HomeMy WebLinkAboutAtkins, Donald•CJ.CAMA / _ DREDGE & FILL ✓1 ``'E o ` 4
GENERAL PERMIT Previous permit# :J
E$New ❑Modification El 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 I SA NCAC I ' � � 1 t�-• � �
Rules attached f '
Applicant Name L Project Location: County
Address t ° } + _ s i 'y Street Address/ State Road/ Lot #(s)
City r' ( State ZIP r' �) .x , r r
Phone # I Fax #_ (_) Subdivision
Authorized Agent f „vt?' , t ; t �� }, rL. Ctty J S t . ( (�,_ ;1 ZIP r')
�.
Affected ❑ CW �� d?TA t�'S ❑ PTS Phone # ( ) River Basin)
❑ OFA ❑ HHF ❑ IH ❑ UBA ❑ N/A r d +, r`
AEC(s): Adj. Wtr. Body' / j + .(+.' , F ) i i ! t (nat /man /unkn)
�0 PWS• ❑FC: - -�
Closest Maj. Wtr. Body
ORW: yes;`/ no PNA yes /(no� Crit.Hab. yes / no "-
Type of Project/ Activity ,a" =1 e P (i ` ^ / � f %J
(Scale: `} �—
Pier (dock) length
Platform(s) )) f
Finger pier(s)
Groin length
/ ,number
�. Bulkhead/ Riprap length ;1
- avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp L
r� `
Boathouse/ Bdatlift� f W,
Beach Bulldozing J
Other
Shoreline Length
iSAV: not sure yes no
Sandbags: notsure yes no
'Moratorium: n/a yes: no
;Photos: yes no
Waiver Attached: yes no, '
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A building permit may be required by: x + 1t' t ( ❑ Sep note on back regarding River Basin rules.
Notes/ Special Conditions k"k Q _ ! (,�i�� ! f '1! �0i Cn Plr((/ i I •�/f t'y Cl ° l 1. l `/f / i.F 1 l.'� /�( r ,, .�
...k =Ir'i I)--Y4ANn1n
Agent or Applicant Printed Name r
Signature * Please read compliance statement on back of permit"
Application Fee(s) Check #
Per mitOfficer's Signature
Issuing Date i ! ' Expirat o� n 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, 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 2855.7
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, 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
GP Habitat Sheet
Name: Donald Atkins Permit M 64173C
Date: 8/21/14 Address: 543 Deer Creek Drive
Habitat
SF of Disturbance
SF of Disturbance
LF of Disturbance
LF of Disturbance
Open water
329
329
N/A
N/A
Shoreline
N/A
N/A
100
100
High ground
160
160
r��� Ii�CEIVEI3
AUG 21 2014
DCM NIM CITY
• 1 Ali
•�
WMENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue, Governor Division of Coastal ManagementJames H. Gregson, Director
Dee Freeman, secretary
Date
Applicant Name
Mailing Address �, D S �0- ,rL A
I certify. that I have authorized (agent)
act on my
behalf, for the purpose of applying for and obtaining CAMA permits necessary to
install or co n r. _
at (location)
This certification i ad thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808:1 FAX: 252 247-33301 intemet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — su RecyGed 110%Post Consumer Pa
Y.
AUG 21 2014
DCM Mim Crfl'
IiECF.I[rirD
AUG 19 2014 ;>
DCM hi.� GiTk�° ,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to D f is
(Name of Property Ow
property located at 611_ �
(Address, Lot, Block DOW, etc.)
on in -- , N.C.
aterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati n.
1 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 descripflon below or attach a site drawing)
�`. o�,�
AUG 19 2014
J
fi11V
fly ar
HI
WAII IER tCTIO
I understand that a pier, ock, mooring pilit igs, b eakwa er, boathouse, lift, or groin must be set
back a minimum distance of 15' from my rea of riparie n access unless waivel%2, (if you
wish -to waive the setback, you must initial, he a oropri to blank below.) v
I do wish to waive the 15' setback re4uirem6nt. AUG 21 2014
I do not wish to waive the I&..�etba4k requirement._ DCMMHDCITY r
(Property Oweier Information)
r/
Si ,4.L AT/k iHs
Print,or Type kelpe , ! J
City/State/Zip
Telephone Number
Date f .� r• D (ly
iA jacent Prope e I ation)
7
C 'SyW/�-)tC _J
PrrntorT pe ame /� /
(Revised 6/18/2012)
` . f
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to .Dd-a is
�^
property located at J 3 elti�i g:=rty Owner)
(Address, Lot, EI cP"t—
ad, etc.)
on in G �,� ._ N.C.
rl ( aterbody)—�' (City/Town andlor Counfyy)
The applicant has described to me, as shown below, the development proposed at the above
locafior�
(J o¢ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
M
j} WA
I understand the a pier, ock, mooring pi
back a minimum distance of 15' from my
wish -to waive the setback, you must initi:
AUG 21 2014
�x1VED
AUG [19 201
boathouse, lift, or groin must
access unless waived by me. (If you
blank below.)
I do wish to waive the 15' setback renuiremlant
do not wish to waive the I&..Oeth#k requirement._
(Property Owrier Information)
rr1y �d
Print or ype Nam , p
r-
ace t Pr party Owner Information)
7;r
itie V
1.11�, `T o(�OSod
or T e Name
Mailing Address
l `
Te ep one um er o�
Date
(Revised W8/2012)