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HomeMy WebLinkAboutEthridge, Bruce/ Beaufort Innr� CAMS I DREDGE & FILL NO. 61144 ~� GENERAL PERMIT Previous permit # New 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 Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State _ ------ ZIP Phone # ( ) Fax # ( ) Subdivision Authorized Agent City _ - _ ZIP Affected CW EW PTA ES PTS Phone # ( ) River Basin AEC(s): OEA HHF IH UBA N/A Adj. Wtr. Body —_ (nat /man /unkn PWS: FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length_---,_-- Platform(s) Finger pier(s) Groin length - - number T f Bulkhead/ Riprap length avg distance offshore _ max distance offshore- - IBasin, channel t cubic yards Boat ramp - .__ 4111. Boathouse/ Boatlift - - — - R ., - Beach Bulldozing - Other _- s.- i . — - - - — Shoreline Length f SAV: not sure yes no Sandbags: not sure yes no } Moratorium: n/a yes no N y Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature *x Please read compliance statement on back of permit Application Fee(s) Check # C in' (Scale: j C See note on back regarding River Basin rules. Permit Officers Signature Issuing Date Local Planning jurisdiction Expiration Date 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, certifythatthis project is consistentwith the North CarolinaCoastal 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 New River Inlet- and Pender Counties) N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 12 — Ila — [ Z Name of Property Owner Applying for Permit: FRUCC- E-T4RV-D (E Mailing Address: lot Air sr. �kV�'ofZT. YI C. z951L I certify that I have authorized (agent) gl"5 Mae. Ile" iuc 'T's f ft. (411I"If"to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) T lzx-k lab), at (my property located at) 1 This certification is valid thru (date) G - 18 -1 Z 2--IS-12- Property Owner Signature Date g` RECEIVED 4: y JAN 0 9 2013 DCMMHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ,DGAUfO tk-T Tip 0 's �1 Na of Property Owner property located at (f� Aw • �jl� fl I $SWO (Address, Lort3 Block, Road, etc. on GRL�-ANTS G�-P�1rC�L_ , in ��Actr�ol?.'Z" , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatio I 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 description below or attach a site drawing) RECEIVED WAIVER SECTION JAN 0 9 Z013 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-D(4 DCTiY wish to waive the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pro(p�erty Owner Information) ..1� Wa 13ce ETMLOG(R Print or Tyn�e N"ame lot ! r4t4 ST ding Add ss �v.T', Nc 2-, at7- ip - -7ZSw SO0 Telephone Number L 12-3--12 Dale (Adjacent Property Owner Information) S' ature Print or Type ,#ame C' f*tn ling Addwsss1 ,� I T^ T /V I. Cit /�te Telephone Number Date (Revised 6/1 S/2012) "Mir 71 �40 4'. nyv rz , p i inJ ro4"' w w m� w Y t r.. v. , IF r�v^l4rsri`' .(Y.��%A'•'My,�T`' yX'v^'''_ "5,�' i�' _` f y NYP ,.., � 1. zN,rp .,�zt�'�C�_�r�y+y �:, :: .'< d�,',"��.'H� sy,r +�, ._�. �► id yet '�L. - •., eb 1"Yx.�a,� '� "' W' - .. d d t+}ti,�4zk�,, "3. W i�• Y ,yf ,. 3e k 'k w. "" pd ""� F ,. 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I 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) y t( SCcC- READ JAN 0 9 2013 WAIVER SECTION Dcm-"47�!"'. 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 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".tt' • y .Rya rwyl, ` k, mm . ZAL 171 »u, y r .:: Met {. W��' I (kl:]f v� yT�r�it f�«e. . ..�; w 1 ' �,j'i ,qr'4 ,y�• 'a y R+ ^'0"IN Z 'N�f 1y�+... 1,",µ ..l K net yra' YT.•. T' 4 jV NK yyd d a MIX ' h. gym. A .- y} �y,�pryryp AI VN.4, '17 _.f� 1 A,�-j}PNtF` �, 'a H� �` ` e5'�,•G�I � J a. � ayx ''y�y�' f AR� bl Ti^ " ConnectGIS Feature Report Page 1 of 1 http://carteret2.connectgis.comIDownloadFile.ashx?i=_ags_map3 5746f2dO4894b8aa952b83... 1 /9/2013 Aoplicant: Date: Ir q__ Nni $sof measurement Describe below the HABITAT disturbances for the application. All values should match the name, alnl� 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 [I Fill ❑ Both El Other V Dredge [I Fill El Both El Other El Dredge El Fill [I Both El Other E] Dredge ❑ Fill ❑ Both [I Other ❑ Dredge Fill [3 Both [] -Other El Dredge El Fill 0 Both [I Other [I Dredge El Fill [I. Both El 'Other [I Dredge El Fill [I Both [I - Other [I Dredge [I Fill ❑ Both [I Other ❑ Dredge 0 Fill [I Both [I Other [I Dredge ❑ Fill ❑ Both ❑ Other 0 Dredge ❑ Fill ❑ Both [I Other ❑ Dredge [j Fill El Both D Other' 0 Dredge C] Fill El Both [I Other [I Dredge [] Fill [] Both [I. Other Cl I-OZZ-1-RC.0 mr. w. z.,_a Za