HomeMy WebLinkAboutHoffman/ LongCAMA / ❑ DREDGE & FILL''
GENERAL PERMIT Previous permit#
13New ❑Modification ❑Complete Reissue ❑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 I SA NCAC
_m__r_ _ _ QRules attached.
Applicant Name t t = `�'"'G .� �G� z �. _ -�- _ -�- Project Location: County.
I 1-2 t�7 y 1 t� k %J � r+ l �. � s
Address i - ) T i Street Address/ State Road/ of #(s)
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City `_J 1 " ' �' i� I State i 'ZIP - r`l /
Phone # ( )`� it/ax # (_) Subdivision
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Authorized Agent i ; r . ;r f r Cit), = / )> �" ZIP t
f- _-, .
Affected ❑ CW ®EW p-PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FQ
ORW: yes / no -) PNA yes / (no} Crit.Hab. yes / no
Phone # ( ) River Basin
Adj. Wtr. Bod4iat1/inan1unkn)
Closest Maj. Wtr. Body
MEN;MENMEMEMOMEMEMEMEMM
Oro
ME
MENOMINEE
OMMEN
ONE
MEMMOMMEMEMME
M
M
ME
ENMEEMEM
MEN
cubic yards —MMMM
MEN MEN MOMEMEMEMEM
MMMMNNNMM
I "Mill
house/ Boatlift
ch Bulldozing
NOON
NONE
,reline Length
Naftwx
ON MEN
not sure yes
MENEM
c1bags: not sure yes
Li�-MEMMMNEMM
iver
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Attached-
'
'Agent or Applicant Printed Name Permit Officer's Signature
Signature *�' Please read compliance statement on back of permit* Issuing Dace Expiration Date
Applicat;onFee(s) Check# Local Planningjunsdiction Rover File Name
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 I) 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, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules 0 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 howto complywith 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
Aug 201401:4.4p Brooks Dredging
2525044744 p.1
H.C.• DIVISION OF COASTAL MANAGEMENT
AGENT ALITHORIZATI N FORM
Date _
Dame of Property- Owner Applying for Permit -
Mailing Address:
r .e ., N
I certify that I have authorized (agent) 1 " 4. t.0 to act on my
behalf, for the purpose of applying for and obtaiining CAMA Permits necessary to
install or construct (activity) - '
at (my property located at)
This certification is valid thra (date) `
Property
Date
AUG 21 2014
Aug 2014 01:44p Brooks Dredging
N.C. DIVISION OF
AGENT AU1
Date 9 -A G
Name of Propc Owner Applying for
Mailing Add s:
2525044744
TAL MANAGEMENT
WION FORM
p.2
1 certifp that I I LUYC nufhorized (agent) to act on my
behalf, for the 1 a e of applying for and ob "a
� aPP y� $ lag all CAM.A Permits necessary to
install or const ct (activity) '
at (my propert3 located at) _
This certification is valid thru (date),-� --�
Property Owne Signature
Date
AUG 21 2014
DCM-MHD CITY
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFIYBOATHOUSE)
I hereby certify that I own property adjacent to / L/ D 7C� 's
(Name of Property Owner)
property located at cW3 dtr' ZS 9 ; &J f
(Lot, Block, Road, etc.)
on st !nz "GIs , in u �i o N.C.
(Waterbody) (Town 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 understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen. feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement. i,
I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
• 5 RECGIV�9 �
AUG 14 2014
DC-NIAM CITY
AUG 21 2014
DCM-MAD CITY
-------------------------------------------------------------------------------
Signati re
Print or Type Name
2,5-;k- 72-1?- (;Os$
Telephone Number
Date: 7 — 1i—
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
�—e-n-e-V i Lve— Lo (
J
I hereby certify that I own propdrty adjacent to 's
(Name of Property Owner)
property located at 3 '�� -� D�'�'i- ect)c,_4� ,m(c_'
(Lot, Block, Road, etc.)
on 54_r�('-�-s in _� efp_c.�-�F-f—, CCLF-- ..f-CJ Coe, N.C.
(Waterbody) (Town 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 understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen. feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
.I dQ wish to waive that setback requirement
--------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
. RECEIVED
AUG 21 2014
DCM VM Crry
--------- ----------------------------------------------
�J
ignature
k 6
Print or Tye Name
Telephone Number
Date: I