HomeMy WebLinkAboutLewis, CharlesIrVA REDGE & FILL 621
GENE" PERMIT Previous permit #
41C,4ICANew ElModification OComplete Reissue 0 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 15A NCAC
EgRules attached
Applicant Name's Project Location: County me X
C
Address A I' IT(, 6 J I Street Address/ State Road/ Lot #(s)
City { State ZIP,
axi Phone #6hJ-qr SubdivisiP
46 th, o ri zed Ag6ri- n C.' ZIP City C Y, I "t
ty-
/111q-ver Basin 0 PTS El CW .-FEW PTA `) ES Phone #
Affected ❑) (-1.
E10EA E1HHF EAH El UBA 0 N/A
qr,� m
nat I AEC(s): 0 Pws—, OFQ Adj. Wtr. Body
Closest Maj. Wtr. Body
ORW: yes /CnoJ PNA yes Uo Crit.Hab. yes no
Type of Project/ Activity t Ck C-0
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
Bulkheadl,Nprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beech Bulldozing
Other
I
,Shoreline Length I Ik
SAV. notsure yes
'Sandbags: notsure yes no
■■■N&M
MEN■E
Emig
Moratorium: ye's J no
Photos: yes y nti,�
Waiver Attached: e
,JUL
J
I. 1'�
z
A building permit may be required by: See note on back repardinj River Basin rules.
Notes/ Specia Conditions 4
V
Agent or Applicant Printed Name'
Permit Officer's Signature
6o
Signature Please read compliance statement on kikk of permit Is —suing Date Expiration Date
X
Application Fee(s) Check # Local Flanningjurisdictiori- I �A,
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 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/ 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
;�5105� 0�
Applican
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.
Disturbancetotal
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
JV t'r
redge ❑ 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 ❑
252-808-2003 :: '1-33"RCOAS T :: saw;v.nccoaslalr iana_gemerit.not revised: 02103110
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James N. Gregson, Director Dee Freeman, Secretary
Date 0 L 3
Applicant Name
Mailing Address
e_
I certify that I have authorized (agent) / D(1 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) A /�
at (location)
This certii
Signature
FEB 262013
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-3330 \ Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
ADJACENT RIPARIAN RO RTY OWNER STATEMENT
I HERBY CERTIFY THAT OWN PROPERTY ADJACNET TO
- (NAME OF PROPERTY OWNER)
PROPERTY LOCATED AT S I ld %%#L-r q1,,
(LOT, BLOCK, ROAD, ETC.)
Mew
i
BE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATHON AND, I HAVE NO OBJEACTIONS TO HIS
PROPOSAL..
- r
DEV
DESC�R,{IIPTTON AND'OR DRAWING OF PROPOSED f`
1,5 OP1V1EN1 (TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
f -
.I
Nc'
ire S u k# e
�i�CLlir!
FEB ;2 6 2013
,� _; .,fir".1
('v/e J/",f f&f
print or type name
asa- 7ak-X
Telephone number
DATE- S
I
ADJACENT RIPARIAN PROPE OWNER STATEMENT
I HERBY CERTIFY THAT I O PROPERTY ADJAC TO Cljzr�Z /2azz:a/-,
.11 NAME OF PROPERTY OWNER)
PROPERTY LOCATED AT
(LOT, BLOCK, ROAD, ETC.)
ON
i
eH Saab
HE HAS DESCRIBED TO ME AS SHOWN BELOW, W DEVELOPMENT HE IS �SZZ
PROPOSING AT THAT LOCATHON AND, I HAVE NO OBJEA.CTIONS TO HIS
PROPOSAL..
DESCRIPTION AND'OR DRAWINGG OF PROPOSED
LOPMEIV 1 (TO BE FILLED IN BY INDMDUAL PROPOSING DEVELOPMENT) /
1
IZECEIVED
FED 2 6 2913
sign tore
A/4 Al
print or typ name
�io --2 7.P-
Telephone number
DATE /