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Home My WebLink About57880_EVANS, JERRY_20110519Ll CArj0A / 1� DREDGE & FILL iy GENERAL PERMIT 'Z 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 Address City State ZIP__-'. 1`3i Phone # Fax # O Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES L PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) i • t e.:�..c v;, City a 11r,r o ZIP i. Phone # ( ) Rivel�r} Basin Or- Adj. Wtr. Body V- t1 -tvi ti it t %' (nat /man /unkn) Closest Maj. Wtr. Body � -� E^� �'`• :■■■■■■■■ :■■ :■■■UMMI N WINNE IN . .. ■E IMNMMM ■■■■■IS■■JJJNM=MMI=MMM ■RMEN ■■■■■■•■■■■��■l�I�■■■■p■■■■■�■■■mod■■■■■■■ ■■■■■■■■■��[� �■tit■■■■u■■■■■■■■■■®■■■■■■ ■■■■■■■■■■■i■■■■�i■■■■■■■■■■■■■■■■■■■■■■ .9":�■l�ii"i■Tiliii■ ■ :.:■:�jGiiii�iliiiil�■■■■■■■■■■■ NMI Agent or Applicant Printed Name Signature Please read compliance statement on back of permit" Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date Local Planningf urisdiction 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 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 Applicant: Jerry Evans Date: 5/19/11 Permit #: 57880C 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 Shallow Bottom Dredge 0 Fill ❑ Both ❑ Other O 1100 1100 High Ground Dredge ❑ Fill 0 Both ❑ Other 0 12 12 High Marsh Dredge ❑ Fill ❑ Both ❑ Other El 24 24 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 revised; 02/03/10 o g 8 N•CAiAA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ®New C-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 15A NCAC FA Rules attached. Applicant Name 7 Te, ri• J - Project Location: County Cl"'i Ic nt Address �JSC� / ► lorZ 3 ti'0 Street Address/ State Road/ Lot #(s) City 41%'fY\tS &^ , State ZIP__- 27 .i A t a J Phone # (252): 15tiS-2kse Fax # (,) Subdivision Authorized agent City 6,�L ZIP 'rgCW '®EW r� [ .PTA C$ES ElPTS Affected Phone # ( ) River Basin ye, AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body :--� 1J�.+' , nal: Irnan unkn ❑ PWS: ❑FC: ORW: yes / Qi PNA yes / C6 Crit.Hab. yes / no Closest Maj. Wtr. Body ■■■■ .... NONE �■�:�■ IIR' ■■guUm sUmMNEo ■ :■■ 0111111011111 . . ..■..��..N ■■.::■■■■::■�i■■■i ONE ■ ■■■! ■■■■■■ ■ ■■■■ moommi ■■■■N■INEMMM■■■■■■■ IMSE E MEN �ommm MISSION ::■i■i■i■: ■101 i �ii■■■■iii ii::■ii::i:o ■■■■■EM _N■�/�I�%■■■■■■■■■■■■■0■■■■■■ ■:�■:� 00110101011111111111 ::�::■: .■.. No IS IN E No IS 0 OEM 1111ME . ��. MEN .■■IC■■■.1■:■1111. 11 :::..r■gym:.. ■.mem ........ ■■. Agent or plic nt Printed Name Signature ** Please read compliance statement on back of permit 2-dot"" r 4D3 Application Fee(S) Check # Permit Officer's ;5jghature lri if Issuing Date Local Planning Jurisdiction Exp ratidn Date Rover File Name " ��) jz) A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary May 18, 2011 Jerry Evans 2554 Mobleys Bridge Rd. Grimesland, NC 27837 Dear Mr. Evans: Attached is General Permit #57880C. In order to validate this permit, please sign the permit as indicated. Retain the white copy for your files and return the signed yellow and pink copies to us in the enclosed, self-addressed envelope. If the signed permit copies are not returned to this office before the initiation of development, you will be working without authorization and will be subject to a Notice of Violation and subsequent civil penalties. We appreciate your early attention to this matter. Sincerely, 60 -1 ( ''b Barry Guthrie Coastal Management Representative BG/lsb Enclosures 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date A-a�H Name of Property Owner Applying for Permit: Mailing Address: RECENED i APR 2 8 2011 DW.MHD CITY I certify that I have authorized (agent) F—,7J 0`4,; to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) �� f' at (my property located at)C—a- �;� �1v1 �� Lt (A.)a�J This certification is valid thru (date) Owner Signature CERTIFIED N RECEIVED DIVISION OF COASTAL MANAGEMENT ' APR 2 8 2011 ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/)NAIVER FORM. Crry Name of Property Owner: Address of Property: /10 (Lot or Street #, Street or Road, dty & County) Applicant phone #: Mailing Address: 13J'r 00 L I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing with dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastaimangement.neticontact-dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been noted by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 15' 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 wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) nat en Print or Type Name Mailing Addres CitylStatelZip / qq T_elephone _ Number Date (Riparian Property Owner Information) Signature J_, & ��rs � Print or Type Name Mailing Address City/State2ip Telephone Number Z� Date >I � 5� S�y< ill loe L(- feet LA) I �e Lj �7 ''ee'f tou6.4 eP�wE loaAe� Lxh Z itf , %4 F+ %!'ai 45011- ly a A 0-- -r� e p i e,r w Sri �e lvc ,,+e� tAwlLo, ll� urJe� ::� �. RECEIVED } APR 2 8 2011 DCM -MBD MY CERTIFIED MAIL - RETURN RECEIPT REQUESTED RECEIVEDDIVISION OF COASTAL ADJACENT RIPARIAN PROPERTY OWNER NOT FIECATION/WAIVER ARM , Name of Property Owner: Address of Property: 6�2�1 4�isz 6 U" SiL' i (Lot or Street #, Street or �5) 7319H Applicant phone #: ; 51g - - ;7-1 4n C JI Mailing Address: ors tf I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing with dimensions must be provided with this letter. 4 I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastaimangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 15' 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✓ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) �jgnatuw Print or T e�N�ame () �T_�S � �2��C !`t G ►�G Mailing Addres G ;w f M ciryisratlZip � � � g T6epho e umber (Riparian Property Owner Inf rmation) 2� �' e 1 Signature Print or Type Name Mailing Address or f . �. City/State2ip Telephone Number Date Date It -Ime, ', e,r Lo; it �e te r, 61-t +te, 1,o t RECEIVED APR 2 8 Z011 DCM-MHD CITY 4 AN MR E%RRY L VANS ph 252-75b-7318 IvIRo le}'SBC 2�/S3� 255 2anp+N Grim Pay to the ��v 4377 BAN H530a 1 Date � 'V dollars Order of i nkaMA•• .� W,Ng BgnkB dN1410n GUAROIPN SAFE 1 L`^ For 5 3000 ►:0 i