HomeMy WebLinkAboutLane, Billy� �CAMA / D-DREDGE & FILL
V NERAL PERMIT Previous permit#
few ❑Modification ❑Complete Reissue El 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 I SA NCAC
Rules attached.
Applicant Name j1 Project Location: County
Address f �' �. r 3 ! f '' �1 j / Street Address/ State ad/ Lot #(s)
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NEW
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Emmil
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Shoreline Length
...
1
SAv: notsure yes
f r�; I
Sandbags: not sure yes no
J
=Moratorium: n/a yes o
Photos•. yes
AL
Waiver Attached:
A building permit may be required by:
i See note on back regarding River Basin rules
Notes/ Special Co ditions
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Agent or Applicant rinted Name
Permit Officer's Signature
F
4
Signature*,,Pleasereadt56pliancestatementonback
%ojf�permit
Issuing Date-", , !f
ExpirationDate
Application Fee(s)
#
Local Plan ningJurisdiction
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, 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
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/ 1-888ARCOAST
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
VIC DiVIS102a of cm seal Mat. Flmbftat hmpact campull-w che 0-t
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
A
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)
%redge El Fill El Both 0 Other
Dredge 0 Fill [I Both [I Other [I
Dredge 0 Fill El Both El Other 0
Dredge El Fill [I Both [I Other El
Dredge El Fill [I Both 0 Other [I
Dredge ❑ Fill 0 Both'[] Other ❑
Dredge ❑ Fill [I Both [I Other El
Dredge [:1 Fill 0 Both El Other [I
Dredge 0 Fill 0 Both [:1 Other [I
Dredge ❑ Fill [I Both [I Other ❑
Dredge ❑ Fill E] Both El Other [I
Dredge [I Fill El Both El Other [I
Dredge [I Fill El Both [I Other El
Dredge ❑ Fill ❑ Both [:1 Other ❑
Dredge ❑ Fill ❑ Both El Other [I
262-808-2308 -: 1-838-4RCOAS—i :: %�jw;,Y.ncco:nstmitTiana-g-arn-�iit.net
revised: 02/03/10
NCDENR
North Carolina Department of Environment and Natural
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
Date 3 - 2 -
Applicant Name
Mailing Address _3_?) 6-- A) c,) tiw-ro,
o c- 2 -2Z 7 g/'
Resources
John E. Skvarla, III
Secretary
I certify that I have authorized (agent) C 7e to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
w.d Je-- e,t/-,6 ,C t0 DJ at (location)
This certification is valid thru (date) 3 - Z- It(
Signature
400 Commerce Ave., Morehead City, NC 28557
Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net
An Equal opportunity 1 Affirmafive Action Employer
RECEIVED
MAR 062013
DC4IAjIID CITY
One
NorthCarolina
Naura!!tf
- - ADJACENT RIPARIAN TROPERTY OWNER STATEMENT
PIERIAIOORING PILINGSIBOATLIFT/BOATHOUSE) -
- ---: I hereby .certify that I -own property adjacent to �/ �tyl1l,E is
_. --- - - -- - - (Name of Property Owner) _
ro rt located"at Y = oA �s�7� f� r
_3,� a ��ysE ���
- - P Pe Y_ - -
- _ (Lot, Block, Road, etc.) -
on
> O - ckt'r , inA;r),09, - _-��% 1�k N C.` -
(Water ody) - (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location; -
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement. Is
I id;wish to -waive that setback requirement.
--------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by in(liridual proposing development)
2
a
WE
MAR 0 6 2013
DCPJ M['D Crfy
Sig atu e
Print or ype Name
C119- 7,3,-9,-tea(/7
Telephone Number
Date: 3 - 3" Vs
He has described to me, as shown below, the development he is proposing at'that location;
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I AQ wish to -waive that setback requirement.
------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
e 0-16
RECEDED
MAR 062013
DC!''::-V' !1D CITY
llquaa _�. (LuN
Signature
Print or Type Name
(qlq -7 D 9 - ap D
telephone Number
Date: 3 - -3 - ) 3