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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 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■n■■■■■■■■■■e�■■ems■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ 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 s RECE 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 - ` . • o • d - THESE ARE TRANS:tid1TTED For Review & Comment s Requested For A-22roval I I For Your Use * If this facsimile is incomplete or garbled, contact the sender as soon as possible. SEP 0 S 2014 y X�, 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 " - r ro (Z, -v.. — vJ CO3\ WA RTaDropri. CTIO 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 IS?1-4- :Se, u CI�el� R.�. ling Add is Malting Address u+T}- Ifr1�2L�5ly .�5 3v3 _6ek_eRR e,r Ne. z8+4S Crty/5tate/Lp - Crty/Stat&Zp Telephone Number Telephone Number �7-7� f�O N Date Date (Revisedglffg SEP 0 8 2014 DCZ),s_gD C..r. sr Tom Green 3047443651 p.3 Dr1 e+•.!ITEI' `VX1 "3:7IST,01:SFFYK:.E j` -. ., M ...:.,;..' .., ..,::.... _........ u Seiid-r: File^.a';' whit. your ria:me, .nddr. ^anti I , i 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: n9U t IN /t%Lnf�fllt f�7Lijl �jL�rirl•{ %r%�; �. Li 2. Article Number (transfer from service fabep A. JsignAturre - ,n,�❑ Agent X ;1�YL k, .ft%) ❑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 liLPj L� � 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 (3.2 . Cr-KincR•.,"nn,rnt GTa rutr'QCPT1n At _ :•C(]MPfRTF•Tl-I.M SFQrMAJ nN fiF11VFRV• 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: r t7�tlr fi �ICJIC7�I\t \ �1.7 7 1 r" r" G�S1 n'Cr. I/A v A. Signature J.• t ,:...:'., ` [3 Agent ;' r r ) ❑ Addressee 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 . ,'t}-rrzI -;T YEF: =('* TAV,)ERVl 1 : i ' + r lr ,R 't ;.J .. .' . ..... -I r rti �.. 'r,, ji•'aat%illE'.... i'c�5a�i1'(i,j,w. i :�(_Ilih37: Ple?.se Pdrii Yllilt• ilAITI , iddr st;, iai-,d Li:'"-4 in U1IG bo-, I 1 _t A • r nr r%li r ..r�% I i l� i .� �'Gi ! !y C.i`*'j'-�[..�ST '/ 1, f.•i.: r . %q- fir, <— i r - . i SEP 0 8 2014 I''le-k ,st:URIV