HomeMy WebLinkAboutHopper, PhilQ191CAMA /gDREDGE & FILL 62759�a
GENERAL PERMI Previous permit #
�fNew ElModification EJ Complete !RE 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 fJ {ter
[a Rules atta�chep.
Applicant Name pplica Project Location: County
Address Street Address/ State Road/ Lot #(s)
e'7 e-,
'Cityr L StateZi
:
ifhone # Fax Subdivision
Authorized !n City zip
)
Affected [CW 'SEW PTA [ES 0 PTS Phone# River Basin 'A (
AEC(s): El OEA El HHF 0 lH [I UBA 0 N/A Adj. Wtr. Body' 11_4' 6at '/man /unk -n)
11 PWS: 0 FQ
ORW: yes PNA yes "d• Crit.Hab. yes no Closest Maj. Wtr. Body
i-t Type of Project/ Activity VJ rVri ko I-) t I � k-, h 0,�,1 4 V% l3 l'a
Pier &inrk)JP.o7tb
Platf
Fing
Groi
ff-u-1k
---
Basil
Bow
Boat
Beac
Othi
Shor
SAV
Sang
Mor
Phoi
;Wai)
(Scale:
wm(s)
x pier(s)
length
i
number
iead/ Riprap length
avg distance offshore
max distance offshore
,channel
cubic yards
ramp
iouse/ Boatlift
0
MEN
OMEN,
MNMN1
mom
EMENNEEMENOMMENIMM
No
MUMMEMEN
-lineLength
not sure yes no-
EMEMOMMEM
EEIWMMM
MEMME
kags: �� not sure yes n
torium: yes
n no
BrAttached:
A building permit may be required by: —t o
Notes/ Special Conditions r t
A ri
LJ See note on back rega 4
River Basin rules.
A,
fftentor Applicant Printed`Name
Perinitoffic S.,
nature
7-
.
.......
Signature, Please read S7 compliance ement on back of perro
lsl-u kPate
Expiration(Date
�4
Application Fee(s), Check #
Local Planning jurisdiction
Rover File Name
fe
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
landowners).
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:
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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:919-733-1495
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
Governor Director
Datey p _ 2-40- 20l 5
Applicant Name
Mailing Address I Q 3
John E. Skvarla, III
Secretary
I certifythat I have authorized (agent) ,k - �c9�s .
(g ) _�' � Cn �u (`� �c ..�e to act on my behalf, for the
purpose of applying fot and obtaining all CAMA Permits necessary to install or construct (activity)
SeQ t"V�lat (location)
This certification is valid thru (date) —\,)7 (0 2CD5 L(
Signature
400 Commerce Ave., Morehead City, NC 28557
Phone: 252-808-28081 FAX: 252-247-3330 Internet www.nccoastaimanagement.net
An Equal Opportunity Wl'iinnative Action Employer
NorthCarolina
Naturall ,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at 1 D Q C(
(Address, Lot, Block, Road, etc.)
on ae, u e , in �4�.1 ker- ?n4tk- N(- , N.C.
�-) (Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
c 'o
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
I 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
City/Stat',
--?� Z- �Z6— 7gifr
Telephone Number
-,S,2— 202)
Date
(Adjacent Property Owner Information)
Sig
PrintRr T e
Mai\li(nf A e
City/Stafe/zr- r � �i
Telephone Numtber.���
Date
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to �"• Vk, e2ee 's
(Name of Property Owner)
property located at t73
(Address, Lot, Block Road, etc.)
on e- � , in �o_\,e.r We t- ly L , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
� � I have no objection to this proposal.
have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pr rty Ow er Information)
notltre
r
Print or Type Name
�D3 Z
M fling Addres
. C-cl- tiL
City/State2ip
'9sz- -? z6— 7
Telephone Number
21, 2 6 CI)
Date
(Adjacent Property Owner Information)
Si ure t,
Prin or Tvae N me
Telephone
Date
),337
i _1 t., '-�
(Revised 611812012)
NC,Division of Coastal Mgt. Habitat Impact Computer Sheet
J
Applicant: Hopper
Date: 628/13
General Permit #: 62759C
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
SB
Dredge ❑ Fill ® Both ❑ Other ❑
148
148
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 ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmananement.net revised:02/03/10