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Home My WebLink AboutLandon, Russellk,CAIVIA IJ DREDGE & FILL 62293 C Pe; NEPAL PER A Previous permit # ElModification ElComplet9e ElPartial 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 ---, - -1 . 11 1 r I .1_ e d A L 5] Rules ttach pplicant-Name Project Location: County e Address 05 k] - PrF; r�.� h� I W, Street Address/ State Road/ Lot #(S) LOD60 -) 0—rt City;— 1) State ZIP Phone# ,30-6'fkr'S Fax# Subdivision �Authorized Agent N1 , I It Ili I k1rA1 1\,r' Lt A& Ci r- ZIP 10 1� Affected 'A EW _�Q PTA DES 0 PTS Phone # River Basin AEC(s): El OEA El HHF El 1H El UBA El N/A Adj. Wtr. Body (nat Vman'. Co rl�'i —�/unknj - I 0 FQ ' i 01RW: yes//' PNA yes /(nl nol 9� Crit.Hab. yes / c Closest Maj. Wtr. Body c- Type of Project/ Activity (Scale: Pier (dorJ61angth Platfc Finge Groh Bulkf Basin Boat Boatl Beac Othe Shor AV: Sand MJ Prm(s) !r pier(s) length :�::C.::::�:::::::�:::::::::� :::C:::: i number iead/ Riprap length ME NOMMEN■MEN MEMUMIns distance offshore limp max distance offshore_ -�Cavg MEN■...■■■■■■■■■■■.■■■■■■■■.. ,channel =Emm■■■MEMEME■■■ NN cubic yards OMM M■ ommoommommommommomm■ON■0■mom i■■■■■■■■r/■■ram :ou:sefioatlifft�t BuL Id Ing .i i■ii60iiii�iiiiii■ M�.��r►:ruiiiiiiiiiiiiiii MMMMEM MR11 MMEMENNOMMMM ".ww w � � ��w��w��■■■� ngS: not sure yes�,�-'n ■■■■i■■'iii■�iiiw�iiiiiiiii■iiiiii' torium' n/a yes Pho ,"'"CAttached. A building permit may be require Notes Special —[ -1 e:� by: "ta It" See P- Y r irr,, f) on la re Ording River Basin rL liq"A� li' n ax Agent t ,�torApplican P d Name Perm it ffic er' Signature Signature Please read compliance statement on back of permit Issuing Da t&: Expiration Date Application Fee(s) Check # Local Planning 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 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 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/ 1-888-4RCOAST 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 i N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 5 - 1 ' 13 Name of Property Owner Applying for Permit: Mailing Address: 1 a RECEIVED JUG. �► I .p bCM-MHD CITY I certify that I have authorized (agent)yD g--c k -1 eL, i to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) L, 4? at (my property located at) / Oq A<az!-j Cd This certification is valid thru (date) _ Property Owner Signature RECEIVED JUN042013 Date DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1—%.. S5 L 4 "ez t-i is (Name of Property Owner) property located at 1 o 9� �- On- ry Ce "Z � (Address, Lot. lock Road, etc.) G on A v,.,. a L— , in 11- 5 , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 8 1 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) a 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.) h 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Proz:7= (Adjacent Property Owner Information) :--ZV-"C 1ti1 Signat e 'max Al �, d �Z T>A-r a 17ature SSA t I Lg <,-� Print or Type Name 1q05 l..rEiS'/ �ro�t� ��' PrintPrint or Type Name M5, S it ,<,- Mailing Address $ W t Is.,� P ,- 2`1 Address , Pf,►��5 1V • C. 2'1 S�jo MMlLr5 City/State/Zip City/State2ip z5 2'3o cyLZ Telephone Numbers IVE Ltelephone Number "3.ra--13 l•3 13 Date JUN 0 4 200te (Revised 611812012) DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ky -5'5 L +A hs 0Q 4 's (Name of Property Owner) property located at 0 C1 A e-d 0--AJ G o 60 on � � � � � (Address, L,o�tin l, Block, Road, etc.) on N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 91-3 1 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) ® ea r'EE-e-i -4 i"S TD.. - -- 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.) iZw I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pro erty Owner Information) P Si tiure ssxGc. L' A1yo, Print or Type Name 1 Sh S (,JEST 6"e6a;-Z 4010 Mailing Address Ole 27o'1'1 Cittyy/State)Zip 26'L- 23.0- 4,11-(,P Telephone Number S'- /X-/.-3 U= Property Or4r,per Information) Print 7type Nine RECEIVED /-� Mailing s J U N 0 4 t /State/Zip :2s� - 7,26 -.37�J DCM MHD &gphone Number Date DE-=� io v.1 r?) m fi 0 L (�G (Revised 611812012) -Z 52 2 q I (-Sv+ NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Landon Date: 6/6/13 General Permit #: 62293C 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 OW Dredge ❑ Fill ❑ Both ❑ Other ® 169 169 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.nccoastaimana-gement.net revised:02/03/10