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Home My WebLink AboutGay, WiltonCAMA 1:1 DREDGE & FILL.,-,— .J GENERAL PERMIT Previous permit # rsN-ew ElModification ElComplete 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 environmental concern pursuant to 15A N. c' k" - A(" V Rues attached. , i Applicant Name ;, t - ,�o I Project Location: County U- i Address Street Address/ State Road/ot#s Ilk Ity 'n i 7,, C, Statej, ZIR- !Phone # Subdivision :a'_19:ax # Authorized Agent QCity "I Ci ZIP Affected 'qCW IqEW '�PTA '41ES 0 PTS AEC(s): El OEA 0 HHF 0 IH DUBA ON/A 13 PWS: 0 FQ lel— ORW: yes/ (no.)% PNA yes /(rno Crit.Hab. yes no Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length ��-" avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Otherwr-;' al (),x1f), Shoreline Length SAV: not sure yes (no.�,' Sandbags: not sure yes .no Moratorium: n1a yes i Photos: i yes K,'n6? 1 Waiver Attached: yes no Phone# River Basin I I Adj. Wtr. Body ----'-t� I I C Inat Iman Junkn Closest Maj. Wtr. Body` -- 11 1.1-1 1- (Scale: 111. EROSION 111060011111112M MMEMEM, 111MEMMMUM ■I I min IMEMM MOMEMENEEMMME" MENNEN AIMMIM EN lmir .summmmmmmmmmmmmmnmmnl ME N IN Ilk ��■ MEMNON 00 Eff'"NENHEMOMMEMEMMINIM ■■■■■■■!f ■■ MEMONNIMENNOMENEW M N 3 I Now MOMMEMENIMME MMENERNMEMEME 0NMMMMEMMMM11NMMM ME 100111111, ■'OM IMM1 loin 111111011■ 0 M MOMEMEM V=MMM■Emil NIMMEMEMMEMOMMEMNIMMUM ■ ■ ■ ■■■ 1■�MEMOMMINE■M111110 E111111111 MENNOME MM ■■i■■■i■■il■■■■ MEN I SEE A building permit may be required by: i El See note on back repi-ding River Basin rulps, t J" Notes/ Special Codition ns, IrYlkt, 0 1 /7 Agent or Applicant Printed Name Permit Officer's 14 2L 5ignature ,Signature "Please read co rpliance statement onbackofpS7it** IssuingDate Expiration Date Application Fee(s) Check # Local Planninilur-s-diction Rover File Name 1.0) 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 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: 0 Tar - Pamlico River Basin Buffer Rules ❑ Other: 0 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/ 1-888-411COAST 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 IRA li'3 ��aV3;alJaii �i 4r�y;:Y3t 5�`t3)sa7%3i �liarl'}.4t, ia:x�_ .,�(`n'^'" Applicant: Date: Describe below the HABITAT disturbances for the application. All values should match t e 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 im act'amo t) 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 ❑ Othere I& 1 Dredge ❑ Fill'[] Both ❑ Other -� 'N 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 2014 >DCM-MHD CITY roviverd:00403110 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to w 1 t�M GQ is (Name of"Property Owner) property located at /31 G 4 t I Na.. ba- r�D✓': ae /� (Address, Lot, Block, Road, etc.) on 9ue sow+' , in M. -.-+ (no..Afe--M' , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatioq,. �J� I have no objection to this proposal,G,o> � �4-4' •t/h/ C� have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT WY01ndividual proposing development must fill in description below or attach a site drawing, c ; pro dq�&O.040 00• 0 � 000• p� • AOp O Oos 000P..� 1 / 3 I G K� � t{Q,�►!r� ,�,�, fit. 11 P.A0 Gat5 ,v p,o43 WAIVER SECTION 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.) RECMVED do wish to waive the 15' setback requirement. 6 2014 I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Prope Owner InformaVoA Signature nature Si ature 1, / srt� S� n n VV e, b1, Print or Type Nafne Print or Type N me R24 01AP Fo'"f- �2q►Q 4 1 Q u,� 9 4 Mailing Address ty rcem tJ i 11e ji.0 • 2? e3`/ City/State/Zip 2.s2- — 317S"- Q ys- Telephone Number BECUVED Date _ APR 16 2014 Telephone Number Date ` — l//�, (Revised 6/18/2012) MM--MO CITY 41cola�u � w�f� y1��:,�� .ys 2S 2 - SbV- -073 7 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ' l**yk Ga 's (Name 16f Property Owner) property located at 6ci 1 f AL.e (Address, Lot, Block, Road, etc.) on 130 R ye 6c.%A^cP , in 60(�44- , N.C. aterbody) (City/Town 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. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development 7mtVffl11inscription below or attach a site drawing) L t . V-; -4® d �� o.o 0 �o 0 0 .