HomeMy WebLinkAbout59323_CAMP SEA GULL, YMCA OF RALEIGH_20111019• L
❑CAMA []DREDGE & FILL 1 ��` C'�C 51-93 2 3
GENERAL PERMIT Previous permit#
❑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
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name ; . lF, , y, .1 ! r i i.` � (k Project Location: County
Address `` t / : i i ''' r Street Address/ State Road/ Lot #(s)
i
City'±. 5 s., . State ZIP
Phone # Fax # Subdivision
Authorized Agent r City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s) I
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore—'
I
v�
-`
max distance offshore /L,1
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
(f
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�i
I
i.•'
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no IF
Moratorium: n/a yes no I +
Photos: yes .; no
Waiver Attached: yes no t
A building permit may be required by: 5 See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name ,•
Signature * Please read compliance statement on back of permit'
Application Fee(s) Check #
Permit Officers Signature ✓" 3
Issuing Date 1 Expiration Date
F
Local Planningfurisdiction 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, certifythatthis 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/ 1-888-411COAST
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
C�") V S?-O' C�3 �
■ 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.
1. Article Addressed to:
coil Ply
% h •, �/ El Agent
X �/ l/L .(�✓,1 ❑Addressee
B elved Prinied��/arr�e) CIS— pt 'I'/ery
D. Is delivery address different from item 1? 11 Yes
If YES, enter del Ivory address below: §TNo
3. Service Type
❑ Certified Mall ❑ Express Mall
Cl Registered ❑ Return Receipt for Merchandise
❑ insured Mall ❑ C.O.D.
4, Restricted Dellveryl (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service labaO 7007 1490 0002 5321 3894
PS Form 3811, February Dourest c Return Receipt 10268562-M-1540
■ 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 mailpiegQ
or on the front If space permits. NV
1. Article Addressed to: �� Q
I3� e.
A.
B. Recolved by(Frrihted Name) IZ7.-MTe of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Syvloe Type
IA Certified Mall
0 xpress Mall
❑ Registered
Return Receipt for Merchandise
❑ Insured Mall
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. ArtldeNumber 7C1Q7 1490 0002 5321 4061
(rransfer from servlc Tffl err -
I PS Form 3811, February 2004 Domestic Return Receipt
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