HomeMy WebLinkAboutDickinson, John W.AMA/['.DREDGE & FILL k-
GENERAL PERMIT Previous permit #
E�New ElModification DComplete Reissue ElPartial 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 I SA NCAC
0 Rules attached.
Applicant Name nf-; In Project Location: County
I Address' Street Address/ State Road/ L0 t #(s) City, i-T"ail V. C-1 State -,Z1P
hone # Fax#
,Authorized
zed Agent
Affected
0 CW 10 EW -1� PTA DES 0 FTS
I
AEC(s): 0 OEA 0 HHF 01H 0 UBA 0 N/A
0 PWS: EIFQ
ORW: yes no' PNA yes f`no Crit.Hab. yes J/no
Type of Project/ Activity 0,
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length__
avg distance offshore
max distance offshore
'—� -1 -� — �
Basin, channel 0
cubic yards r 0 r- q
Boat ramp
Boathouse/ Bo4lift
Beach Bulldozing
Other
'Shoreline Length
45T
(TSAV. not sure
yes fio
Sandbags: not sure
yes no
Moratorium: n/a
yes no
bn-
Photos:
yes no
0
Waiver Attached.:
yes .
A building permit may be requ
Notes/ Special Conditions
Subdivision
City ZIP
,-
Phone # River Basin ,J'11! if
Adj. Wtr.Body (7,'t r a'njunkn)
Closest Maj. Win Body-
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El See note on back regarding Ri Basin rules.
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,Agent of Applicant Printed Name
Permkofficer's Signature
Signature Please read compliance statement on back of permit "
Issuing Date
`�
Expiration Date
Application Fee(s)
Check#
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Plannin'
E�cA gfur'isdiction
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 I) 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 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 Citv Headauarters
400•Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth Citv 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
f . CAMApermit Jpg Gmail Page 1 of 1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that l own property adjacent to r C h e �^ (.✓ O,�t<�``�'s
(,Name of Pr perty Owner)
property located at 13- � i C k i ►1Sa�-- L"t "'C LS'eau. 6Q-� (: 2 frrs/4
(Address, L}�t, o k, Ri�oa ,etc.)
on I� �Oast`� Waf{�-w , in 9celK, ^-T �.. e �'� _� N.C.
(Waterbody) (City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
have no objection to this proposal.
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
,(CW to low ti1a�e►�
3 3 _3r
_4 r
LO�tJ W
r
3 ,
70�
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.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property O.Ter 1 fqr ation (Adjacent Property Owner Information)
� CIN
G
vrzatur .. 1 t� `.SoN S , tt Iu
.J �� �.J ► GE � < <—S ° `' J c-rE.•G U, �` c � fLYw Cyr.✓'
Print or Ty e Nar�a Print or Type Name --MA C� /G� %r, /'
t S� C{�� i ►� Soh/,:6p�.'L
ltil ng Addr s.MailingAddress ,
/6 /aiC',E'iNsyAr L1��t/�
City,'StatelLip city/StatelLip
25-2-- s og - o� 9454uAoer 446 89
Telephone Number Telephone Number
'R--la —0 C/ J 9 - 778-- h4440
Dare Date p
o 1.3ol' 013
(Revised 6/1B/20121
https://mail-attachment.googleusercontent.com/attachment/?ui=2&ik=b609l9b003&view= .. 8/29/2013
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to • i� ih inJ GY i �-s t 's
11 (Na a of P petty Owner)
property located at t S ;C- � t ►•So f-- 1- 4 -e �'4 �-c � f' C, 29,57 (-.
(Address, Lot, Blo k oi�tla
on-1->-.� hAcoct-c rf In�gerwav in �-ea� �y e C&.4? f` N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposi development must fill in description below or attach a site drawing)
�I 6 2�
�CJ
1
pa "'1
70/
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.)
do wish to waive the 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Property Owner Info mation) (Adjacent Property Owner Information)
,mature Sign rem
r Ty Name Print or Type Name
��iC(rLq
Mgw 11>J t%tLS�t�Sa► ls-�
R►ling Address Mailing Address
Pau f-d;:+,)V ,C. 2$3'/b f4c 3-8V;0
City/S_tate/Zip City/State/Zip
Z � -1-- 5-0 �^ 2�LG�� It IR 7A.9 _Q M%
Telephone Number Telephone Number
9 — Ito --13 115 -7A�, -es
Date Date
(Revised 6/1&2012)
PAC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Dickinson
Date: 9/9/13
General Permit #: 63012C
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
SB
Dredge ® Fill ❑ Both ❑ Other ❑
6,160
6,160
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 ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanaaement.net revised:02/03/10