HomeMy WebLinkAboutPridgen, WayneXCAMA 0 DREDGE & FILL NO 82276(_-
GENERAL PERM@ Prevlous permit #
lNew OModification DComplete Reissue OPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources U
and the Coastal Resources Commission in an are f environmental concern pursuant to 15A NCAC are environ Rules attached.
Applicant P nt Name Project Location: County
, 11
Address fkIN-4,31(l) 71V 0 t_ C Street Address/ State Road/ Lot #(
71�
ty
StateAU zip I
Phone # WZ—" jfFax # Subdivisio
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Authorized Agent — %_iLy
Affected
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AEC(s): DOEA E1HHF ZI\IH0 UBA El N/A
El P� S,- DFC:
ORW: yes/ no PNA yes Qo Crit.Hab. yes no
Type of Project/ Activity
,Phone #
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Aal.Wtr.Body
Closest Maj. Win Body
WN/
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
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.
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A building permit may be required by: See note on b ck regarding River Basin rules.
-7' 1 1 - I
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Notes/ Special Conditions y \
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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 ❑ 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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: 919-733-1495
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
Pf—T*C, �TDIvI 'JG? W .�a� `�r] e1 _ IV M'JAf . `t �r7 ? ti,`: Qt'—i:�AOFIThn`d` L'i1 u' 6
A licant• 00A,411
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 alnourjo
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
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
MRe�t� -2301a; .. .. vev-3sio: 10?/-03/• 10
f
( Q 6 A) C-;Lq -7 -
N.C. DIVISION OF COASTAL. MANAGEMENT
AGENT AUTHORIZATION FORM ,
Date
Name of Property Owner Applying for Permit:
Nailing Address:
I certify that I have authorized (agent) T-�-bBBIo' L..)FJW to act ova my
behalf, for the propose of applying for and obtaining all CAM Permits necessary to
install or construct (activity)�T L4"
at (my property located at) a c'� 3 lK 1-161-tr ,
This certification is valid thru (date) ,
r
Property
a1-aoi,3
Date
.. _ :ff� , HtFfF*T�
OW, � S rATFWx-u
., ; nt to, 'property fl�vr►eK)
- that I aV prop' adja (Nome ai
51 hc;rrbY coxtify
Sl,adetC � .
Lot, oek, Road, C-
property located at �� (.
'� in own ndlor. �tY)
on (WaterbodY)
�ddtregs-
KI Al,
at that loation, and, X
' e praposin8
e as sb awn below, the development is
n _ r
Ito
veo o Iec ionsota 11is roposal. tTr'%`-'r -- ----- "
----' ON ANDJORI OVAN O��P OpMENT
sO� developtnertfj
]� o lie, filled in by PrOPZM
(Information for Fropert? dkuer Applying
for permit)
Address
v�
(riparian Froperty Owver. . ormation)
City/State/Zip Print or Type Name
Telephone Number Telephone Number
Signature Date Date
cel giq-659
L
,ADJA,CENT A,RIAN PROPERTY 4WN�� STATEMENT
15 I hereby certify that I own property adjacent to W P(!J H 9
(Name of Property Owner)
property located at 0L.'LOIE 11>g
.
(Gat, Block, Road, etc.)
on g% , in l C- Gtiv C.
(Waterbody) ('Own nd/or o1zaty)
Applicant's phonC ` —7;2- �� Mailing Address: L�
---
b ;k
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to leis roposal_-
wP 1 V' ) 6 c
DESCRIPTION A VIOR DRAWING OF PROPOSM DEVELOPMENT-7
(To be filled in by property owner proposing development)
(Informations for Propert?
#br Permit)
mailing Address
City/state/zip
Telephone plumber
..�warrruw..n�n rn�r NAr rrwnnnnn+lrr�rrwn�nn��� � n�s��������
Applying .. (Mparian Pri
Property Owner nnbrmation)
signature Date
ature
0,'&—
Print or Type Name
IS') '7.�-- '� 1"7
� "'ram Telephone �tumber
Date
05/21/2013 13:
AD
I hereby
�peXty [oca
on fob
Applicant's
ge has de
have nu o
(xa£otrmails
ibr Permit)
Ads
'City/S
Tplephdne'
. Sigma
9198288896 SHOOTING SPORTS WHSL
STA.TEMMT
XT
that X own property
ad acemt to^_F'�`1
(N$me of property Owvn►er)
1
(Lot, Flock, Road, etc.)
Wo
`Ate�rbody} and/or Cow +)
:Fq4 failing Address:
to me, as ehvwn below,
the daveloprnent he is proposing at that [oc4on, and, x
,
is to his groposd.
N A.ND/OR DRkiMTG O'A' pRpgQSED DZnLUP
("1'o be f died in by prpperjy owfisr propi)shsg davelops�+�n#)
Lo
—�- Or�vaer Applying (Riparf Property �roer �ormatipn)
for X'zbpe�
Signature
ess •JC,t w5 l
Print or `fie Name
pz :i
�. '"
'Z'e epbone Number
ber i t
• date
D�
PAGE 01/01
5/22/13
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W E S T E R N [` I M O N E V WESTERN UNION FINANCIAL SERVICES INC.,: -ISSUER,