HomeMy WebLinkAboutAmato, Frank & HolliGE & FILL N`2 82235-("
GENERAL
PERMIT Previous permit #
t4 ❑Modification
ElComplete ReitssuPartial Reissue Date previous r it 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 14.1
ARules attachgd,.
Applicant Nam Project Location: County k
Address -1 2i� Street Address/ State Road/ -Lot #(s)
City I State (ZIP J)
Phone #.-.Fax # Subdivision
20
Authorized Agent J C ZIP PU
Affected 0 CW \A� VP�TA El ES 0 PTS Phone # (174) (S11)-_ r fiver Basin lc/
0 OEA 0 HHF ON 0 UBA E3 N/A Y�l (naf Vman unkn
J/)
AEC(s): Adj. Wtr. Bod o bx1l t
0 Pws:-, OFC.
Closest Maj. Wtr. Body —
ORW: yes (PNA yes /"no I Crit.Hab. yes no 0 ) 4 I I -
Type of Project/ Activity
Basi
Boat
Boat
Beac
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Shod
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'Sand
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cubic yards
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A building permit may be required by: See note on bac/7k regarding River Bin rules.
J
Notes/ special,ConditionS
—7
N At _j
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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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules
0 Neuse River Basin Buffer Rules
F 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/ 1-888-4RCOAST
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
PPIZ 01, 'P,-ZL2Z',bQ1" 262OT".'.
Applican
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
Y
TOTAL Sq. Ft.
Applied for.
Disturbance -total
includes any
anticipated
restoration or
tpmp 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 Impa
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
Dredge [I Fill 0 Both [I Other
V
Dredge [I Fill'O Both 0 Other 0
Dredge [I Fill 0 Both 0 Other [I
Dredge 0 Fill 0 Both 0 Other 0
Dredge 0 Fill 0 Both 0 Other El
Dredge [I Fill [I Both 0 Other [I
Dredge [I Fill [I Both [I Other [I
Dredge El Fill [I Both [I Other 0
Dredge [I Fill El Both El Other ❑
Dredge [I Fill 0 Both [I Other [I
Dredge 0 Fill El Both 0 Other [I.
Dredge 0 Fill 0 Both [I Other El -
Dredge [I Fill [:1 Both 0 Other El
Dredge [I Fill [I Both [I, Other [I
Dredge [:1 Fill [:1 Both 0 Other 0
-f-M-230S, : 14$018-4RCOAST
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vev-!S�sd. OW0311r",
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
and 0AI AM40
Mailing Address:
3a( �AOQK UIV-e
NewPdgr N c 9-8570
ucr=13
ApR 2 2 M3
DCM-M0 Cn'Y
I certify that I have authorized (agent) j ►'16w. O' S L—AZ1,,LC41-to act on my
behalf, for the purpose of applying for and obtaining all CA_M�,If+
A Permits necessary to
install or construct (activity) 0C, � � � 00 �..(J
at (my property located at)
This certification ' t ru (date) 2 �'
Property
0-
7A 5
�laa-1a��3
Date
0/3 2_
47-
ADJACENT RIPA AN PROPERTY OWNER STATEMENT
j( T I hereby certify that I own property adjacent to 0.XI & � (G' S Is
Name of ro erty Owner))
property located at 3a3 BROOK 1..�N'E N o c gad
(Addre s, L�" ppt, Block Road, etc.)
on Z C-� in awtoE N� CR0.�'EI�ET , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loca ion.
have no objection to this proposal.
have objections to this proposal.
DESCRIPTION A RAWING OF PROPOSED DEVELOPMENT
(Individual proposing deve me must fill in description below or attach a site drawing)
t3'`13asa x31,
, f
s,akb
mac»
APR 2 2013
DCM MHD CffY
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.)
—C� I do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Prope Inform ti ) (Adjacent Property Owner Information)
Siwat&e
N-W% ml cm, fmakv Si V & &A c Alto. c :k.
Print or T e Name Print or Ty a Nam
3a� Fy3V- L N� 3a3�RWK L-AN�
RVAO�Mail' Ad ress Mailing A dre �51�
I-1 "r- S"lo �wro� Nc 2-
City/Stat rp City/State2i
a��`lS = t3ta 'M -1ae -15151
Telephone Number Telephone Number
4• tq•aot3 4 -k4jJo�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Q�.f'VVC
hereby certify that I own property adjacent to 0.t 1 �c�'n� 's
(Nam_ e of Pro erOwner)
property located at 31°� ROOK lflN , i1EWQOR�. Nc a�5'10
11 (Address, Lot, Block, Road, etc.)
on .7UfY1Pl�l6 ��N in NEvJPOR�. Nc CAI�'Cf.R , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description beer attach a site drawing)
t3x�3
V"', �C
Elks510
�� 1
AP
pGM- OY
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back'a minimum distanceof 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.)
do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Pro wner Information) (Adjacent Property Owner Information)
S1gF!atUgryeSignature
ra
K th c.�D o`'►" n10.'fD �ifl�`� �A N kw\
Print or Type Name Print or Type Name
L o
k -& ook ,a *U9 U00K l-AAE
Mailing Ad ss Mailing Address
o Nc a851p k Nc a�s�o
Cit /Staae2lp City/State2►p
�51-�,15Y�t3ta-
Telephone Number Telephone Number
4•�;.ao�3 / �-a,a-ad'3