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HomeMy WebLinkAboutBrisson, Davidt4CAMA /. ❑ DREDGE & FILL ,tpNew C_" GENERAL PERMIT Previous permit # ❑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; ti" , �Rulesatta hed. ,,,Applicant_. Name - ; i' ; t S?µ Project Location: County/ t 1 [Address '' _: i , 1 '', t Street Address/ State Road/ Lot #(s) City. State-ZIP:'w ,. 'Phone # (1 i�) ' �'d)y 0—Fax # �_) -' Subdivision £ Authorized Agent 'E j f ` `� ;?.. i ` Ci t T. ,...- .{ �, :. , ; �, ZIP ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # (` r' /'- Etjver Basin Affected .) .- ❑ OEA ❑ HHF ❑ IH ElUBA ❑ N/A AEC(s): Adj. Wtr. Bodyi I nat an unkn ❑ PWS: ❑FC:,. '_.. %. ✓—r"�Closest ORW: yes /� nol PNA yes / (no Cr�t.Hab es / no 1 Maj. Wtr. Body ,/ t ■■■U■■■..■■■�■■■■■■■■■■■■■■■■■■i��ra■■■■■■ i■ MEN aw.111111Nii �� � �ii■iiii� ■i■i■■i■ ■■N■■■■■N _Nap-MINIUMME■I"D 0 ■■■■■■M UN■■■■■■ ■■i■■N■■■■t■■■■■.■■■■t�.■■■■■■■■1 ■■■■■ a■■■■■CMS■■■■®'�M■■■■■■■■■�� Cnow-MUS11110w.■■■■■■■■■■■■..N■■■■■■■■■■■■■■■■■■■■ cubic yards 20iiiiiiiiii 0IL9m.�rmmmmm 0. ROMEiii0 0 Boathouse/Boat ramp ■�ii■Niiiiiii■��-l�i■i��i■iiii■■■■■■■Ni iEiii®M®Eivi:i iiiiiiiiiEZIN�'�i�iii�iii Beach Bulldozing ■■�'■■® i��iii�i �i®■®ii■ i��®®gym ■WE®i�i�i • - ■■■Ili■®FSiI�■Nf�■■■■■■■■■■■■ram �„ ►,It� • ■■■■■■ ■■■■ ■■■■■ ■■ ■■■■■■■■ ■■■■ ■■■■■ ■ Shoreline Len, ■NMwJ ME■■■■■■I �■■■■■■■■■■■■■■MENN■N V SAV: not sure y . ■■�■■■■®■■■®rs■■ �c■s ■Nifiilw■�ii9■■■■I��I■■■■■i■■■G■■■■■■■NN■ buildingMoratorium: n/a yes Photos: yes .Waiver Attached: yes ■ See note on back regarding River Basin rules. o,­ _77 Q Agent or Applicant PTjed Name *` Y � Permit Officer's Signature f f ji 16 Signature Please read compliance statement on back of Dermit'� - IssLing Date j f Eicpira D ApplicationFee(s) Check# Local PlanningJurisdiction 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, certifythatthis 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 Morehead City Headquarters Mailing Address: 400'Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow-above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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: David Brisson Permit M 64178C Date: 9/3/14 Address: 329 Holly Lane Habitat SF of Disturbance SF of Disturbance LF of Disturbance LF of Disturbance Open water 303 303 N/A N/A w<, RECEIVED SEP 0 8 2014 DCM-MHD CrrY rMEOF,. l\orth Carolha Department of Environml::nt and Natural ReSOurceS Divisic n of Coastal Mangy Bement Pat McCrdry Braxton C. Davis Governor Director r SEP 0 3 2014 t Date ..��.- DCM MID �� ✓,'� �`��' Sys.. Applicant lame Mailing 4ddress _ �Z-1 John E. Skvada,111 Secretary I certify that I hav ; ai the rized (a gent) ��% a��GCJ�� ____ to act on my behalf, for the purpose 6f applyu ►g i or and obtaining all CA MA Permits nec. ssary to insta:il or construct (activity) r, at (location) A14 This ceftifica ' ► i:: valid thrm (date) Signatdre - 4¢0 CommercE Ave , Mo •ehead City NC 28557 Phone: 252-80 t-28181 F AX: 252-24'-3330 Internet: u ww.noWastalmanagem mt.net AO Equal Oppartun to%k lard ?aActlon Emgiryer RECEIVED SEP 0 S 2014 DCM MID crry e o .Carolina atu�a�f�j� A—D- ,AG j.