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HomeMy WebLinkAboutPerry, DanielXCAMA'/-[:] DREDGE & FILL N' 62721 C GENERAL PERMIT Previous permit # XNew El Modification ElComplete Reissue ElPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources Ll and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC f CS Rules attactc.df- p Applicant County Project Location: Coun rl--v (L ddress- Street Address/ State Road/ Lot #(s) dr, I NC,'J-71156 'City ZIP � State " ,Pho ne Subdivision Authorized Agent 0 Xutho' 77 City- ZIP Affected '4-PZ 1-6 CW -tEW ,T4PTA -bES El PTS Phone# Basin AEC(s): 0 OEA El HHF El 1H 0 UBA 0 N/A Adj. Wtr. Body P3 I llu (rna-t) /man /unkn) 0 PWS: El FQ ORW: yes / no PNA yes Crit.Halb. yes //no", Closest Maj. Wtr. Body- 50 L-1 Type of Project/ Activity ho(ILiflo "i40 A I I--/ (Scale: Pier h Platf Fing Groij Bulk Basi Boat IBoat� Beac Oth Shor, SAV- Sand r! �Mo Pho Wab Moor., Ifiss�i o !Ie!ngth M A 11011MINIM01 SIMON number— �Iead/ Riprap length_ avg distance offshore MENNEMNwMM5MI�M �:1WAMfl;����� ,channel =FAMMNNMMM�MMqMMMM cubic yards MEMMUMUMME El- W-H—EM MIMMIN I MOORE WEIMER EMILUM MEEME MOM ,.urq1 Boatlif�) /0. A MENEM Bulldozing line Length not sure no bags: notsure yy:, I torium* 'Wal yes no n er-Ati,&ecl: ve��MMMWE MMUSIMM MENEM Ilk k A building permit may be requ b ,l ) See rote on�ack e ar,ding River Basin Jules. No Ts/ Special Condition nc -rJ'kalFe o —4- 1 I -kv- I t r IM, ti C ii(+- t-17' knrk- a411c�// c fjg lican ent oA&P - �'Printed Narn' ,�,, Permit ff-cer; -Signature Please read compliance statem tonbkof ei Issuing Date Application Fee(s) Check# Local PlanningJ V 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 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 Headauarters 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 Citv 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 Locality Permit Number Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other (For official use only) GENERAL INFORMATION LAND OWNER Name 'AANI Et_ W . PERK Address Z26Z S*- m4M'S 57V-0 T R city IZ► %- C I GH state NG ZIp2, f' Ol�iione q I °I--I:Fi' 04 �-12 Email AI_pDw P ®G m�I I� . LOvH AUTHORIZED AGENT Nance Address City Email State Zip Phono LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the adjacentwaterbody.) 2.13 RuLD0t-PH DR. i30AU4=09.7, /vC Z851ly mc-WPORz-r RkvER DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance,) 1 t R D r7 CK SiZE OF LOT/PARCEL: tt q t -7 25 square feet acres rGP l e�eee�-t' PROPOSED USE: Residential'® (Single-family'® Multi -family[]) Commercial/industrial [] Other COMPLETE EITHER (1) OR (2) BELOW (Conlacl your Local Permit Officer (jyou are not sure which AEC applies to your property): (1) OCEAN HAZARDAECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but excluding non -load -bearing attic space) (2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR EUILT UPON SURFACES: _ square feet (includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing,) STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater Management Permit issued by the NC Division of Water Quality? YES= NC[_] If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet. OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the LAMA minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others. Check with your Local Permit Officer for more information. STATEMENT OF OWNERSHIP: L the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person listed as landowner on this application has a significant interest in the real property described therein. This interest can be described as: (check one) Qan owner or record title, Title is vested in 'bA N 1 e L %%, P E M-Ysee Deed Book 'T1 page Z 0 in the Con rJ-e,5;t County Registry of Deeds. IIan owner by virtue of inheritance. Applicant is an heir to the estate of probate was in County. Mf other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application. NOTIFICATION OF ADJACENT PROPERTY OWNERS: I furthermore certify that the following persons are owners of properties adjoining this property. I atiirm that I have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (1) (2) (3) (4) (Name) (Address) o—. —e- Zl ► R%jdnl „h ^Dr. 3eGu9:.e-+-. tJ C- Z ACKNOWLEDGEMENTS: I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu- lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza. tion and