HomeMy WebLinkAboutShelton, Hugh6CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
-''New ❑Modification I ]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
❑ Rules attached.
Applicant Name_ Project Location: County
Address Street Address/ State Road/ Lot #(s)
City _- _ - ----_ — _-- State ZIP
Phone # ( ) Fax # () Subdivision
Authorized Agent City — ZIP
- CW EW _ PTA ES PTS Phone # Affected River Basin
(-) - - -
❑ -
OEA HHF 5 IH UBA i N/A
AEC(s): Adj. Wtr. Body (nat /man /unkn)
C i PWS: FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ---- ----
IType of Project/ Activity
Pier (dock) length F ) ?l C S
Platform(s)' t ` h
I
Finger pier(s) T
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp --
Boathouse/ Boatlift
Beach Bulldozing
i
Other
Shoreline Length _
SAV: not sure yes no
I
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit **
Application Fee(s) Check #
;i
(Scale: I
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
0 Tar- Pamlico River Basin Buffer Rules 0 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 complywith 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/ 1-8884RCOAST
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
GP Habitat Sheet
Name: Hugh Shelton Permit #: 65254C
Date: 10/22/14 Address: 331 Holly Lane
Habitat
SF of Disturbance
SF of Disturbance
LF of Disturbance
LF of Disturbance
Open water
25
25
n/a
n/a
Marsh below nhw
75
75
Above nhw
50
50
RECEIVED
cc, 2 d ?ma
DCM-MHD CITY
l
h.
North Carolina Department of Envi.ro rnent and Natural Resources
Division of Coastal Management
Vichiiel F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date
Applicant Name v
Address
• Mauling .. .� .
I certify tha
t I have authorized (agent) of L.�. to act on my
-behalf, for the purpose of applying for and obtaining all CAMA ]Permits necessary to
intali or construct (activity)
at ocation)
RECEIVED
OCT 2.1 2014
DCM-MHD CITY
TWs certification is valid thru (date)
Sfimatur:A46- M L �---
RECEIVED
OCT 2 4 104
DCM-MHD CITY
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301Internet www.riccoastalmanagement.riet
An Equal opportunity\ Affirmative Action Employer —€a:l% Recyded 110%'ost Consumer Paper
ADJA.CEVT`RIPARN PROPERTY1
I hereby cert fy i haf I own p -operty adja(,en to
property-loca teo at 3. O -
on j4d S� Aidre s
In
(':►Va :erbodyj
,....�,."...
's
of Property Own ir)
l.ot,,B Road, etc
e-C-
(Ci /Town and/or Cou ty)
Thei applicant has -fescribe!d to me, as shown below, t-ie development propose, at the above
location.
:lava no objection to this: proposal.
IiavB object ons to this Froposal.
E ESCF IPTION AND/OR DRAWING OF PROPOSED DEVEL r
(Individual p rof;-os ng c levalopment must fill in descriptio below ur attach a :ite drawing)
�o v
Q°5
RECEIVED
OCT 24 MJ
W 41VER SECTIOI-J.
1 understand f hat a Fier, Jock, mooring Filings, breakwater, boathouse lift, or groi must be set
back!a minim im di: tang: ol' 15'.from my area of riparian access unless waived ° y me. (If you
wish to waive the se aback:, y:)u must initial the appropriate blank belo%A,.) RECEIVED
j
do wi; h to waive the -15' setback requirement. OCT 21 2014
do no t wish tc:J waive the 15' setback requi-ement. DCM-MHD CITY
(Property Ow ner- in `o ticm (Adje.cent P perbf Owner In :)rmation)
i T e 1 SignG'f e
e.
CA
Pt o T&M, ITC P' t c. r TYpq Nam
6 Addres. Address
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Ciiy ate/Z Ctfy/Srate2i
Telep one Nua bet—
/ `7�
Telep
f ci V/69s-
Datee
(Revi 9d 611812012)
. A DJACEVTRIPARN PROPERTY OWNER STATEMENT ,+
1 he!reby cert fy t hat I own p -operty adjacent to
ame of Property Own tr)
prope -loca teo at
O C/� c, ( dress, Lo lack, oad, e# -
on in w D I-
(':Ma :erbody) , N.C.
(City/Town and/or Cou ty)
ThelVn
: has �lesciibe�d to me, as shown below, t-)e development propose, at the above
locati
I 'iave no objection to this: proposal.
I I iav a object ons to this F roposal.
E ESCF IPTI-ON AND/OR DRAWING OF PROPOSED DEVELOPMEI r
(Individual p ropos'ng r+evalopment must fill in description below or attach a :ite drawing)
W MVER SECTIOI-J.
I understand t hal a I tier, Joc:k, mooring Filings, breakwater, boathouse lift, or groi must be set
back! a minim im die tang; oV 15'.from m V area of riparian access unless waived � rkevEgf you
wish to vvaiv the setback, y:)u must initial the appropriate blank below.)
OCT: 2 ] 1014
do wi; h to waive the -15' sotback requirement.
DCM-MHD CITY
I do not wish to waive the 15' setback requi-ement.
(Property Ownet- In' rmaticm) (Adjacent Properbf Ow er In )rmation)
%rc,
I 1 Signs -cure
41,7
Pr� I Print (:r Type ame L
it Addre& �-� Mailing Address
w dirt G �gse)o
City/SWe ip City/Sr tgzP RECENED
---OCT 2 4 2014
Telep one Nun ber� Telep,'ione Number
to _ _L� ' oC ern
Date + Date
(Revi 9d 611812012)
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