The URL can be used to link to this page

Home My WebLink AboutIvey, RobertCAMA / DREDGE &FILL 1— ?LL"2jQ` X �--( GENERAL PER I Previous permit # $ New ❑Modification ❑Complete ❑Partial Reissue Date previous permit issued i>tP 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 _ 0jtules at4.ched. ,a x Pro i j ,�.(.�� ,Applicant Name (j"7 t _ j, 1f ;1/4 Project Location: County ; Affected ❑ CW MEW PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FQ y^, ORW: yes / �io PNA yes /�no� Crit.Hab._„yes / no Street Address/ State Road/ Lot #(s) Subdivision City rt` l 1 i r �. Phone #) :;f Adj. Wtr. Body Closest Maj. Wtr. Body Rr\l ZIP t .- ?y? River Basin t �■■!�i'�l■I�■■�i`■■■■®■■■I�It1�1�rTili'i�lC■ lll■A'�tll■5L�1 ■■ ' � �;' ii' i U .'�v is ::OO■:E ■■■■■■vNE■■: ■■■■■�■ice .. l� �:_�■::::■:::� HIMEMMEMEMMUME '�•"�r M. M. ■■■■■■Y■■■tllllNONE ■■■■IRWl■■■■■■■■■■■■■■ ■■■■■�I!■■■■�ilaui'ii !iii'.�l�l�■■1■■■■■■■■■■ ■EMEN011lll'A■MM■■■■■■■■■■ ■NI■M■ :OMME:■:mM m=mmmm::■::::::: ■■■■■WMMaM■I■■■N`V>■LWW M1 ■■■■■■■■■■■■■■ • ■■■:::::::�■■■1:■�/:::::::::::::: ■■■!1• ■. ■■ 0`1 /M■■■■.■■■■■■■■■■■ �isaw ■ ■■■■■■ . mw®ail i:::ii::::i::■: ■■ 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 officerwhen 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, certify that this 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/ 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 41'J�J ��-!l��d•�tt�ui! �5�.1 .%7�::..•t}�� .I��c u'Y�3':11:74 u. � :1 i1 .t�r�..+.Za�S t?:l�j L��:.��J• 1L'�'�"6 Applicant: �a Date: I�I 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 amo nt) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp im actsamount) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ s�? �f��-�Wa <� .. ��3�ia-�L�:�;��a .. �r��s:��eT;l;�3��G��i]�v�oag,�;e ye^ra:�s�; �D'��!•3:� N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date `3 • ?i a - 13 Name of Property Owner Applying for Permit: Mailing Address: APR 0 8 2013 L OS L. k er �cx�crr� Go l d- b j r o W C. --'7 S Y-) I certify that I have authorized (agent) vn L—ETSY to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) t'ej at (my property located at) 26G6, Lis- tiJN-wL-i I he 9 d►' This certification is valid thru (date) zle-7 Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OANNER STATE�1Irl`li ' 4 1 hereby certify that I own property adjacent to S6 (Marna of Property Owner) property located at zG 64Lie-�-�� f (� ��-0 d (Address, Lot, Block, Road, etc.) on �� t�2s Gr��IL in JS-,-A L--C—Z5 , N.C. (Ifiaterbody) (Cityffown and/or County) i'he applicant has described to me, as shown }iokow, the dewolopmei-i proposed at the above location. Lu.-'p 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) Scj'� 210,-d 4 yc 3 1-6L -3 t D.5 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 bFFJVT you wish to waive the setback, you must initial the appropriate blank below.) 8 2013 U - I I do wish to waive the 15' setback requirement. APR 0 I do not wish to waive the 15' setback requirement. ACNIYMGTTY (Property Owner Information) (Ad'acent Property Owner Information) Signature Signature Print or Type Name Print or Type Name CoO j L v IZ� <i how- 2'1.2'% Q. r� Mailing Address Mailing Address (6 a 1 cD Vp-. a -A. V j -2'19-4-1., -cS i, iN C 27 G a � CityLS ta telZip,5 Cit /StatelZip� Telephone Number `3- %0 • ) 3 Date Telephone Number. %- 3 0 • )3 Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 12- b- 1-T --" is (Name of Property Ownery property located at 2(1-66 It, - (Address, Lot Block, Road, etc.) on r9 )L , in4- Fonsj— , 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. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) 2 a c.0 3 ; 4s ` �(L�ds WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or gro}n, be set back a minimum distance of 15' from my area of riparian access unless waived„f 'Mftf you wish to waive the setback, you must initial the appropriate blank below.) APR Q 8 2013 t^'G I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. DCM MHDCTTY (Property Owner Information) h-tIrT V`' Signature Print or Type Name (o&S L4 I4x-.-; h�2� Mailing Address 00 ) d b.5-n_ . Ci Sta e/Zip Telephone Number �-3n ,)r3 Date Owner Information) Signature, LZ Print or Type Name 'P o S3N 1030 � Mailing Address 04fl, 1-1 , t) -P— CiVState/Zip H 3d 'Z,o� 1200 Telephone Number Date (Revised 611812012)