HomeMy WebLinkAboutBrothers, Jim' CAMA / ❑ DREDGE & FILL
,V '"'•' - i' t�
PERMIT
Previous Permit#
New9ENERAL
❑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 A� F�
and the Coastal Resources Commission in an area of environmental concern pursuant
to I SA NCAC ✓ `-
5
Applicant Name ' !t 1
Rules attached.
Project Location: County i r
sal t / ft
Address ,_ - 1/� . { ,= CrT i-A .
Street Address/ State Road/ Lot #(s) ! ``� •{�
City � r
.�� `> State . �2 .. ZIP
Phone # () r 1 Fax # ""
Subdivision
�""f'""
(Authorized Agent ' " t �; k ii. •
City ` ZIP
❑ CW AIEW % PTA ❑ ES ❑ PTS
Phone # ( ) River Basin I A
Affected
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
AEC s :
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. Wtr. Body- C -, {;44
❑ PWS: ❑FC:
)
ORW: yes ,,'no, PNA yes no. Crit.Hab. yes / no
Closest Mal'. Wtr. Body
l
IType of Project/ Activity
Pier (dock length
Plad
Fing
Groi
Bul
Basi
Boat
Boat
Beac
Otho
'Shor
SAV:
Sand
Mod
Phot
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number
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avg distance offshore
NONE
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max distance offshore
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,channel oll
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cubic yards
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ramp
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IN
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�line Length
OMEN
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not sure yes�,
■■■■■NO■■■■■■■■■■�1■■■■■■ir�ViN�UNMEMEMEM�
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sr. Attached: .
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A building permit may be required by:
Notes/ Special Conditions�1
(�A!. nS or _ ppliceht Pri d ame
SigrWure *Please read compliance statement on back of permit l
';Application Fee(s) Check #
K
❑ See note on back regarding River Basin rules.
1(4
PermijOfficer's Signature f
01 1,/ 1�1 � t f 1
,.�
Issuing Expiration Date,
7 _ 3
Local
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, certifythat 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 complywith 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 Headauarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Carteret, Craven, Onslow -above (Serves: Beaufort, Bertie, Hertford, Hyde,
New River Inlet- and Pamlico Counties) Tyrrell and Washington 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)
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
CA
i • �,
NCDENR
North Carolina Department of Environment and Natural Resources
DiVision of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director`
blaze- 9-3o—
6�(,
Applicant'N'ame ��i�l'1'�� •I-� F�'���� �'
Mailing Address eya -G L �ccT
John E. Skvarla, Ili
Secretary
I certify that I have authorized (agent) �Q �' 1 _ �C� to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
Q�� C at (location)
This
Sian
Al'
f a. RECEIVED }�
SEP 19 2014
bCM 1m CITY
Y S�YA�•A��A'ry
400 Commerce Ave., Morehead City, NC;28557 One
Phone: 252-808-28081 FAX: 252-247-33,30 Internet: www.nccoastalmanagement.net NOf the a�rrollina
An Equal Opportunity 1 Affirmative Action Employer, )Vatmjlly
12126/2006 15:09 2527264092 INTRACOA5TALMARXNECO PAGE 01/01
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pedlr loaa te• aF r� id -
Lon L - me at Fraperty► ow _S
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_ C� (l111dress, I,o I tie etc ....1-------
on .
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t?.Ntur>acaq;rtr - C N.C.
( 1!!yl'town andlor Cot �y)
Theta 1 1! h;M d . ! c� , PPl escrib+3d to me, a" shown below, lte developm�:nt propou at the above
I Ur+a rra of jec um to thl r: proposal.
�-,;�� I Ira+, a obj ec': ons to this I: roposal,
1: Edell IPTTO d AND/OR (]!}AWING OF PpOpOS R ML pt� UE r - --�.
(Indlrvjdva) :,n�;: :' ,�e"JO MOrOtmusf"filCllIndescrrp�j(/�nbelowuraibaha pfts dVwj1W
lu
r; �
W
0 I un*mtand I ial a later, lock, m pilings, btjDa �.
� c°` baeki4 min' im -Jislginc a o�� 15',fi m mI s ' akwal"r, boathouse lift, or grol must ba sat
wish(o a the se:�acl:, y.;u mlfromust ifial re of npdna►t scaess•uhleits waived , me. (!f YRtIyCEIV D
PPr0Pds1e blank below.) ;
I to to walife the •15'sr:tback requlremcrnt.
sEP 19 2014
110 Ac I VW tt, waive the 1:,' setback requi•ament.
(Pro)��rty C1w har !a'� nilcynj "" �"�-�,"—�.�, r ,!V::�•F:D CITY
�. ;ment Properf� Owner In rmat'ion)
Prim - fY/��
4. T N� r1rre r Print Z.YM-0
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AJci�� Sl�or� /u�/Z. g s.+..
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Te%piidtte Nutt' `t✓ g 9F'•r7 Y
.; VTelep,tvne Nurrtbar
.Date
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5EP 17 2014
opCM TAHD MY
;. ADJAq-E,VT`RIPARFA.N PROPERTY OWNER STATEMENT
hereby cert fy that I aw-i p-operty adjacent to � Qj ��%^S' ,
s
A�(� I ( me of Property Own !r)
prooerty-ioca tea at L
on fie' 50V,V (A,ldress, Lot lock, R d, et
—'m N.C.
(!Ala :erbody) (City/Town a.ndlor Cou ty)
` Thelappli n. has described to me, as shown below, t-ie development propose, at the above
I catio _. .
1 lava no objection to this: proposal.
I I iav a obj ect ons to this F roposal.
E ESCFIPTI,ON AND/OR DIZAWING OF PROPOSED DEVEL r
(Individual-p rol,os °ng development m ust fill in descripti n below or attach a :ite drawing)
d 6 SQ U A/
-j
V r� ` •s-� i Nj/ s
rcp e,4 1 arc
W UVER SECTIOI,a.
undlerstand Thai a Fier, :dock, mooring Filings, breakwater, boathouse lift, or groi must be set
backla mini im distend; oi' 15'.from my area of riparian access unless waived ° y me. (If you
wish to wa' a the se:bacl.:, y.)u must initial the appropriate blank below.)
ouivav
Vf(\ do wh h to waive the •15' setback requirement.
I do not wish tc:i waive the 15' setback requirement. SEp 1
(Pro0erty Ow ner• In `o tic)n) (Adjs c t Propep Owner In err-fg ion
i n
Si t e
r Vr\- �
A-d le-tl—
Print br Type NI i a� � Print c.,r Type Name
r
inedes" '�"LkaG I S�, /UGS7 �- M ;n:a Addr
Ci /Sfate/Zip Cit rat p
lelep.-jone
SEP 19 7n'4
r'r* i AMTN nrry
(Revi 9d 6/1WO12)