HomeMy WebLinkAboutPowell, JosephCAMA / ❑ DREDGE & FILL t �i%� fi '1'�'" TST
WGENERAL PERMIT Previous permit #
KNew ❑Modification []Complete Reissue ❑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
r p Rules attached.
Applicant Name M ,'° r �`' `' ' [?J(I Project Location: County
Address ,r; L } LF' 4 " ?... Street Address/ State Road/ Lot #(s) I, o
i l .i J`i f ZIP r
_ City State
F - Sr.
fg ✓"'1 '
Phone # O=t
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS:,
ORW: yes no
E-Mail
I'EW _ j P'fA
❑ HHF ❑ IH
PNA yes
Type of Project/ Activity ' S
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore ..�
max distance offshore��
Basin, channel _ _ ✓
cubic yards
Boat ramp
r
Beach Bululldozing x ,
Other
Shoreline Length
�.h
SAV: not sure yes no`
s
Moratorium: n/a yes()n
no
Photos: yesno .
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
T i
City
❑ ES ❑ PTS Phone # ( ) River Basin ' , J (.•. �" a 7�
❑ UBA ❑ N/A ; ^ T
Adj. Mr. Body ,�( + r' 1 (`' (natJman /unkn)
Closest Maj. Win Body
,f
t _ `
t
(Scale: / — ''" "' )
` y L`C r,
/% C": ❑! See note on back regarding River Basin rules. f
.v
N.
if i
Agenf or Ap�plicapt-Pr "Mam
`
Permil
Sign 're leasefeadcompliancestatementonbackofrp[�ermit *
Signa
41L�u.n,
Application Fee(s)
Check #
i
i P 7
. ,., "
e D Expiration ate
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, 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 El 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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -
North of 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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/ 14
ajA / DREDGE & FILL
EFERAL PERMIT
f.
�. A B
:�'Previous
wModification ❑Complete Reissue
permit #
❑Partial Reissue Date previous permit issued
i As authorized by the State of North Carolina, Department of Environment and Natural Resources
r and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC_
�-w%
Applicant Name �� s-e ,-
® Rul s attached.
Project Location: County _ ^
Address ��
Street Address/ State Road/ Lot #(s)_
City j '�? t State ZI P=C�16- `•
Phone # () 7 E-Mail
ubdivision
y
Authorized Agent
.:
City, 'JL ZIP2
Affected ❑ CW _ A ❑ ES ❑ PTS
Phone # � (_) River Basin F
__ �,j r�
AEC s : ❑ OEA ❑ HHF ❑ IH ElUBA ❑ N/A
�) ❑ PWS:
Adj. Wtr. Body��=' �..-�iJ'n t man unkn
ORW: yes /' no PNA yes / ngf
r
Closest Maj. Wtr. Body
Type of Project/ ActivityT... T11(X
, l �) l6 f f 1
fb :
, .
Pier (dock) length `^
/>r r•� )
(Scale:
Fixed Platform(s)
i
Floating Platform(s)
Finger pier(s)
Groin length
number ,.
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
�����Il• ri"'ii�lliv���l/r�■■■■■
M.
::■■■■■■■■■��wri�l�■■ate■■■
- r� ■■■■■ ■ ��.�iil■■ice+ � �Gi1�t11
MOMWE
.. ,►: a l Sign re eas ad compliance statement on back of permit Signatpre
M �
r it d
See note on back regarding River Basin rules.
`fFr
Name
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: tow
Mailing address:
Telephone Number;
I certify that I have authorized (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
at my property located at
A 00 r C-
UIIC a-Ysr1
This certification is valid through (date).
(ProgYer#y Ownerlpftqmation)
or Type Name
Title, co. owner or trustee for property
C' Gl—/5--
Date
aq / H a i
Telephone Number
Email Address
RECEIVED
JUN 16 2015
1a��AP-►U�H� �St�
DIVISION OF COASTAL MANAGEMENT
I hereby certify that I own property adjacent to '? ft f) f,. -'e
property located at 0
(Name of Property Owner)
(Address, Lot, Block, Road, etc.)
on QJJJ , in ae4`N.C.
(Waterbody) (Clty/Town and/or County)
Agent's Name #: Mailing Address:
Agent's phone #:
He/She has described to me as shown below the development helshe is proposing at that location,
and I have no objections to the proposal.
----------- ----------- ------------ ----- ------ __ _
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT -_ _ "--_
(individual proposing development must fill In desor/pt/on below or attach a site drawing)
�� �l �D�cJ .3 c�d � fit` ►'l I�. (, v� S
If you have objections to what /s being proposed; y ov must notlly the Division of constalManagement
(DCM) in wilting within 10 days of receipt of this notice. Contact Information for DCM offices Is
available athrtiv:lA ww.ncgo maaad_ _ ementp� lb cm/sW-A_g ing orbycalling t-$88.4RCOAST.
Nn iDRnnnea .� wwsfA..-..-i �r.� _--- -- --- -"- ....
Print or Ty a Nam®
Mailing Address
pz
c�
CitylstSWIMP
OL
a c
Telephone Numbor/Emeil Address
Dare
(Riparian Property Owng�j*aggtton)
psi nc �Y 12:30 PM GMT
Signature
Print or Type Name
2- 0 '-& V U �
Melling Address
N � w L c.
CrtylStat ip
Tetephons Numbed Entail Address
Date
(Revised: Aug. 2014)
RECEIVED
JUN 16 2015
,CV—teAH^. `11y
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to a5? P� pafs,-, Rw-el l 's
(Name of Property Owner)
property located at ��i ( 1 r ►O�q l-a L, d i'1,11 ,
(Address, Lot, Block, Road, etc.)
on �� , in D e d= ..., , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Pfd �Ose
--pock
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices Is
available at http://www.nccoastalmanaaement.net/web/cm/staff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
Print or Type Name
Mailing Address
CitylState/Zip
Telephone Numberl Email Address
- a-�- IS
Date
( iparian Prope wner Information)
ignature
Pnnf or Type Name
61b coo i2 rV D)-E:-
Mailing Address /
u /Z ( C / (/ xj a�
CitylState2ip
Telepho N�er/Email Address
Date
RECEIVED
JUN 16 2015
(Revised: Aug. 2014)
C
®
RECEIVED
1UN 16