-*b T RLPA!j .qN PROPERTY OWNER : TATEMENT I hereby cer tha t I c wn pry )perty as ijs cent to pro Ioereed at �Z (N me of Pru rtY Mer) i A dress, I o at �,R..�acW, ei�:. on .�1 ..� CGy 1l. in — ��.. (IMatertwclt,�) (Cityrrown and%County)rJ.C. Thel applicar,' has de,. cribed to me, as shown bBlow, the develcpment proposed at the a wove loc yn. �_, ? I hay e r o eb a %on to thi:; proposal. t lave c bjecticns tc: this 1 roposal. i �ZPI75101N l►ND/OR. DRAWING OF PROPOSED Dk"',/ELOPMI:NT (gc#vidual'F of ►osFrn. dfwe vpmem` n •elst fill in desct�ptlon below orattach a site dram � M 0 WAIVER S =CTIOU I understand that it pie,, d 3c i, mo adr g f flingsibf eakWat Br, boath,)use, lit, or groin must bw back la minim. rm dis:ai ice of 15' f-Drr m, t area of ripariall access unless waived by me. (li wish• io waive I he selb9tcc, yc o mu si t initial the aK propria:e blank below.) . RECEIVED SEP 0 3 2014 DCM-MHD CITY I do Ms`1 • o vlah a the 11::' se tback re juireme nt. I I do noi: v fsh to Naive: the IT setba(k requiiement. opierty ier Inforrnatic,) (Ada r t Prc er Informatio Sipajure� Si �rre Print o Type N ► e Print o Type Mime QctATRAC�� LAW' Matz Add Mailinc, Address citylstWWDp �%.�;;► f� �a `�.� ciryisotelzi�� qo h �aln Telephbne Mini ►er Teleph:)ne Nurr ber Date RECEIVED . SEP 0 8 2014 DCM MHD CrrY (Ravtsed 6/1 m 112) ► a',D.1 ACf!NT RIPARI,4N 'RO___pERTy OM'NEERSTq`t ENT I hdreb,y cer .ify i ha r 10 Nn I. , 1 P 9rty adjs cen t to ProbertV Ioc; rte, i at >� : ! (N ime of pru r s try C'_ on i .l.%'2._., �C vNss, Lot, l�a�ck, Roa , et,,. j 111Gtert odd;.; _._ _, N.C. rtY/T'own and/or Countyj rneI apl#licar ,t h = ;; :ies, :ribf�:c l to me, as she wn below, the c evelopme:nt Proposed IOG�tiO P p sed at he above I haeE, nc ob.E!ction to thl., proposal. 34 E ob iect it, ns to this propc isal. [ tE;;(:F:1!'Tl DN ANDIOR D! ZAJA NG 3F PA OPC'3ED DE ✓ELUPM— EN (Sd v,cl4alFrol►cIUsfDaileve,�nn"" t -USE;311 in afesc�i , iAda ? below.oratf?ch a site rrawing) Ui '%l SEP 0 3 2014 IV Zxu--MHD CITY C t d ' n t I undbrstarjd t gat a : ier, d x c, • rtoa)tin—W —WAIVER I SE____ �.T101,1 back is minims tm di; ' 9 tltngs, breakwat of ripari " r, boathouse, lift, or groin mus wish to waive he se'ba;k, ycu tour: t nibal the ppmpdan b� ss unle;;s waived by t II: below.) Ir` 'o ME 11 to w ai-ife Ifie 15' se tback requirement. :(o no. w' sh :o wflive! the 15' t� SEP 0 8 2011, se ack requirement. DCMMHDCrIY ems.-�^ ���� A•��.���� ter Ini nmiat `cn)— (Adja 1:ent P roperty Owncir Informat ►n) .S'> ur" Print o T :. Maili Addre city) St�t p �-77Telec phbne Nul.»I Date= aure r l o'• Tvor•�l iAa,t,o IV -7 City/St te0j Teleph-Me Number Date (Revised rVI i nT3i