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HomeMy WebLinkAboutGooden, Michael (2)%CAMA / ❑ DREDGE & FILL '`' 4 9 GENERAL PERMIT Previous permit# [lew_ El Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources jam{ jj and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ( i' •Q C)O D _ r . E.4 Rules 4ttached. Applicant Name 1 { t !! ` Project Location: County. Address Street Add s/ State Road/ Lot #(s) g ty C (1 State , � ZIP P_.�i 1-.'? S (. i ` !. /C Phone,! # �) ' i~; t"} `I IFax# (=) Subdivision I R i ❑ CW Cxl EW *PTA ❑ OEA ❑ HHF ❑ lH ❑ PWS: ❑FC: yes / lkiV� PNA yes /r Crit.Hab. yes / no City ! ( I \': �'ka . ( Phone # ( lr' Adj. Wtr. Body A_l_` r) Closest Maj. Wtr. Body � 1►�� t lIm �1 �i/s.31�i ■ OMME11` ..lenr Ar MOM wrav■■■■®■�■�■ x pier . - ■■■■ KIM■■■■�� � ■�■■I �►' ■ ■■■ ■ length ■■■■ ■■ ■®■ ..E i ■■■■■■■■■ .. ■■■®■!■�li■■�■®■!�■■ I number ■■■■1i■■■■■■■■■■■■■■�■t■■■■■■®�■■® avg distance offshore ■■■■E■■■■■■■■■■■max ®■■■�■■■■■■■■■■■■■� distance offshore- :■■■■ :■■■� ■■■■■■� C■OM■■■■OM■■■EM cubic yards.■■■■o.■■■■...� ■...■..■■...■■..■® ramp ME OfFlIK 'K ­i 0 1 Bulldozin =ILIUMIF%A not sure yes . ■:■�■■■■■EM■■■ ■■■�■■�1 11 J A■■■® •ONMENEM tags: ,,notsure yes yes • ��■m�■■■r�■rr+� ��r�r���r� zr Attached: yes i; . ■EN UMEN■■■EK(HIMA ■■■■=LN■�■■■ Qev-e Signature Please read compliance statement on back of permit * Issuing Date ; 77�?/ Application Fee(s) Check Local Planning lurisd 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 officerwhen 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: Q Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules ❑ Other: 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/ I-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 ��` � �;3''J3�9'JG� •7.i :('j,��,�t-�t}+�n51 � �p�a j:1:t`Ja : sL �1ia13.}��,t�`� �s�.i�'];J?].;�:i' •���% _ �''� ' Applicant: E ° 11 �./�(1 Lpl I Date. �X r 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 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 ❑ "M-3��-dfb' .- t N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 7— 2,7 r J RECEIVED JUL 2 5 2013 Name of Property Owner Applying for Permit: DCM•MHDCITY G4 R /'� W C oo ele vl, / Mailing Address: Zo Z �. o y L ,eO 7-'- L c?,v-e_ o1ols I certify that I have authorized (agent) a �h 04,4ve ( ,U�0,act on my behalf, for the purpose of applying for and obtaining all CCAAMACPermits necessary to install or construct (activity) `, �1' ��f"/S , T, Nyl� /'' �� �`t at (my property located at) 7 Z f % �D � �� : �Z Ale, This certification is valid thru (date) Owner Signature 7— 23 - /Y . 13 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to /�r�G��u �op���✓ 's property located at 4/2/2 �'oct (j, of Property Owner) O G ,W Address, Lweo ck, oad, tc. , ✓ ( on , inc C4 G (Waterbody) (City/Town a r County) The applicant has described to me, as shown below, the development proposed at the above locati I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing) �c&- ' Gt�ao�e� J'oe-&? w r.. RECEIVED JUL 2 5 2013 DCM-MHD CITY WAIVER SECTION 1 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.) wish to waive the 15' setback requirement. do not wish to waive the 15' setback requirement. (Property. ,sigvature PGoo2 yp/—Vo y Lca7-" Mailing dre s A jfjG Z7S3� moo/ s10iv cirylzip �/ 2— d Telephone Number 7— 7--; - /3 Date (Adjacent Property Owner nformation) r-- ign turc ) A0 Print or Type Name 70 & .d/r�n S r` M �( ess MCI c K- i , iN •C • AgSV7 City/State/Zip '?5;�? •22 & - /—A $� 6 Telephone Number 7,23-i3 Date (Revised 611812012) `` •� %fro S�'� /V�u/ �j'� i L���-��-jf % � RECEIVED j t/, 6 . 2, � � S� JUL 2 5 2013 a DCM b2HD CITY If w,a /�Lva I ,, "l L e�s L/G//ZiG% I �0 � 4"'- �J I p� C R G �( �-5 - ,al 1 — s� o �- 3 5 � Sa llcz- F►� IUv Uf .NH'7o wc11t✓Oats ss• p yicivi�-y .r7AP /Pry .2rs was- tj. fw", Z_� 'tea SUR�'Gy FOJY c'is�Roc. A.t/.v svA.gY /if ! iyBil6�Y6.OD B.GLsFS •fir re,•rw i svr�✓ .w .w � irrA• I �Jr /V6 rf i6r Cr/r r/ G'ra+/ 7Pr�.rfii ./ Dredi, /fly..% � /!!L jr�/i .'/'• a fop . fF/.D Ll�isir/s 1i. lief.. �rrs�Srr.-ry.i .G• L7i73 rj�! lti6sris iT.ed �/rw/r.if .f/C. dbs7O .t �/rr • rlirVr' S3 4 T7. S49 > .y f w.slri. ELS„��.``�• INVESTORS TITLE Fax:9199682227 Jul 24 2013 15:46 P.02 - w00d46'M&W1*4 4191n 'uopew'1alu1 eJaw job JONas xe4 J81ewXVJ ljo Aq pei!aoel gem xe, aiyl A04ACENT RIPARIAN PROPERTY OWNER STATEDENT i hereby certify that I own property adjawritto �',1�44ef 6�0' 04N 's property located at �Z ,�Q �,c a_er 10,.-(Name on Property Owner) on 460qe— ;& K or (Address, 4.01 (Waterbody) ,0 'N.C. The applicant has described to me, as shown below, the development proposed at the above Io , 1 have no abjection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT Ondivlduai proposing development must 170 in description Wow or attach s site drawing) RECEIVED JUL 2 5 2013 1X'M-M—'-'D CITY MMER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a mirvmum distance of W 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 1 s' setback requirernenL I do not wish to waive the 15' setback requirement. (Prope 0� ,- anon) (Adjacent Property Own r Information) SirQJr Pnht or Type Name P 'nr or T e Na e /02- loam iew/o L-aae liz '�',�� rrrw G�atasrgrlGZ7fZ9 Gary to 5' A S CL* — 1?3 l l3 (Revised t?✓ &2012) Wd 90 BZ £ £LOZ/£Z/L :else :e8ed LZiyfiLbZZSZ Woi�'�� ye �: s �73 MCEIVED 25 2013 f-AIRD CrrY Zay ot--,7 Te A oa6��� �f III eT 1 I/ IOC/ Z i S oLnd DI, cd c�� , All 57 Cam- -Srv,;�F--Ck- -- i i RECEIVED JUL 25 2013 DC-"T 'VgD CITY n 1 5' 3yy 3j " y 13e Its y> x $ cpi'l C✓'ef fie LK f- 5f RECEfVM JUL 2 5 2013 DCM IKL_iD' njTY