HomeMy WebLinkAboutClinton, ThomasIv a52705
CAMA Y?REDGE & FILL
GENERAL PERM' Previous permit #
New ElModification El Complete Reissue ElPartial Reissue Date previous permit issued
Asauthorized 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 ' `-' v
'��'Rules attached.
'A 7t —
pplican Name X i It, Project Location: County--C CA +
Street Address/ State Road/ Lot (s)
Address PA I I - - _1� f
state
1ZIP
V )
I P kJ_
ud
Phone T # Subdivision
A
i
'Authorized Agent
,Ucity U ZIP
Affected
0 CW �W 0 PTA NE S 0 PTS Phone # ver Basin
El OEA 0 HHF DIH 0 UIBA 0 N/A AEC(s): Adj. Wtr. Body natJman 1unkn)
0 PWS: F
0Closest Maj. Wtr. Body--.-'-
1RW: no ye
klyleV PNA s/ PCrit.Hab. yes no
�)
Type of Project/ Activity
Pier
Platt
Fing
Groi
U
Basil
Boat
Boat
Beac
Othi
Sh.r
� Av_
Sand
Ph 01,
Wail
"N 1,
(Scale:
mill
length
,1en n
g'
MEN
MOM
nurn er
104
EM
MENIMEMMEM
RUMOMMEMEMMEM
1
0
MOM=
max
,channel
EMEMEMEMMENEEM
cubic yards
ramp
jouse/ Boatlift
MEN
MW
momEN
Mus
W-MmEms
ME
M
No
M61911�000
WOMINEW
W
Ma
EMMI
a
MEM
W
WE
MIEN"
1001"s
a
MEMEMEM
NOON
Length
I U
NOON
notsure yes■
ags- not sure yes no
torium: n/a yes n i�
M
0
ffrS: yes�
erAtiached: es no
MENOMONEE
A building permit may be required by: t Y
Notes/ Special Conditions
I
See note Vnack ri
River
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
landowners).
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 consistentwith 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 Headauarters
400 Commerce Ave
Morehead City, NC 28557
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 New1tiver Inlet- and
Pender Counties)
Revised 08/09/06
IfU1v `-V3- ; 11*5j(t G-d < v i`.
. � �,�• ,�<;�:��s��a
Applicant:rL/�r
a
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Appl'e d for.
Disturbance -total
includes any
anticipated .
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated.flnal
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ . Rig Both ❑ Other ❑
Dredge ❑ .Fill'[] Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑. Fill ❑ Both' ❑ Other ❑
Dredge ❑ : Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge 0 Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
y�� �?;t�-�D�� .: •t-:��B�S���Rb�� n .: vnr+savAs>�oce�;�t�;0aaa����v.�� ���,tn�er� 6•e�i:�s�; i��li��l�
NiC®ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat Mc,Crorj Braxton C. Davis
Governor Director
Date
Applicant Name
Mailing Address
John t. Skvarla, Ili
Secretary
I certify that I have authorized (agent) G to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct- (activity)
at (location)
FAN
This certification is valid thru (date)
Signature
400 Commerce Ave., Morehead City, NC 28557 One
NOrtllCarOhria
Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.n=astaimanagement.net ll
An Equal Opportunity% Affirmative Action Employer Nahmaliff
(FUR A PIBRIMVORING PILINGSIBOATL.IFT/BOATHOUSE)
;p '
I hereby cerrify that I own property adjacent to '',�Ir� ��•,,� �,r/
• (Name of Property Owner or Applicant)
Mailing addre;;s'if different from location address /-5-3' '
(town, state and zip) uLAr, 4?d. A) Ae yy'33s
. a
,
_phone numbers you can be reached at/d - 38';101— S"37 9
property loeatod at .S3 7 �, � p (', �,�Ale, A '
(Lot, Block, Road; etc.)
on—fz�f in
(Walerbotly) (Town and/or County) , N.C.
He'has described to me, as shown below, the development he is' -proposing al that location
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatliftJboathouse
must be set back a minimum distance of fiftf'eii feet (IMom my area of riparian access unless
waived by me.
Inil-- _
I do not wish to waive the setback requirement, '
y
Ilds
I do wish to waive that setback requirement,
InlQils
DESCRIPTION AND/OR D1�WING OF PROPOSED DEVELOPMENT--------..._-
(To be filled in by Indlvldual proposing development) ' :
•-------...................... . ............. ti............... ....... -- --•- -==--- --
Li U
PtInt or Type Name
Telephone Number
(it -UK A rIE&MVORING PILINGSIBOATLIFT/BOATHOUSE)
Jr
I hereby cerrify that I own property adjacent to /-,y,ac/ �
(Name of Property Owner or Applicant)
Mailing address if different from location address_ /SS-.7
(town, state and zip) /DIVA& ),g tl OC�f y ZLI:sE
phone numbers you can be reached at_t</d- 3cS' 5377
property loeatc;d at S3 7
(Lot, Block, Road; etc.)
on in"��' ,
(Waterbotly) N.C.
(Town and/or Cognty) .
He has described to me, as shown below, the deveTo-pment he is .proposing et that location, '
and, I have no objections to his proposal, I understand that a pier/mooring piling s/boatlift/boathouse
must be set back a minimum distanco of fifft- feet (1Mom my area of riparian access unless
waived by me.
I do n.ot wish to waive the setback requirement, '
1 •
I do wish to waive that setback requirement.
,, •
-----------------------------------------
DESC:RIPTION AND/OR D WING OF PROPOSED DEVELOPNMNT;
(To be filled in by individual proposing development)
07W
.1.
Print or Type Name
Telephone Number