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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 w C� Maffln;jew V1- 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) �A .r.._: _..-l-- -'-- .__-..-`---' 1- ' -{ - - - - 41 - - - - I --1- - �- - I ,.. i I..I .r j i.._ _t.. .i L..I--1_I L - i_ - 3 I II l t L+--!-:_1-.._. L i �i l +- j-1!-� } 1 _1__J._! 1_._`L -' -i-}- - - - - - -I-I (- I- _. j- ii�l-�� f .L.-._-__: i- ! _! 11 �l I J 1k� j I 1�1I 1 .y ......i I I..... I �lI 1l IIII ! Itll ��II-. 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