HomeMy WebLinkAboutGreene, TomS CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous Permit#
QNew ❑Modification ❑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 environmental concern pursuant to 15A NCAC
r pRules attached.
-plicant Name j • ~" c" Project Location: County
Address i 9 i i t"'-^ _ ,� f f t. '-f ` Street Address/ State Road/ Lot #(s)
�t
.Cityf i`FrtState" ZIP ��: (1a;�1.i c;t
Phone # Fax # (_) Subdivision
uthorized Agent j g,.., r' a r City t ,-r �c ,c ZIP
❑ CW ❑ EW ❑ PTA 8ES ❑ PTS Phone # ( ) Affected River Basin co/
AEC(s): ❑ OEA_ ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body x n t man unkn
❑ PWS: ❑ FQ
n^ Closest Maj. Wtr. Body.
ORW: yes / �no PNA yes / Crit.Hab. yes / no
ger pier(s)
number
avg distance offshore 4'
NONE
MEMN
MEMEMEMEMEMOMMONME
M
MEMO
MEN
NMMMM
OEM
max distance offshore 4,
in, channel
cubic yards
ramp
house/ Boatlift
h Bulldozing
-
ngth.'
dbags: not sure yes
ratorium: Wa yes �;i'MMMMMMMMMM MEMEMMMMOMMMMMOMMMUMEMEMEMEM
yes- no
REMEMEMEMEM
all L—SE IMMUNOMMEMMOMME
MENOMONEE
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Agent or Applicant Printed dame "' `' PermitOfficer s Signature 1f
' ' . ' n +"`+� Issuin Date irat%n Date
Signatre Please read compliancestatementoKbackofpermit 8 iP
iApplicationFee(s) Check# Local PlanningJunsdiction. Rover File Name
_ cation
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, certifythatthis project is consistentwith 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 Headquarters,
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)
Revised 08/09/06
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
Date
1 Z/
Applicant Name ��" �� a ie �► ,�.
Mailing Address a%/ 9 N e 4 14U e—
,t, ekQ rles AN w. V.
r
�s 30 3
I certifythat I { 4 A"S Z4' h'I" I e have authorized (agent).to act on my behalf, for the
purpose of applying for and obtaining all CAAMA Permits necessary to install or construct (activity)
.16 z E,4.t I G ore at (location)
��vel AJ c A93-77
This certifica
Signature l
is valid the (date)
400 Commerce Ave., Morehead City, NC 28557
Phone: 252-808-28081 FAX:252-247-3330 Internet: www.nccoastalmanagement.net
An Equal OpportunityUffirmatiiveAction Employer
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SEP 0 8 2014
DCM-MHD CITY
Tom Green
3047443651
FACSIMILE TRANSNUTTAL
ATIN: DAaL1GP7r DATE:
PROJECTS / ! bMt L`r ax: 45—�� —,�, i 9 333
FROM: oll, �R PAGE 1 OF
WE ARE SENDING YOU
Specifications
ShopDrawings
Equipment Cut -Sheets
Bulletin Drawings
Copy of Letter
Other
• •�DESCRIMON
jib Ow'sJuj"W" ATM
-
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THESE ARE TRANS:tid1TTED
For Review & Comment
s Requested
For A-22roval
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* If this facsimile is incomplete or garbled, contact the sender as soon as possible.
SEP 0 S 2014
y
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Tom Green 3047443651 p.2
P& 02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that 1 own property adjacent to Io-[n Grrgt_>y _ _ 's
(Name of Property
Property Located at ` tG-�2 tJnk i 4b,..rn CA—
(Address, Lot, Block, Road, etc.)
on hi �Sotl 13au , in �G.1,eye1 N.C.
(Waterbody) _ (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to ti /
1 have no objection to this proposal
I have objections to this proposal.
DESCRIPTION ANDIOR DRAINING OF PROPOSED DEVELOPMENT
(Indivldual proposing development must till in descriptlon below or attach a site drawing)
N"e 15o1 -&:L4 "
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(Z, -v.. — vJ CO3\
WA RTaDropri.
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I understand that a pier, dock, mooring pill gs,akwa er, boathouse, lift, or groin must be set
back a minimum distance of 15' from my reaipa n access unless waived by me. (If you
wish -to waive the setback, you must initial he to blank below.)
f do wish to waive the 15' setback remilremimt.
l do not wish to waive the 15' oetbatk requrement. _
(Property nformation)
iAdjac t Prope er Information)
e i _ J I'll
Signature
!Mox�rlSvRAC0rkU`
Pnnt or e T Nam
1 •Yp � � - Pnnt or Type Name
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Telephone Number Telephone Number
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Date
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SEP 0 8 2014
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Tom Green 3047443651
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M Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can retum the card to you.
■ Attach this card to the back of the mailplece,
or on the front if space permits.
1. Article Addressed to:
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2. Article Number
(transfer from service fabep
A. JsignAturre -
,n,�❑ Agent
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❑Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from Item 1? ❑ Yes
If YES. enter delivery address below: 0 No
3. Service Type
TO eertilied Mail" ❑ Priority Mall Express'"
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail . ❑ Collect on Delivery _
4. Restricted Delivery? (Extra Fee) ❑ Yet:
PS Form 3811, July 2013 Domestic Return
2
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SEP 0 8 2014
1. C'M !'Um
Tom Green 3047443651 P.1
FACSIMILE TRANSMITTAL
WE ARE SENDING YOU
Specifications
Shop DFaWin9S
Equipment Cut -Sheets
Bulletin Dmwin s
Copy of Letter
er
NO. COPIES I DESCRIPTION I
vI
THESE ARE TRANSMITTED
For Review A Comment
As Requested
For Approval
For Your Use
* if this facsimile is incomplete or garbled, contact the sender as soon as possible.
,y; '�GEIVED
SEP 0 8 2014
GreenTom
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i Complete Items y, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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A. Signature
J.• t ,:...:'., ` [3 Agent
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B. Received by (Printed Name) C. Dale of Delivery
D. Is delivery address different from item 1? M Yes
If YES, enter delivery address below. ❑ No
3. Service Type
❑ Cerlified Mail' ❑ Priority Mail Express'"
❑ Registered ❑ Return Receipt for Merchandiso
❑ Insured Mail ❑ Collect on Delivery _
A. Restricted Delivery? (Extra Fea) ❑ Ybz;
2. Article Number
(Transfer from sewke labetj
PS Form 3811, July 2013 Domestic Return Receipt
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