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Home My WebLink AboutQuick, MacwI CAMA El DREDGE & FILL 627700 ElERAL PERMIT ' Previous permit # -,Modification ElComplete Reissue;ElPartial 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 ea of environmental concern pursuant to 15A NCAC Rules attached. Applicant Name' Project Location: County Address 6 Street Address/ State Road/ Lot #(s) State 1 ZIP 'hone# wthorized Atyent i—ckc,"I El CW Y tW &rTA XES 0 PTS Affected AEC(s): 0 OEA 0 HHF 0 IH El UBA 0 N/A 0 Pws: EIFQ ORW: yes /no) PNA yes / (Qo Crit.Hab. yes / no Type of Project/ Activity , A( L-J Subdivision CityZIP Phone# River Basin �)-Vk-J-rr-ok AU.- 's Adj. Wtr. BodyIJ214o I Wnk /m'-a--n'Y unkn) 1AJ, -) ,om Closest Maj. Wtr. Body —(11- oo, (Scale: Platform(s) Finger pier(s) Groin length b BIr Pprap length XI Ikhead/ distance offshore max distance offshore Basin, channel K0911001■ME ■■pi■■��i■■■■i■■■■■■■■■■■■■■�■■■■■■■■i■�� ME■M■A a I H 10■M1 V MM2 IN■0 0 MEN■M IS 0■= I■M M M■ME■0 0 w EME M �■9 ffix Simon UUMUM11101010 Moil MMIMM & MMEM Iw L MEMM MMENE MMIRkiiiiiiiiiiiiiiiMMOME i■■■i■�i■■ E i M MEN■S, ON Beach Bulldozing Other 71-11 ME MMwEEMNEEMEM ■ PIK 'A MOMMI MEMEMON ION ME 011101 Shorelihe' Length iSAV. not sure yes no Sandbags6 notsure yes no; 'Moratorium: n/a yes no Photos: yes Waiver Attached: i, no A building permit may be required ■■■■®®■I■■■■■■■■..■.■■■■■■■■��■■.■ by: Ak� f.� E]-See note on back regarding Nver Basin rules. Notes/ Special Conditions I V -H �1 r71-J A 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 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. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 -*�7 Pi Applicant: �� C\�,�`�I, Date: UAP Describe below the HABITAT disturbances for the application. All values should match the name, and unit4-4Lm=wr6m/ent found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disiurbance-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) Dredge El Fill1 Both 0 Other D / / Dredge E] Fill [] Both 0 OtherEq Dredge El Fill 0 Both 0 Other D Dredge [] Fill [] Both [I Other ❑ Dredge [I Fill El Both [I Other [I Dredge ❑ Fill ❑ Both'[] Other ❑ Dredge El Fill 0 Both 0 Other 0 Dredge [I Fill ❑ Both ❑ Other ❑ Dredge El Fill 0 Both [I Other [I Dredge ❑ Fill [I Both ❑ Other ❑ Dredge El Fill El Both [I Other D Dredge [I Fill [I Both El Other [I Dredge [I Fill D Both [I Other E] Dredge [I Fill El Both [I Other ❑ Dredge E]. Fill [] Both [I Other 0 Nil 0 NCDENR - North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date Applicant Name ` Mailing Address Tz I certify that I have authorized (agent) 12t4104 to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or cot at (location) This certifi Signature. rMt 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalm*anagement.net An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper C-lVM ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent toyny- z2 o 's ,i X7 ,, (Name of Property Owner) property located at (Address, Lot - lock, Road, etc.) on , in , N.C. aterbody) (ity/Town and/or County) Th plican has described to me, as shown below, the development proposed at the above to I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR Dts WING OF PROPOSED DEVELOPMENT (Individual proposing development mt fill in description below or attach a site drawing) )5A, R -ft2,%4eA-1%Yrf c%W WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin ust back a minimum distance of 15' from my area of riparian access unless waived by e. wish aive the setback, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement. do not wA to waive the 15' setback requirement. (Property O ner o tion) Signat a I Print or y Name Q u Mailing dres ,q��c � �i�/� City/State/ i 1S Telephon N er� �a Date Ic nt Pro a Owner Info uFill or TvoaName 1 Telepbone Number 3b -t Date Ef �11.x pot �4x 1® set you (Revised 611 0 2) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 6l s (Name of Properly Owner) property located at (Address, La Block d etc.) onk� , in , N.C. (Waterbody) (City/Town and/or County) The applicant ha described to me, as shown below, the development proposed at the above location. have no objection to this proposal. I have objections tc this proposal. c� DESCRIPTION AND/ R DRAWING OF PROPOSED DEVELOPMENT `: Individual proposing developff, nt must fill in description below or attach a site 4rawinq e .C. G � WAIVER SECTION m I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or gr( in m t beset back a minimum distance of 15' from my area of riparian access unless waived by �you wish -to waive the setback, you must initial the appropriate blank below.) t' P77�_ /j 1 do wish to waive the 15' setback requirement.' V 'Ido not wish to waive the 15' setback requirement. �y -Owner Information) PWOPL o Owner Inforn iation) Signature Sig IVY tZA-9-D of , W f_57-, ,7,< - Print or Type Name ri Ty A 1' 2 4 LZA4 R-2Z CV_ Mailing Address A City/State/Zip tate ip �Qff Telephone N mber e/e ber 013 Date DateL (Revised /1 12012)