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Home My WebLink About59768_ETHERIDGE, KENNETH_20120323❑ZAMA / ❑ DREDGE & FILL CE L PERMIT Previous permit # ❑New7oyae ation ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorizedNorth 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 Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # ( ) Fax # () Subdivision Authorized Agent 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) Finger pier(s) I n Groin length - — number i Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel I I cubic yards Boat ramp Boathouse/ Boatlift i 1 (t y Beach Bulldozing Other i I Shoreline Length SAV: not sure yes no o Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no I i Waiver Attached: yes y� ---- A building permit may Be required by: r Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # �■■ C�iii:ii Permit Officer's Signature Issuing Date Expiration Date 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, certifythat 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 comply with 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/ I-888-4RCOAST 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 BLUE WATER MARINE CONSTRUCTION INC. P O BOX 93 MQMMt Ae OTC K �N;f-VV�� 7199 66-112/531 ?I DATE PTO THE AY ORDER OF �� ✓ r/y/` Z ��, s ��o DOLLARS BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT 89T.com FOR � ■ 1110000 7 L98n 1.053 10112 11.0005 2 1498659 211' �1 7 A:) lfcant: Date: I Describe below the FiABITA disturbances for the application found in your Habitat code sheet. All values should match the name, and units of measurement DISTURB TYPE Habitat Name Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or tempim acls FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact a unt TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or tempimpacts) (Aal dis FI7c, Ex re/or te mount th ❑ Olhe 5 40 7EIRIlh ❑ Other ❑Ih ❑ 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 Cl Other Cl Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ . Fill ❑ Both Cl Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ a 112,43 . '1•'v 3 11:;`1 t� i' .! •1- 1`.')'A41; �.1 ) ;y lr• .�f3A..>1 n. �.1 P;1%�.?/.'1LC:'�J:Zi i<? .SAJ]13;:..�.'.: 1': .... r.....Il.:?'{ '.:tl. i.: ■ Cgmplete 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: iu;hQ, o f G A. Signature ❑ Agent X 6/�4 kw ❑ Addressee B. Roceived by (Printed Name) I C. D. Is deliver/address different from Item 1 C1 Yes If YES, enter delivery address below: ❑ No 3. Service Type .IOryCertified Mail ❑ Express Mail ❑ Registered ❑ Retum Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (fransferfrom service label) 7011 2970 0002'6387 O517 PS Form 3811, February ` omestic Return Receipt 102595-02-M-1540' UNITED STATES POSTAL SERVICE • Sender: Please print your name, address,' and 2101+4, fiis box iilt eqA 'E4Aci-io�, tn, &kWJ ct �'1 S-{.�o�► o a n 1 J",� 'ie bye, �S4 �OH(f�f7 V -J-�,Poc-n >)WD `Q1 �NJ-} 5 � )C l MAR 01 2012 DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _I `l�tt 's (Name of Property Ow r) property located at (Lot, Block, Road, etc.) on S in cz,'T C-.OcUrli , N.C. aterbody) (Town and/or County) Applicant's phone #:252 726 7//Mailing Address: 107 i-�� ►�1 G iiA , NC. 2 M-1 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To beidled in by property owner`pr-oposing development) 23 °e o r„ Qelo- o or V-; e a(l-rVat. CQ 6 Htdee" L / V 7;�i e Vt�t,�f�,,j 2s� Se,awaV o d� -M o, 1?i` "c1, 4J 9 / 4 ar -,ut vt e� wed- G✓ RECEIVED (Information for Property Owner Applying for Permit) - to- ,.-P ), 'I Mailing Address - 0 City/State/Zip Telephone Number -?Z-L ignature Date MAR 0 12012 DCM-MHD CITY (Riparian Property Owner Information) nature a T-' 0 U Print or Type Name 7 (P :� -) Q7-) � Telephone Number 2AUd 2__ Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 2 l0 Name of Property Owner Applying for Permit: RECEFVED MAR p 12012 Mailing Address: DCM-MHD CITY j o 7 2LYSS� I certify that I have authorized (agent) lVa, Val I 'M1 (�Q � , to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) f),n 4s , at (my property located at) 0 This certification is valid thru (date) /Z-3 o Z0 1 "), Property Owner Sign -2/io%2----1 Date ,Print - Maps binge Maps My Notes MAP, 0 1 01: DCM-lb HD !T`i WOn the go? Use mJAng.aom to find maps, directions, businesses, and more Page 1 of 1 i K � �Ylks e� �'.16�• �w,s �i� �.�� d^1- c` 7 I'll 4. r jot ° rl 1. 4 •1 http://www.bing.comlmapslprint.aspx?mkt=en-us&z-- 19&s=h&cp=34.727774,-76.83 5974... 2/8/2012 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to P. liAkkk'a s (Name of Property Owz r) property located at /d (Lot, Block, Road, etc.) on S , in �wn`�' , N.C. <dAVaterbody) (Town and/or County) Applicant's phone #:252 726 711 Mailing Address: l o 7 A01-f-& d C'& , NC, 2?STl He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. Owf' � rLop '�—`f J � { ne, 2 4 l.Z ----------------------------------- - - -- -------- - -- - ---------v------------ ------------�� DESCRIPTION AND/OR DRAWING OF -PROPOSED DEVELOPMENT: (To be filled in by property owner`propo"sing development) Z,_ ,f" 6 ox; d o?- pGkC,��/e o-6 a cugt '�a -the 6t�c 4kaal 0 74X p��r�� Qhd Slea-c a,V O c�' -Me r?1-44-dc ,,J4i 9 A4o rl na Cha4tAeP Zp� Carv,.p �� IwYli) CAPlA s-p e c i La�lo ,\ r �oxr�y� (Information for Property Owner Applying for Permit) fo7 1,0P15Z�r Mailing Address mo(e/�e,o_y C - �11 City/State/Zip 2s2 726 7 z? Telephone Number ignature Date (Riparian Property Owner Information) nature Print or Type Name 7 (P ,9 -) Telephone Number Date - Pa birn9 Maps My Notes RECEI VI) M,AR 0 12 01 Br-2:1-NIM ITY l llr : ri.bing.cOm , 2- So`l -o737 http://www.bing.com/maps/print.aspx?mkt=en-us&z=19&s=h&cp=34.727774,-76.83 5974... 2/8/2012