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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, ' OMEN NUM UM ■ ■ ■■■■■■■■■■■■■■■■■■WI■■■■■■ ■■■MM■■M■■■■NEE■■E■■■■■■■■■■■■E■■■■■E■■E ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■MOO■�1EEO■EIOiO:`OM��■NEE■■EOi■OOO■■■E■■ ■■■�j■■■■■■■NEE■ �■■....._■■.��■■r�._..�■_■ EEMMEEMMU ■MEN ■■.■■'��MEMEMEM■■MIMNMM EEO■■■ ■■■■■■■ !�I■E■■■M■■I�■%■NEE■■■■ � 1�E,�:IZ�,-1►�■E■■■ ■MEE■Ern■■E■■E■E■M��■NEE■E■EEE■EEEEEE■Er�■E �1■■■■ EEC■IEii��� IO■ Is fMi�■■v�#��■■■■■■■■■■ ■■■■■�iMM■■E■ ■■■E■t�■E■EM■■�i■■■■E■■■■■■NEE ■MSC �� in SE � �■�■■ MEME■■EMEM■EME On ■M■MMEMOMMMM MEM■■E11 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)