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Home My WebLink AboutCollins, Tomf �CAMA El DREDGE & FILL GENERAL PERMIT (Op)w Partial Reissue Previous permit # El New ❑Modification E]Cornplete Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources i t YLI, I '.�rf/ and the Coastal Resources Commission in an area of environmental concern pursuant to I SA Nael 106" M Rules attached. Applicant Name A Project Location: County Address Street Address/ State Road/ Lot #(s A zip City .'AN11 'I State Phone fax #(-) Subdivision Authorized Agent Ci ZIP Phone # P D CW EW PTA DES 0 PTS r Basim' Affected El HHF 01H 0 UBA 0 N/A .")ve AEC(s): DOEA Adj. Wtr. Body-,:t! hat /man /unkn) 11 PWS: OFQ 01RW. As) / no PNA yes / 4 t) Crit.Hab. yes no Closest Maj. Wtr. Body Type of Project/ Activity t. $P 5 (Scale: I Pier 1-locLA length J Platform(s)_ Finger pier(s) Groin length number Bulkhead/ , Iiiprap length '_---7avg*distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathous( Boatlift Beach Bulldozing Other 0 Shoreline Length SAV: not sure yes �Sandbags:, not sure yes, no s i Moratorium: , n/a yes Photos: es n Waive, Attached: W WO "M0 VN UMMM_ NNE IMMIN E Ll 4 t, A building permit may be required by: Notes/ Special Conditions J 4' El See note on back regarding River Basin rules. i 77 t jgent or Applicant Printed Name Permit Offiat cer's Signure % Signature *tPlease read 'compliance statement on back of permit Issuing C6te j a Expirabon Dat4 Application Fee(s) _7�7 Local Planning Jurisdiction 9 Rover File Name I 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 nullandvoid. 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 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 Headquarters 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 New River Inlet- and Pender Counties) Revised 08/09/06 lJIVA—, Xftukk5�'PGa S*a -U'oJ2a hnR , ;Mv�'?"I Applicant:i0m Date: 1 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. (Applied for.. Disturbance -total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final 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 ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill*Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge [I Fill [I Both [I 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 ❑ vomv? ncco-�IsfIPaan:n Nov. 1. 2013 4:49PM No.2584 P. 1 LYNX ACDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis John E. Skvsrla, III Governor Director Secretary Date O./3 Applicant Name Mailing Address z2f 4kfs I certify that I have authorized (agent)e. Grurf� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) .Gc7i, /,Z/" �;�:�°� Y / at (location) This certification is valid thru (date) 22/•201- 400 Commerce Ave., Morehead City, NC 28557 Phone: 25M08-28081 FAX 252-241-3330 Internet: www.n000astatmanage wW1et An Equal OppmAq %Atfiomahve Adoe Empbpef One NXthC-,a,rolina l rWi& Nov. 1. 2013 4:49PM No.2584 P. 2 ADJACENT RIPARIAN PROPERTY OWNER TATEMt=NT I hereby certify that I own property adjacent to Lfoa 0 's . property located at (Name of Property Owner) (Address, ot, Block, Road, etc.) on v , in - - `�° , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc . n. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND1011 DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) opaloiftY WL* Frog. �epe- �I� WAIVER SECTION' 1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of.16' from my area of riparian access unless waived by me. (If you wish•to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (property Owner -information) (Adjacent Property Owner Information) i ature i./ Print or Type Name Marling Address y-� Tole hone Number �l3 ate City/Sfafelzip �7� 72S��dl44l Telenhone Number Date (Revised 611812012) Nov. 1, 2013 4:50PM No.2584 P. 3 ADJACENT RIPARIAN EROPERTY OWNER STATEMENT I hereby certify that I own property YadJacent to. ��(Name --- of Property Owner) property located at ,S-AS (Address on _ in CS (Waterbody) Road, etc.) own and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above . io l 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) wigfoy Ap,,X tqd Frpa e0l WAIVER SECTION I understand that a pier, dock; mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if you wish -to waive the setback, you must initial the appropriate blank below.) l do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner -information) (A scent Property Owner Information) Signature �'�N /' Print or Type M1 e_hfi41+L. /_ Name /'' rV /dc MailingUdZess City/State/Zip �V (,- - Z__c!FJ� Telephone Number Date 71/2 S- - Tel phone Number Date (Revised CV18/2012)