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HomeMy WebLinkAboutPage, PaulF'CAMADREDGE & FILL IKK y GENERAL PERMIT Previous permit# L`lew ❑Modification ❑Complete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources j� %� )� and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / / n :b J - , f fSRules attached. 4pplicant Name t f1 L !r 7 Project Location: County t_'- p Address ! s Street Address/ State Rd/Lot ISCi � � c rn' State0 ZIP St 7�-1 ! � f"�i; I Phone # CL1 a e i Fax # (_) Subdivision Authorized Agent , q ; t y /1,Cc�f r g City C . r- : ci l� �� l ZIP Affected ❑ CW '�3 EW nfTA MES ❑ PTS AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FQ ORW: yes / f n 1 PNA yes / ifio j Crit.Hab. yes / no t Type of Project/ Activity Pier Platt Fing Groi Basii Boa, Boa, Bea( Oth, Shot SAV Sanc z Mor Phoi Wai, L Phone # ( ) Riv r Basin r Adj. Wtr. Body f.4- +</ �!� lv '64 (nat man) unkn Closest Maj. Wtr. Body f"�•J ', ` C� r. (Scale: 60 ) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ w pier(s) length i number ■■■■■■■■■■■■■■■■■■■®■■■■■■■■■®■■■■■■s stance offshore max distance offshore �■Y�a�ca■�lu iYii Y!Y■■■■e■■■■■■■■■■ cubic yards■■■■ ■■f�■Y�Y■,3iY!EI■■■■■Y� ■■■■■■■■■■■■■■ ramp ■ ■■■ ■■■■■ ■■■■■■■■■■0■■■�■■/ilu■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■�■■■w■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■�■■■�u■■fit■■�■■■■■■■■ :i Bulldozing ■■■■ Y■■■■■■■■■■■■■■■■a■'1■■� nG�JY■■■■■■ ■■■I�■■■■■■■■■■■■■■■�®i■■■�®■■■■■■■ ■■■■■f�■■■■�it�■■■7IJ■Till ■■■■►/�!■■■■■■■■■■■■■ P� ■■ fline Lengthi'a�■■■i■■i■■aeiu■■■�■■■■■■■■ ■■■■■■■JOIN■c■i■■■■■■■■■■■■ not sure: yes ■■■■■/■■■■■■■■■■■■■®■%��Y■■■■■■■■■■■■■■MEMMEMEMEMEMEM A building permit may be required by: 7j El See note on back regarding River Basin rules. Notes(/` Special Conditions "el 4d , t, !r ! � -- , `�.� j 1(C r •• r `-1' / "� ' ! / (.� �. �'r `• J� � Application Fee(s) Check # Local Planning Jurisdiction Rover File Name w 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, certifythat this 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 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 Headauarters 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 Aff N =- WA AN, j rA RCIDEHR North Carolina Department of Environment and Natural Resources Division of coastal Management Pat McCrory Braxton C, Davis Johr, E. Skvarla, ill Governor Director Secretary Applicant Names Mailing Address e�K$e I certify that I have authorized (agent r /Zt-j „/e��. ;� ( ate to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) It/ This Signature thru -241r 3 400 Commerce Ave., Morehead City, NC 28557 Phone:'252-8W2808 %FAX: 252-241-3330 Internet: www.nocowlalmanagamt.net M Equa► Oppvku* %AflynwNe Allan Employer at (location) No ffiCarolina VVRw llr1 l 'd ES96 'IN M66:61 E106 'Ll 'AON ADJACENT RIPARIAN RO ERTY O NER STATEMENT I hereby certify that I own property adjacent to Property located at / (ame of Property Owner) .s gn (Address, Lot,81pck, Road, etc.) (Waterbody}, in , (Clty/Town and/or County) ' N.C. The applicant has described to me, as shown below, the development proposed at the above loc ti . I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPME (Individual proposing development must fill In descriNTpt/on below or attach a site drawing aA&Z, U-L• '7 lO�ix WAIVERS CTION 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.) I do wish to waive the 15' setback requirement. _ I do not wish to waive the 15' setback requirement. (Property Owner -information) (Adjacent Prope near Information) err C) or Type Name Telephone Nu 7111 r Date If N J 1) , ;,A%_1 Wang T Pe Name Ad ess Cliy/S to !p , J 40 Telep one Num e �1 1 Date (Revised 6/9812om 6 'd ES9Z 'ON hd66:Zl EM 'Ll '^ON ADJACENT RIPARIAN PROPERTY OWNERSTATEMENT I hereby certify that l own property adjacent to u �,s ( amof Pr e operty Owner} property located at� �4�.xE�'re •�. (Address, Lot, Block, Road, etc.) on in . (Waterbody) , N.C. (CltylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above loc o I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill In description below or attach a site drawing) Ap".4. �(4�24j allw 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner lnformation) (Adjacent Property Own Information) ignature Lure Gwx- Print Type Yftma ` Prrn or Tyne NQM9 �} Ma#insr ACGMSS 1 M.411inn AAA-- r Ulopnon%)V7v / 7 // Date / tatefZlp 7ele one umber Te"W ..... .� ~ Date (Revised 6/1t3 O12) E 'd ES9Z 'ON I MZ:Zl EIOZ 'Cl •AON