� om o,> U�- V- V vim" w v, �"_ V-' w& WAIVER SECTION DCM-MHD CITY 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 wait' (If you wish -to waive the setback, you must initial the appropriate blank below.) H og I do wish to waive the 15' setback requirement. APR 16 2014 do not wish to waive the 15' setback requirement. rty Owner Information) i nature Wi tlw. Goy Print or Type Name 1924 VIA Fri- go-i Tiling Address .%cer+.n%I.. rl.c. 2 783 y City/State&ip 2_92-- 315'- '5/if V Teletone Number - ! Y '20(3 Date Information) — `7:��- % lellne umber Date (Revised 611812012) pa 7'a 2 SZ • ,S-Sl - /0 67 Pat McCrory Governor Date 3 -.? `I-/q NC®ENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Braxton C. Davis Director Applicant Name _ 1✓A . wA 11 GwG/ Mailing Address Do Forf- 4'ecew a 3 //c /y . C. 2 7,?.f y John E. Skvarla, III Secretary 2,TZ - 2 u7 — I96VI I certify that I have authorized (agent) A/ac G Y� V- 10-00iNc to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 131 S,%,/ % ..%..- �r+iJL . �o Z4,51'441 &LY &SO 'o f , at (location) /w�f��L� f Qr�iyG �4�K.�G p[o /�o%t,7 ^"5►I�/64cL� FIt�I.itNY I14Dc.iC' 0'—A" This certification is valid thru (date) /r2- 3 /-1 y Signature :. RECEIM APR 16 2w 400 Commerce Ave., Morehead City, NC 28557 DCM Mo CITY Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net An Equal Oppodunity, 1 Affirmative Action Employer , APR 04 20114 ne NorthCarolina Naturally 03/25/2'014 06:31 2525511067 MED PARK FAMILY PHYS PAGE 01/01 " --— -� Am, J.oao ACCUAST COMaINICATION9 0001/001 23,2 North Carolina De art MU P merit of Environment and Natural Resources Pat McCrory Divisfan of Coastal Management Governor Braxton C. Davis • bihetor T-a,q d A 6Q1 Date - q Applicant Name d.! 4/1 it GQ MaHiug Address trot y p1,.f Fare^ /loaoP John E. Rvarla, III Secretary 2 /7 -- 1 g" e 1 certify that I have authorized (agent) A." uh¢cr � '""rc �/wrafi: to act on my behalf, for the Purpose of appaying for and obuadlig, all. CAMA permits necessary to install or construct (activity) r S. 'r - ram' •� stA$Y 43420cpf at (location) This certificat��iflp is valid thm (date) ?- 3 !- /V RECEIVED APR 16 2014 Dc'�!.Al.; D crrI, 400 Commerce Ava„ Mcfahsad Ctty, NC 28$67 pt=a:252-808"28081FAX 252-247-3330 foie wwwrlcCp (�lr>1enapementnet An 6puar Oppo�� 1 At�llotiveAttlan PIP16-.T //)A 4.1L*/',;,,k., APR 0.1 2014 ' iaOtaux CIV ne )Vgturaily- 03/25/2014 06:32 2525511067 MED PARK FAMILY PHYS PAGE 01/01 03/L8/L014 1V:cb rna AVA aYj a�� ------ -----• r� "� CU R North Carolina Department of Environment and Natural Resources Division of Coastal Management Braxton C, Davis Director Pat McCrory Governor Date 3 j v-/y OP. 6a i pkasG a}l ba�(Z -r Applicant Name �Ll�►, (�%� I1 rjaa� Mailing Address - / r'o? y 0I J Fa't''WO."P sl�i�ccrrdFjjC /r•t. 2%�,fy . John E. Skvarla, III Secretary 2-TZ - 2417 - 125i� I certify that I have authorized (agent) Alke Le *r /`ft"4' C.yr„#'. to ace on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary to install or construct (activity) ! =TtO 68ly AWW /ro'v at (location) �klkh� ! ,iON�+�e. ��lor,� c�ias�C �L� F►ti.•� �wt�r0 to �x�rdli.Y �'o�k �-1.,,••s ,/��li 4�rA��,r,� This ce: fflcati0n is valid thhrra (date) 2 - S !- /V Siiguaturt �� / i // .,� -7/1 v/, v RECEIVED APR 16 2014 DCM-MOM Y APR 01 2014 i? KNIO gip►;' 400 Coamwee Avo., Moraboad Clty, NO 28557 � n Phone; 292-0&-28t381 FAX: 252,2.47-3330 fntemet: www.n�talmatapementnet 1V O yCarp'2a NM EV91 Dwaft*%AM-Uye?cdon Myer atfira!!� I i A 03/25/2014 05:00 2525511067 MED PARK FAMILY PHYS PAGE 01 03/25/20.14 1uCxu rt, rah ?o ; 2 ,SI - SS'!" /° f A C E H Pt North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Btnxton C. Davls John B. %varla, III Governor Director Secretary Date 3 n Y-/y H DP, 6n jGoa ylf bq-X 16 Applicant Name de- - (4), < < @Y Mailing Addres:t 1 n? &*'OCe,ya;11e /Y.t. 27,?-f9 I certify that I have authorized (agent) Jd19cA-' act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary to install or construct (activity) soh AhA* This certificatiou is valid thru (date) /?- s /- /V Signature d -? a VA y _.e4 RECEIVED REC1rIVEIA ;k- APR 16 2o14 APR 012014 IDCM--MHD CITY 40D Commerce Ave„ Morehead City, No 26W lxu-mm �ae Phone: 252MB-28U I FAX: 252 247-3330 Internet: www.r=astalrmanaeementnet NO ffiCarq a AM E9LW Opp ft*y %Atfjr4ve AWlon employer Naft nuty ,