HomeMy WebLinkAboutIslandview Shores HOA.4, q -
CAMA El DREDGE & FILL
G NERAL PERMIT Previous permit #
ew E]Modification DComplete Reissue EIPArtial 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
I I A WRul attached.
Project Location: County
-Applicant Name U r LA
Address Street Address/ State Road/ Lot
City State ZIP,,,,
Phone # y ax # Subdivision A
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)Authorized Agent city ZIP
I VIX
Affected
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El PWS: DFQ
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ORW: nes / no PNA yes /9:� Crit.Hab. yes no Closest Maj. Wtr. Body
Pier (dock) length
Platform s) G19016, 1 61, MENEM
If Odom
Finger pier(s)_
Groin length
number
Bulkhead/ Mprap length
avg distance offshore
max distance offshore -
Basin, channel
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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
❑ Neuse River Basin Buffer Rules
❑ Other:
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/ 1-888ARCOAST
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
ai C t•.,'} Pr^_� {.. SNP, �_j,'.L
.�:..,�u l�a�,�.�,.. �:C�:iu9�17..•- � �� r� _,..:.d
Applicant.
Date:
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 im s)
FINAL Sq. Ft.
(Anticipated_ final
disturbance.
Excludes any
restoration
and/or temp
im a o
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 ❑ Both ❑ Other
Qn
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 ❑
23:2-80'73-220'a .. d-&Bco--3nCGR3- � .. nevi s'A.02/031,30
f 6
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: /! XZXWO 1/1Glcf Sfi02ES M i - emuA(a25 ISSN
Address of Property: /5A11A14 4F-a n )z eg'I aTr p-is;
(Lot or Street #, Street or Road, City & County) -
Applicant phone #: Mailing Address: 4 1 5; 1 SQ WN6 JIl EtJ -D-
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description -or drawing, with dimensions, must be provided with this letter.
PI have no objections to this proposal. I have objections to this proposal.
If you have objections to whatis being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangementnet/contact dcm.htm or by calling 1-8884RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.) RECENED
I do wish to waive the 15' setback requirement. MAR 12 2013
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
1-��fL D wx1T t� /4-5'S N
Print or Type Name
Mailing Address
City/State/Zio
Telephone Number
Date
L'1wM4MID CITY
rian Property Owner Information)
Print or Type Name
j� a, -t-
Mailing Address
2 R 20 19-Z % DAl P/�/�Cl-i PS lZD
City/StatelZip
1-C 5/\IS 7'oNF IV el 9.2��0 4-
Telephone Number
z52--
Date
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: 1/1,5-:0 SHe /4� S Za
Address of Property: /-SAi Al2 v'/F_ tJ rie C�2ZE.F Li fel) a�/
(Lot or Street #, Street or Road, City & County)
Applicant phone #: X 514 49-d 33 3 Mailing Address: T$ /s A A.✓D k,1,,F J L)k
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing: with dimensions. must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangementneticontact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certirred Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.) REC%idED
WNI/ I do wish to waive the 15' setback requirement. MAR 12 2013
1 do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
�Drrr} o 0A1Ej0S A6_5,, /
Print or Type Name
Mailing Address
City/State2ip
Telephone Number
Date
(Riparian rr erty Owner Information)
Signature
Print or Type Name
Mailing Address
/ 7n_�M t C llA0 X- 2
City/State/Zip
Telephone Number
1�7- Vl-/
Date
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RECUPED
MAR 12 2013
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