HomeMy WebLinkAboutFulcher, Edward & LuraCAMA / ! DREDGE & FILL
i � GENERAL PERMIT Previous permit #
New Modification iComplete Reissue eissue 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:
Address Street Address/ State Road/ Lot # s
City_ State ZIPPY 4 -
Phone # O Fax # {_�}� Subdivision___-_
Authorized Agent - - -= - - ---- ; �` --- C��'- -----
— --- ZIP. --- ---- _
Affected CW EW PTA ES PTS Phone # ( ) River Basin
OEA HHF IH UBA N/A = i nat /lean unkn
AEC s : Ad' Wtr. Bod
OPWS:'FC:
RW: yes
/ no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ------- Ld {
Type of Project/ Activity
Pier (dock) length
Platform(s) - -
Finger pier(s)__ I
Groin length--
number17
_ §
Bulkhead/ Riprap length la
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other
Shoreline Length
SAV: not sure yes n `
Sandbags: not sure yes no
i
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no -
A building permit may be required by: -.4.
Notes/ Special Conditions
Agent or p t Printed Name
Signature ** Please.read compliance statement on back of permit
Application Fee(s) Cheek #
(Scale: )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature h�T
Ic
---- -
Issuing Date Expiration bate
Local PlanningJurisdiction L -f(overFileName
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
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 (252-946-6481) 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 2855.7
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
HC IV! 1011 '1W COZZIs 9 PAID,, 2. Fkabite" meant col-inp for shah'
Applicant:
Date:
Ov
Describe below the HABITAT dis urbances 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
redge ❑ Fill Both ❑ Other ❑
-(9w
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 ❑
gob
,,
;!IQMh Carolina Departmento�f ����
Environment and Natural Resources
Division of Coastal Management
�dt McCrory Braxton C. Davis ,,
Governor John E. Skvarla, Ill
Director Secretary
Date
AppiicantName y �r
Mailing Address44A6��� ¢ . 'v
I certify that i have authorized (agent),
a to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
0.W
4et
This certification is valid thru (date)
i
Signature
400 Commerce Ave.. Morehead City, NC 28W
Phone:'252-808.28081 FAX: 252-247-3330 (niernet: www.newastalrnwagement,nel
An Equal 0PPoduniry IAftalive AMn Employer
at {location)
RECEIVED
OCT 01 2013
DCM A4HD CITY
NO thCarolina
AVEI: < Mz '[ 'Po
`� •5 a p. 14, ZU l j) 4: 09NMr0H A P,fMM00R1NG PIUNGSIBOATLIF1'/80ATHOG°<;,� $3 P. 32 '
.I- hereby cartify- that 1 own,property adjacent to
& S
Vwne.ofProperty Owner)
(Lut, Block; Road, a ).
in
(Waterbody) CI' n.and/or County) .
He has described ta me, as shown below, the development'he is proposing at that ideation,'
and, I have no- objections to Ws proposal. I undehstand that a; pier/mooring
PWwboatliit/boathouse must be gee back a minitrium- distance of fifteen fect (15,) fram my area
Of riparian access unless waived by,me.
x •� I dpn1 wish to wafve the setback requirement.
I Sit! wish 1 waive.Wat setback requirement.
DESCFMON AND/OR DRAVVIl!IG OFPROPOSED D�YELOPhiEti'T;�
devely M-eu
pit
• .ir•-
• RECEIVED
OCT 01Z01.3
1 DCM-11' HD rITY
a � r
9/5 'd 9W '°N
-- -jr- •-mv
eye - 73 i- 4? a s
Telephone.lVumber
Date: 19 .
AVE I : l E 10Z '1 '100
.: (FOIE A PIERIMOORINC PILINGSISOATLIFT18OATHOUSE)
.I• hereby certify that I own, property adjacent to rry,()��tr
.�.
(Name.of. Property Owner)
property located at f. 4 s, ..yam
(Lot, Block; Road, a .) l
N.C.
(Waterbody) (T , n and/or County)
He has described to. me, as shown below, the development he is proposing at that location,
and, I have - no- objections to his proposal. I uuddrstand that a pier/mooring
pilingvboatliftlEaoathouse must be set back a minimum distanc6 of fifteen feet (15) from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I da wish to waive that setback requirement.
,21
DESCRIPTION AND/OR DRAWING OF PROPOSED DE•VELOP;NIENT:�T�--
_. To be..1711ed in bV individuaIM170Mkz develo meni
b
RECEIVED
OCT 01 U13
•, DCM-MHD CITY•
2 o HV - �G
Print or Type -Name
052� -.76
Telephone Number
Date: — Z
9/9 •d 9D6 'ON MEI:11 E106 11 •130