HomeMy WebLinkAboutFSV, LLC.RECEMD
YI,CAMA /DREDGE & FILL
GENERAL PERMIT APR 10 2014 Previous permit #
;Ktslew ElModification El Complete Reissue El 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 environm4ental, ncern pursuPROMOE
les attached. Ru
Applicant Name Project Location: County r
Phone #
Authorized Agent
Affected El CW
AEC(s): 0 OEA
7 Pw:
Street Address/ State Road/ Lot #(s)
k. T
Subdivision
city ZIP
Phone # ver Basin
(nat, man /unkn
Adj. Wtr. DUUY I k I I
Closest Maj. %Af.r. Body
ORW: yes PNA yes "0 Crit.Halb. yes / no
Type of Project/ Activity '� 1n evro
(Scale:
Pier (dock) n
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
/-/-� -V 0 1 .
B.channel(i.,',nrd(
(i�ubicy 01
Boat ramp ---1
Boathouse/ Boatlift
- --
Beach Bulldozing
Other
t \ I I -
; k_ "A", State;' � zip
:E,�ax # (—)
OEW PTA DES 0 PTS
D HHF n 1H 0 UIBA 0 NIA
OFQ
I
. - I ' - '*� -11 - - Shoreline Length
SAV: not sure
yes
Sandbags: not sure
yes no
`Moratorium: n/a
yes
Photos:
yes
Waiver Attached:
no
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A building permit may be required by: I
Notes/ Special Conditions t-"r.l
It' IF--
El See note on back regarding River Basin rules.
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Agent or Applicant Printed NarT!e
Permit
Pe er s Signature
Signature Please read "compliance statement on back of Permit
Issuing Date
Expirition Dati
Applicatiol
Local Planningjdrisclictlibn
RoverFileName
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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 andvoid.
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 [)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, certify that 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 (252-946-648 [)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/ 1-888-4RCOAST
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
� v
Applicant:_
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.,
(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
jernp impact
amount
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
Dredge ❑. Fill ❑ Both ❑ Other ❑
'
APR 16 ZU14
too,
vmvlasd: 02JO t10
Tk-14-2014 09:46 From:DCM MHDCTY
To:9EM1523 Pase:1
I hereby certify that 1 own
property located at
on __-4 Al L.vtiL
The applicant has desci
location.
�7' 1 have no
I have
068GRIM
(Individual proposing
operty adjacent to 13Ua4 N,ow$e Fs V C t G 's
(Name of Property Owner)
�4400 Lov►v CSC i l l e t`L)&i*)
(Address, Lot, Block, Road, etc.)
in 13�c�u ��fi Cal �-. � C N.C.
(C ITowm and/or County)
d to me, as shown Blow, the development proposed at the above
ection to this propos al.
ons to this proposal
AND/OR-DRAWINGOF PROPOSED DEVELOPMENT
eiopment must fill n descriptlan below or attach a s/(e drayvfng)
' "I 10 4e,�-
I understand that a pier, d ' k, mooting pilings,
back a minimum distance f 15' from my area
wish -to waive the setback, ou must initial the
I do wish to We the 15' setback
I do not wish o waive the 1V sett
(Property Owner
CzIt" -0
,Sign tore
PrintPrint ype Nomo
Ma!(l Address r
City/2- Sz 1pP3Sr' 1S2sc
Tetephone Number
Data
Mev►,6,?),trf2
aakwater, boathouse, lift, or groin must be set
riparian accbss unless waived by me. (If you
)ropriate blank below.)
requirement.
(Adjac etty Owner Information)
x
Sign urp
it t'lC�'�+►i,� Grow��0�� G� L�elti'��6ah
Print ory a Na e G6O f L���r a 0.0d- J"
Mail/ Addre
WrararLA 2 5 a ? 2 -~ 3 r Ga
fephane Number. I { f
Data
RECEIVED (Revlseal 61=012)
16 2014
APR-14-2014 09:46 From:DCM MHDCTY To:98381523 Pa9e:1
ADJACENT RIPARIAN PRO ERTY OWNER STATEMENT
I hereby certify that I own
property located at
on -uj
The.applicant has deso
location.
_ I have no
I have ob
(Individual proposing
)party adjacent to _
L hoc lip:
(Address,
in
(Name of F
111" R0
�8
- C a,, -,CT , N.C.
(Cityllown and/or County)
I to me, as shown )elow, the development proposed at the above
action to this propo 1.
ons to this proposal
ANDIOR•DRAWIN91 OF PROPOSED DEVELOPMENT
.1opment must fill in description below or affach a site drawing)
A,, J " - J0
� aR Is
I understand that a pier, d k. mooring pilings, reakwater, boathouse, lift, or groin must be set
back a minimum distance f 95' from my area f riparian access unless waived by me. (If you
wish -to waive the setback, ou must initial the ppropriate blank "below.)
X I do wish to w ive the IV setback quirement. c pvv,4i5u� wqi osv)
I do not wish o waive the 15' setb ck requirement.
(Property Owner Information)
Sipature
IT
Print or Type Namo
Mailing Address _
ci�/State ip
S 2 I =3 Y i 'z .
1414
Date
(Adjacent F�l
Owner
/'%f �lylllil� V
l IIARlPs 1?Nl {�(L S
Maili�Q(qg Address
1-5-c em i1 n z:1 - lLl; 2 `S S-'t 4.
City/Stataal
Z Z -7
Telephone Number
Date'. NED
DCM MHD CITY
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APR 16 ?014
DC N-HncrrY