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
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• 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