floodproofing techniques. ILa I furthermore certify that I tun authorized to grant, and do in fact grant, permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. This the 5 day of�f20 13 Landowner r person auhhotized to act as his/her agent for purpose of filing a CAMA permit application This application includes. general information (this form), a site drawing as described on the back of this application, the ownership statement, the Oceot Hazard AEC' Notice where necessary, a checkfor S100.00 made parable to the locality and any information as may be provided orally by the applicant. The details of the application as described by these sources are incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Airy person developing in an AEC without permit is subject to civil, criminal and administrative action. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to r} m i e; L- w • Fie R2-1 's (Name of Property Owner) property located at 2 13 (Address, Lot, Block, Road, etc.) - - - - - - - - on - Nt=w PbfZT - RUVEk , in 3ERu oan-, CAR-MP-i-'i" Co. , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 'X.,_ 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) 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 formation) (Adjacent Property Owner Information) Signature Signatur C>AW I - w, 1-11ERRy .Q a L, =, lnt',1 wus ky Print or Type Name Print or TyeraTe7-7-0 Z S`lr. M A 2y 5 57V-Z Er j1 r, v Mailing Address ding A dress I W4LEIC.f4 , 1JC- Z1Ln�g N C .ZgS%6 Ci ry/State/Zip City/StateMp ai 19 - 345 - 6 1-I 1 Co 7 Z S'" S's9 D Telephone Number Telephone Number RUC.Osz- S, 2013 u 0)3 Date Date (Revised 611812012) ■ Complete Items 1, 2, and'3. Also complete Item 4 If Restricied`Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to -the back of the mallpiece, or on the front If space permits. 1. Article Addressed to: e�5ue '� r. q G i I`} arwarc� �v- . 2151(0 A Signat ^ `J ❑ Agent X t./ - Addressee B. Received by (Printed Name) C. ate of Delive D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service type Certified Mail ❑ Express Mail ❑ Registered 534Hetum Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. a. Restricted Delivery? (Ezfra Fee) ❑ Yes 2, Article Number (rransfer from sendce ?abeq 7 010 0290 0002 13798 8421 Ps Form 3811, February 2004 Domestic Return Receipt 192e 2-M-1540 UNITED.STATES POSTAL SERVICE First -Class Mail Postag USPSe &Fees Paid Permit No. G-10 • Sender. Please print your name, address, and ZIP+4 in this box • -b 0_', -p�rr-' 2-2-02. 5+.Mc-y's St. }Z�J, e;��., Nc 2`1 LO IL - - - - - - - - -August 5, 2013 - - - William M. Teague, Jr. 901 Harward Lane Chapel Hill, NC 27516 Dear Bill, USPostallSerVice ry CERTIFIEDMAIRECEI� '(Domestic Mail.:On/y, No lnsura�ce;.Coverage provided) IFor delivery information Vislt our website at.SOS'-COm&S&TM R • PS .orm380 AuUgus�t200fi1s. - See{�Reverser�iortstruct�on This letter is to inform you that I have applied for a CAMA Minor Permit on my property at 213 Rudolph Drive. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my proposed project, please contact me at 919-345-6416, or by mail at the address listed below. If you wish to file written comments or objections with the Carteret County CAMA Minor Permit Program, you may submit them to: Division of Coastal Management Morehead City Headquarters Mr. Brad Connell 400 Commerce Ave. Morehead City, NC 28557 Sincerel Daniel W. Perry 2202 St. Mary's Street Raleigh, NC 27608 ,•�F TNEOOo!!.6 l/.(KHaJSKI � 1 - \__i>7/L`-':�1!�l.t-U4tN:�_:.'Tca.G•+E JR. .. L397 OZ �? �!•$'to ..: ^- —L99a cm-97-L3o-t P Q . ❑ in �. � N a�APP2�C:.:a1CaN'vv4Te.2. I��U�Nt� � t P_L�2-O�•s.tM�R51-{ L.N .f'�. iZjrvJ a 1ZtGHT eF w4Y � . ti �..l.l•. "Eric\riTlHGf �QeN ptpS \: — �. '^ A.,. . E T--a CC.CGTCs•\t TR�.nISi�eRw.st; + � �� i I- J.c3 = I-��� t'H.Mac Jv..cT.oW rse�S 'J�� .....—r w0 t iKt "i:Y. J. t3 = 7•atc v lS I Jaiwt+ ♦2.� X ve 1 ' T3rcA� 2T- ► •iN i'; G42T-�2-�=c _.C.�.�Jirl='�-.��-=..�.�-�__ .. .. _ ... •Sc_.a.�\s..: l•"=.,dam' A.v �,V ST �� 20 �3 �-� T.-140.. • HC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Perry Date: August 20, 2013 General Permit #: 62721 C 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 LM Dredge ❑ Fill ❑ Both ❑ Other ® 1,000 1,000 OW Dredge ❑ Fill ❑ Both ❑ Other ® 269 269 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.nccoastaimanagement.net revised:02/03/10