HomeMy WebLinkAboutAmerson, Gary (2)IaGAMA / L',(DREDGE &FILL ° ,
GENERAL PERMIT Previous permit #
j
❑New odi ic4tion,... ❑Complete Reissue ❑Partial Reissue Date previous permit issued i
As authorized by the Sta a of North'Carolina, Department of Environment and Natural Resourcesf
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCACI) a V Y t
v... i Rules attached.
Applicant Name `- ai '_ Project Location: County
'Address Street Address/ State Road/ Lot _.(s) Y
City ' �' ~%. �, State 1p Ap r`';�
LA
1),
KI I
Phone # ();,— "tip "' � I�nt!1Fax # �) =�_.• � �, .a -Subdivision
i � I
'Authorized Agent :, _.,.zaf�z'" ;`. t,, Cif, cj` Y`( l:t. (:� ' ZIP
'
❑ CW r EW J TA V&S ❑ PT s c �. Phone # (t�t�% •_ �' / : River Basin 1, {
Affected - "
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ;'N4 � ~f �,(,j 1 1,, r t . j. i
AEC(s): Adj. Wtr. Body(^`.�' t) , Al i .\ '� ' J zi(ht /rhanunkn)
❑ PWS: ❑FC: �'..
-r"N'; •-f;1 " 1 Closest Maj. Wtr. Bodyr
ORW: _yes /no PNA yes / `no j Crit.Hab. yes / no
Type of Project/ Activity ,M f) .,. I �' 11 �i;n r�. ��"Y1 � � � 1 i �( r ;"t`>�_wj' r7 I�� f� 1 li t.r
_t l rl , �_..;' (.� )j�(r f ir?t,�"1;.�s -�t;; 1l t 4-.�,~? `lc-;/Z• I (Scale:'
s
Pier (dock) length
Platforms)
Finger pier(s) i
Groin length
umber 7 A
Bulkhea Riprap length J
avg distance offshore .'
max distance offshoret
( Basin, 4hannel 1 n. 1 --•r
cubic yards i I
Boat ramp
Boathouse/ oatliftr
Beach Bulldozing +f
Other '1n r
Shoreline Length
SAV: not sure yes �o
Sandbags: notsure yes not
Moratorium: n/a yes no
Photos: yes o'•
'Waiver Attached: yes ro
,:��n
ir
WIN
N
■■■■■■■■■■■lam■�■■■■!!!■■■■■',1�■■■■r
1".1■■■�
�
11011INN
MEO�
OM
ME
���■■■
w
is
yr��wr�c�®ia■■w■i�■■■s■■■■
��■was■■■■■■■■cw■■�/■p■■■■■■■■■w■■■■■■■■
■■■■■■■�i■■■afi■we■■■■■■■■■■■■�[!!!�■era%■■
'
■�■/!�
l�■.11►�iliii�i�■■■■■■■■■■lei
iJ�3�■■■■
■►■■■■i■■■�i■i■■■■■■■■■■■■■■U■■■■■■■■■■■w■
■■■■■a■■r��■•w■e■■■■■�
�s�w■■■■w■■win■
■
wr�a■
ri�w■■®e■®e
.�r■■■■■■■■ni■►■■��■
■■■■■
■■■
■■■
■■■■■■■Effilliall
Sri■■■a�■■
■■wM■■BERS■■■■■■U■■■■■NOW
�
/
����
momman■..■
■■■■■ICI
o
1
i
��■
A building permit maybe required by: ,: t .1 k f \4 ❑ See note on back regarding Riv/e�r. Basin rules.
rr r
Notes/ Special Conditio~ ns r1 f�'i ! t t �t��� fd f L /1�.
ne-40
./-11; IC-1 ;;:�^.
y,' •� �
�"ram ,./ _-j � .,.-. _.. - -
.. - '��.1 �, -`h.i�
;Agent or Applicant Printed Name
':o r
Permit Offi er's Signature
f�-- ��sr �
1 a y`� N
�ff� "may
,�
�--' ,-' �, -r; ��•
(� `�' I.��t'.�,li.
Signature' *P�ease read compliance statement on ft'� r�%/__'=( I uiigDate
{om„ f
ExpirationDate "^,
ApplicationFee(s) 4
^ )f t Check# �anningJurisdiction `
t[
Rover FrleName
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 andvoid.
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 ❑ 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/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth Citv 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
C
C
f I-13
Applican
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of urement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Diiturbance•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
Dred Fill ❑ Both. ❑ Other ❑
Art<
Dredge ❑ . Fiil Both ❑ Other ❑
I
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 ❑
1
-808-23,3 :: 11-838-4VICOAZT uv:mmCcems2 amen. aes 6e�as��7:4t�,1a��19�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to G A/` H ► M a V S o n 's
(Name of Property Owner)
property located at e � n i n tx
�� (Address, Lot, Block, Road, etc.)
on E-6 North Qiver in 13PauForNC a8516 ,N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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 below or attach a site drawing)
I'a"', /,h
;, as//? /S To �J!'o v1cle a/7
,
0/9e/7 C ah a l fp M a / 1274-c1 /r) /l cf 1//5 a le
•
FO
wa ler a CCeos s r- all 01iel-
prop er f5 owl?&,rs B� e ln,�q Lm a r e
AOF Canal w� d A Can
ran fed 7/0 o c✓n e,^s w / �A 42m a 7t" L, F 7L s ,
T�er'e Lore
i
op
Aovse e
/a
D uoJZ,r-1-s
ivy a w. dJA
oF��%Ofeac`i 4F7;
WAIVER SECTION
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
SignatAe'
Gnr
Print or T i3 a e
Mailing Address
Coy ,u Nc
City/State/Zip
5 �9 - Q;Q
Telephone Number
Date
���le� YncTnnls A5eA'
a5a-9,25-ayL/8
(Adj n Property Own Information)
S' ature
49tryV r/
Print or Type Name
Mailing Address
Ci_ t lStatelZZ 0 6
Telephone Number IF
Y _,0
Date
(Revised 611812012)
25a- 795-2y�(ce�1)
Wl vinj Tie WQIl tb-a.C� series
13.),
3�
a'
.3-#Cxlrc,
outside oc-- '• S V
Tn i-, cd Pc-r n, t-)-. _.
fI }l
� I
41.5 .5
WATers
DOGE ��,5 (�►�SIN t5.�
waxyy X1�
L I X
90AT
LIFT LIFT
C'C�r1�Pr D� ana I
105'
vintiL a�ikheua ! t05'( Cornple
OeJ Men �
194 sLell—lnJ-ln:4i2J noFor+NC
EAsin ProposQl, GARY lgmersorn dBrIL
l a x a4 x 5 pro �y
L w n 53 PPrt dsa-aa9- ���
eu6c
ya�js of ma'�eriaI
To 6e removed,
BAS IO
MR, LgMAO
S�ls is�t r�
a�nn� ear, -kc�-Ae---cgin►
G(A o�—i�m_er�_o_aF
Cove
�sa�a�ayy8