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HomeMy WebLinkAbout57816_DUNNAVANT, WILLIAM_20110401❑CAMA / ❑ DREDGE & FILL GENF�RAL PERMIT Previous permit# ❑New ❑Modification ❑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_ City Phone # O_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State Fax # ( ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Prolect Location. County Street Address/ State Road/ Lot #(s) ZIP -tl Subdivision City ZIP Phone # () 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 — - i �_ I f\1 ] 1 i I i I Shoreline Length SAV: not sure yes no I- Sandbags: not sure yes no j i Moratorium: n/a yes no Photos: yes no I Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions X 7 t4i i I' i I '_ ❑ See note on back regarding River Basin rules. 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 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, certifythat this project is consistentwith 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 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, NIC 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 "a _-- Npplicant: Date: 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 ternimpacts 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 tem im acts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount 6 redge ❑ 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ''. 2G;�•? ? R d.COAST From: John Smith To: Steve Silver Date: 3/1712011 Time: 11:03:48 AM Page 2 of 2 ADJACENT 7RIP" AN PROPERTY OWNER STATEMENT (FOR A PIER&IOORB G PILLIVGS`IBOATLXFTIBOATHOUSE) I hereby certify that I own property adjacent to 3 's (Name of Property Owner) property located at (Lot, Block, Road, etc.) on �,1fillQi , in Ate IseQ.ACi/1 , N.C. (Wa-terbody) (Town and/or County) Applicant's phone #: -Z,; 2 72 ta' 76 q4 wa3lfng Address: VVI ' cs Uyklb2 - He has described to me, as shown below, the development he is proposing at that location, and,1 have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minunum distance of fifteen feet (151 from my 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 zip , I do wish to waive that setback requirement BESCRIPTI.ON AND/OR DRAWING OF PROPOSED DEVFLOI~'MNT: (Tt? be fzlled in by individual proposing development) (information for Property Owner Applying for Permit) Mailing Address 2..10-5y2 — City/Statelzip Tele bet Signature Date (Riparian Property Owner Information) Signature Print or Type, Name 82 4-- 77S-- rGgS Telephone Number bate ADJACENT RIPARIAN PROPERTY OWNER STATEMENT haf ORINGPILINGSBOATLIFTBOATHOfTSEV ,_ J (FOR A PIER�O adjacent u is I t �/ ►/ I, I hereby certify that I own property ad3 to(Name of Property Owner) property located at (Lot, Block, Road, etc.) on C.kR in �Aul'��A�-h , N.C. (Waterbody) (Town and/or County) 2-��4�1 Mailing Address- f2A S��'L Applicant's phone #: 2�,2- ? ��,�-Z He has described to me, as shown below, the development he is proposing at that location, and,1 have no objections to his proposal. I understand that a pier/mooring pilings / boa / boathouse must be set back a minimum distance of fifteen feet (151 from my 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) Mailing Address 2 City/State/Zip 2:� -Z— -7 2(e ---T 4 4 '� Telep onber Signature Date Property Owner Information) Signature o Print or Type Name Telephone Number Date 1287 W A DUNNAVANT 66-49/631 CC VICKIE BOWLING DUNNAVANT PH 919-528-4566 101 LIGHT FALLS DR oa WAKE FOREST, NC 27567 $ Pay To The t pecala on d rnf (`l��U(� _Dollm.S Or e �- iks .k cJ L-/L, .c( Wachovia Bank, N.A. Raleigh, NC 27609-5757 5rI`II—1 1;0 5 3 L00494�: Merno 873t, L r��� �Lj'- 23985 L287 _