & FILL "
GENERAL PERMIT � Previous p ermit #
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous
permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
��1�F.-
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC"—
❑ Rules attached.
Applicant Name —
Address
City
Phone # O_
Authorized Agent
Affected ❑ cW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # (,)
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: , )
Pier (dock) length
Platform(s) l
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
—
—
1A
i
Al
I
I
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no :r
Moratorium: n/a yes no
Photos: yes no
1,
Waiver Attached: yes no '
1, -
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
t
Agent or Applicant Printed Name J
Signature *' Please read compliance statement on back of permit
_ pit
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 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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
Revised 08/09/06
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Ronnie Buck
Date: April 12, 2011
General Permit #: 57194C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
.._ i
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tem p 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
Dredge ❑ Fill ❑ Both ❑ Other ®
710
710
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 ❑
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have no objecdom m his prapasaL
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i SE k'116 COMPLETESECTION
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i ■ Complete items 1, 2, and 3. Also complete
1 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 mailpiece,
or on the front if space permits.
1. Article Addressed to:
Yv
C-F-
�J���ern,
J
A. SignatuurrA
_ /
X�1
Agent
Addressee
B. Rece/iv by (Pri ted Name)
ate of Delivery
D. Is delivery address different from item 1?
❑ Yes
If YES, enter delivery address below:
❑ No
3. Sgrvioe Type
certified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Article Number 7004 1350 0001 6538 3585
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt102595-02-M-1540
UNITED. STf�TF .POSTAL. SMC E & Mai►
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• Sender: Please print your name, address; and Z(P+4,4rt thfi box
�resco�
■ 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 mailpiece,
or on the front if space permits.
Article Addressed to:
con)
2. Article
(Transf
PS Form 3611, February 2004
A. Signature
'(l ❑ Addr(
B. Receive b (Printed Name) C. Date of De
Ic, Lf -
D. Is delivery address dill ent from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. S ice Type
Certified Mail ❑ Express Mail
/ERegistered El Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
1 4 Rcetr'rctari nP1h anA /Frt— Foo) r] Yes
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Domestic Return Receipt i 102595-02-M-1540
UNITED STATES,PGEFV��, - k• "* c
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• Sender: Please print your name, address, and ZIP+4 trees- ox •
I herby certify dW I own IropenY aXjacat to ' i{'l� i U C i! 's
(I!e of Property Owner)
property located at
5 W'1Se� La
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on _! xwsnil s lam' ef-� , in- aO6, h(C Rm GCc7. N.C.
('�'�) (Town aid w Coady)
Apphemes phone #:- 7115$l 33 7 t�0 -�'esro�f d .
. &LI P-eYnl /)c a�stoo
He bas dese nbed tD me, as shown below, *e &-velopment he is proposing at *at lxaficm, and, I
have no objectiams r his proposal.
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B PRESCOTT MARINE CONSTRUCTION
PO BOX 874 252-249.0149
ORIENTAL, NO 28571
PAY
TO THE
ORDER OF
2393
f/ 6630/47
DATE l 4'Z
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DOLLARS
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First Citizens
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