HomeMy WebLinkAboutBrisson, Davidt4CAMA /. ❑ DREDGE & FILL
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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
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Authorized Agent 'E j f ` `� ;?.. i `
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❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # (`
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/'- 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
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cubic yards 20iiiiiiiiii 0IL9m.�rmmmmm 0. ROMEiii0 0
Boathouse/Boat ramp
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Beach Bulldozing
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Shoreline Len,
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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