HomeMy WebLinkAboutWilson, William S.kew
AMA / ❑ DREDGE & SPILL Wi�3 A B D
ENERAL PERMIT Previous permit#
❑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 I SA NCAC 1 YV
Rules attache:.
f ,
Applicant Name j.•. „�.. / Project Location: County
S( S �
Address kr _.. 1 ," h ., Sr F
P � Street Address/ State Rod/ Lot #(s) ,
City; I ` �. l '1 1 State ZIP ,' �' •'' .
i
Phone # ( ;:''1 ^, ..'' E-Mail, s Subdivision""-"'" "
Authorized Agent �" ; { ? jr, .._. City a lr�{ e r `r(i ZIP.
Affected ElCWW RrA El ElFTS Phone # ( )"r' .i River Basing
El OEA ❑ HHF El IH ❑ USA ❑ N/A
AEC s : Adj. Wtr. Bod Knat an /unkn')
❑ Pws:
ORW es / no i PNA es / Closest Maj. Wtc Body E'! tT i
Y 1 Y t}A
Type of Project/ Activity°.
i (Scale:) )
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)`�
Groin length
number — -
Bulkhead/ Riprap length �-...�
avg distance offshore'
max distance offshoretn. .
Basin, channel
cubic yards ^"^'
Boat ramp
Boathouse/ oatli
■�■■■■■ i i� ii�a�i'i COMMON so MM■■I■■m■■■�
■■��■■���■■■���a�r■w!�?��tr��■a�■:�■a■■�■®■■■■■pow■
rill
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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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
0 Tar - Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
0 Other:
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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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
CAMA / ❑ DREDGE & FILL jy A B D
67433
EN ERAL PERMIT Previous permit #
ew ❑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 are4, of environmental concern pursuant to I SA NCAC ,rr ii
' >D Rules attache .
Applicant Name ' ; 1�' ] ! Project Location: County
Address ��y�
t r Street Address/ State Ro / Lot #(s)
Al
City (A �� State ck)ZIP � t�
Phone # ( E-Mai Subdivision""
Authorized Agent ` """ City ',t1 r Gf (, j V
ZIP
Affected ❑ Cw TA ❑ ES ❑ PTS Phone # ( River Basint,4,U.'W. lk a.A
AEC(s): ❑ OEA ❑ HHF ❑ IH ElUSA ❑ N/A
❑ PWS:
ORW: yes / 6 11 yes /
f
Type of Project/ Activity �Q%(
Pier dock len th
Fixe
Floa
Fing,
Gro
I ,Bull
Basl
Boat
Boat
Beac
Othi
Shor
SAM
Mo
Phot
Wary
A bui
Adj. Wtr. Bod
Closest Maj. Wtr. Body_
INN
0
IIEM
ing Platform(s)
MEMO
■■■■■■■■■F
..'1■
r pier s
length
number
M
head/ Riprap length
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distance offshore---
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cubic yards
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ramp _
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( Note Local Planning Juri:
Ites/Special Cond'
read compliance statement on
m Fee(s) C
Permi
Si a1
;# Issuin,
Printed
/t
E
6177
piraticate
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date �� -Z " T
Name of Property Owner Applying for Permit:
,::�- 7=—\/ tn � t 1 50NJ
Mailing Address: p
OLDUNC�
o r1i N. 0i
I certify that I have authorized (agent) In v to h , & I i k` &P c-to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) 2� i J n ' [� `�'�'�'L � �M3 W C• 2%6 i Z,
This certification is valid thru (date)
f
RECEIVED
FEB 0 9 ya ;
per•a-��r� c- r�
Property Owner Signature �n ` Date
i
d % n
m
�c
0
triangle landscape supppl
9195576802 N,
f ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I awn property adjacent to [Al" !lI'lkrn J • j, ,,./Sow I
r (Name of Property Owner)
property located at 1 a `7 �o u; en S'f; /� f �dn �'C Se a �,: "V c
/ (Address, Lo Blpck,J�adl, etc.)
on /1 Q./ in f Iian 1C
(Waterbody) (CitylTfown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal_
DESCRIPTION AND/OR DRAViANG OF PROPOSED DEVELOPMENT.
(indeuidual proposing development must fill in descdpflon below or affach a s1fe drawing)
o 4b
%
Lt.yr l,e^e,
O o sh e
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be sat
back a minimum distance of 16 from my area of riparian access unless waived by me_ (if you
wish. to waive the setback, you must initial the appropriate blank below_) RECEIVED
Z
I do wish to waive the IS setback requirement. FEB 0 S 71',
I do not wish to waive the 16 setback requirement. oeMM"D CITV
(Property Owner Information)
Srgqce
Wi llf,dim :
Print or Type N e
t7�3 pfd
Mailing 4ddress .0 a
e 10 u i'yOb
CitylStaf`e/Z;r, z �
Telephone Number � o
Date
Owner Information)
Name '
Telephone Number
Date �`
.2 �- 2-6
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
41 hereby certify that I own property adjacent to �N I `�i Gr'�� s w l Sow 's
(Name of PrQ erty Owner)
property located at 142'7 HOW e� -�� Al la•L I �.c , be a CA, A, G
I tAddress, Lot, Bloc R ad etc.
on (,h / in �f-fah C9 eG-'r ��1 N.C.
(Waterbody) (Cityffowln and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
•4g'A I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawings
�c 15�i I N S
i It erg
m
0
�vT
-1
o a
,NAiiVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish. to waive the setback, you mi ust ir,Mal the appropriate blank below.)
I do wish to waive the 15' setback requirement. RECEIVED
I do not wish to waive the 15' setback requirement. FEB 0 9 ni.5
(Proapefy Owner Information)
(Adjacent Property Owner Inform CITY
Signatur
Signature t �,
Print or Type Name
Print or Type Name
Mailing Addr9 s
Div Jh Lc ! rI4 �l C o7 %S 1 J
Mailing Address
i yEi� t
City/S€atelZip
City/State/Zip
Telephone Number
Telephone Number
--�`
Date
���
Date
(Revised 6118120 i 2,)
Applicant:
Date:
t Describe below the HABITAT disturbances for the application. All values should mat the �nae'lLvo e t
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL,Sq, Ft.
(ApplLed for.
Disturbance -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 includesExcludes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
any
restoration and/or
temp impact
amount)
Dredge El Fill El. Both 171 Other�d'
Dredge ❑ Fill'171 Both E] Other 0
Dredge El Fill E] Both ❑ Other ❑
Dredge ❑ Fill E] Both [I Other E]
Dredge El Fill 0 Both El Other [I
Dredge El Fill [I Both, ❑ other [I
Dredge El Fill [I Both El Other [I
Dredge n Fill 171 Both El Other El
Dredge 171 Fill [I Both El Other 171
Dredge El Fill D Both 0 Other f-1
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill 0 Both [I Other El
Dredge El Fill El Both [I Other El
Dredge ❑ Fill [I Both ❑ Other El
Dredge D . Fill El Both El Other 0
RECEIVED
FEB 09, '
DCM-MHI-D 0!