HomeMy WebLinkAboutHudson, Johnny & Cindy"QAMA EJ DREDGE & FILL
GENERAL PERMIT Previous permit #
Q'New DModification ElComplete Reissue ElPartiall 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 environ7eptal concern pursuant to I SA NCAC
0 �ules attache
, A pplicantis` Project Location: County 'A
Name VA I
Address/ late Roa,.dILot #(s),,
�Aciclress Street Ad
ZV,
`C State} ZIP,
# Subdivis,
rl Aapnt
Beach Bulldozing
Other
Agent or Applicant Printed Name
Permit Officer's Signature'-
Shoreline Length
!SAV- not sure yes
66
Issuing Dace
Sandbags: not sure yes
Expiration Date
Iq 5W
Moratorium: n/a yes
- -
Photos: es
nof.
,Waiver Attached:
BEENE
i�■■■
gar ��"
■ rr■■�a■�
■■■■■■■■■■■■■■■■■■■
A building permit may be required by:
MEN
Notes/ Special Conditions
WOMEN
MEMO
MEME
a
0MV9.312011FAi
'Nowns
I URNMEMEMEND
EMENNEEMENN
MEMEMEMN
nor
■
ME
JMNMMMMMNMMN
MEN
ONE
■■■■■■■■■■■■■■■■■■■�■:::::::'■N■
ONE
OMEN
NEON"0
MEMMMOMME
H
M, MEMO
0
6
EMEMOMMENMENNNak
MENNNNNN
Beach Bulldozing
Other
Agent or Applicant Printed Name
Permit Officer's Signature'-
Shoreline Length
!SAV- not sure yes
66
Issuing Dace
Sandbags: not sure yes
Expiration Date
Iq 5W
Moratorium: n/a yes
riq
Photos: es
nof.
,Waiver Attached:
no
Rover File Name
A building permit may be required by:
Notes/ Special Conditions
El See note on back regarding River Basin rules.
(Of I
T
Agent or Applicant Printed Name
Permit Officer's Signature'-
Signature Please read compliance statement on back o )ermit**
Issuing Dace
Expiration Date
Iq 5W
!Application Fee(s) Check #
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 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 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
MI T" I193:73'Da j 9ITTIt":
Applicant: zh n
Date:
.3
Describe below the HABITAT disturbances for the application. All values should_ match the name, and units of m sureme t
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance -total
includes any
anticipated
restoration or
t mP impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
--Excludes any
restoration
and/or temp
!nWct 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 Q 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 ❑
MAR 2 4 2014
��'����-v;w�� ,. J ��B�L��:��ST .: �wr.��,r,��c�•��s�:atca���a���ae5at,�=e� am�rasad: Rt�J��!•��
{
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORA
Date 14
Name of Property Owner Applying for Permit:
CI yup 3p5btiJ
Mailing Address:
27-591
MAR 17 2014
DcM.MmC y
I certify that I have authorized (agent) "Rag P j C to act on my
behalf, for the purpose of applying for and obtaining all CAIVIA Permits necessary to
install or construct (activity) 't>bC
at (my property located at) _ 31? -bA V 1 S '9C9
This certification is valid thru (date)
perty_ ner Signature Date
a+x�q aL+(rL'i�78},
. sNw4�ilay�'ii+7 .
MAR 2 4 204
I)CM MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to.J'a\(�N `}- C l r o �
N of Property weer)
property located at 31 Ay is I L V is ,
(Lot, Block, Road, etc.)
onMpr►) c ,F}L , in FiTC,Ajt�M C - e- a CA 4T -N.
(Waterbody) (Town and/or (county)
Applicant's pho ei `f � 7 Mailing Address -05 �� E� 05VE14660k
1 i5tJDtGL /y e- A7S9
He has described to' me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
----------------------------------------7-----------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
5t•� �- . 'tom-�c� � rJG. ,
MAR 17 20%
DCM MAD CITY
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
i
Signature
Print or Type Name
Telephone Number
Date
MAR 2 4 2014
bCl- Mxn crrY
Dti-A,,J y
DAM,- s l2 ,
/Q -T r&14
d+ i
-"
Q
_.._..
7-4
I
19
N
Q
/Q -T r&14
d+ i
-"
Q
_.._..
7-4
I
19
A
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to � f Oz kl-VV V CMtl 1,4 pSOnJ 's
(Name of Property Owner)
property located at Arllyvr e- 04wl'l /Y'
(Address, Lot, Block, Road, etc.)
on ('�✓ t C , in 13Z Bell , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawingoidUCEWM
development he is proposing at that location, and, I have no objections to his proposal.
MAR 17 X014
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
c
Signature
__-r��-C
Print or Type Name
Telephone Number
Date
W. REC}: M
0
�-
0
N
AW-
VFSOL-
/ .ale-
CkK
09
a -
T ..
- -j
i
r.
- Clft
�� / y D1149 -0i D w
� c
/ V �
va. Imcb iIBD
MAR 2 4 ?m4
DCM-M MCITY
W -
MAR 2 4 2014
DCM MID CITY
INSPECTION/ZONING COMPLIANCE
NOTICE: No license willbe issued without a completed Inspection/Zoning form. Failure by applicant to
submit this form may result in delays in the processing of the license; . To request inspections and zoning
flt 'cations, contact the appropriate departments
Name of Applicant.
Name of Business:
Location of Business:
PLANNING AND ZONING DEPT f252-726 4456
In Compliance Noncompliance
Inspector's Name
Date of Inspection
BUILDING INSPECTIONS (252-726-44561
In Compliance Noncompliance
Inspector's Name
Date of Inspection
FIRE DEPT (252-726-7361
In Compliance Noncompliance
Inspector's Name
Date of Inspection