HomeMy WebLinkAboutBurton Farm Development Co.No 70411
❑CAMA / ❑ DREDGE & FILL
A B C D
,. GENERAL PERMIT
Previous permit #
❑New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality 1 , I4 /"
t'
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
ules attached.
County
Applicant Name ;
w f : / �...!�
Project Location:
Street Address/ State Road/ Lot #(s) ' , N Ec:t(
'
Address
11 >�
City :"=rV�L'' State'° ZIP < 71t.•
Phone—� o f `�" E-Mail
O
Subdivisions
_
Authorized Agent 5 -"4f��t ar' !
City ZIP
j
ElCW [IEW ❑ PTA ,-JQES ,ill PTS
Phone # ( ) , River Basin
Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA El, N/A
Adj. Wtr. Body / k , s I n man unkn
� '
Closest Maj. Wtr. Body '
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) r `
Groin length
number
Bulkhead/ Riprap length
avg distance offshore i
max distance offshore /
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boadift
Beach Bulldozing
Other
Shoreline Length ow
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes n
A building permit may be required by: 1 1 3
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale:
IwMil
❑ See note on back regarding River Basin rules.
PermitOfficer's Printed Name r'
r`
Signaturf j s
Issuing Date Expiration Date
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:
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 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 how to 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
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
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)
Revised 7/06/ 17
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit*-�E> . r {- 4---g-,- r ,.A '] � L-C n-1-,l (b -
Mailing address:"�1
Telephone Number:
I certify that I have authoriz ,.a (ag ent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of _
at my property located at
This certification is valid through 'A - a D - t g (date).
(Property Owner Information)
Signature
D. �rVA, h . e::!! In a 14, 5
Print or TypeAlame)
Tate, co. owrYer or trustee for property
Date T
Telephone Number
Ema' Address
11 Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
® Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
U, vtAD 5Rs'-�'C"V-P- 1,
�` 7 (.D U�
O '
A.
X
❑ Agent
❑ Addressee
!!��
C. Date of Delivery
3 •A'7 - l 1�
D. Is delivery address different from item 14 ❑ Yes
If YES, enter delivery address below: ❑ No
3❑ SeSceTtyp
❑ Priority Mail Express®
II �'III'I
III
I'I
I II II II�II I IIIiIIIlIl
III
igreAdua
❑ Adult Signature Restricted Delivery
❑ Registered MaQTM
❑Registered Mail Restricted
9590 9402 2553 6306 4720 76
❑ Certified Mail®
❑ Certified Mail Restricted Delivery
Delivery
❑ Return Receipt for
Merchandise
❑ Collect on Delivery
O C�II@9t gn Delivery Restricted Delivery
Signature ConfirmatlonTM
❑ Signature Confirmation
2 N a rtmr,rfcr t:em
7 017 1450 0001 1777
0251 3estricted Delivery
Restricted Delivery
Domestic Return Receipt--
PS Form 3811, July 2015 PSN 7530-02-000-9053
r
items 1, 2, and 3.
lame and address on the reverse
can return the card to you.
card to the back of the mailpiece,
orit if space permits.
ssed to:
r l .' t„ss3 - o•� Pi - ck l
A. Slgnature�
X ❑ Agent
❑ Addressee
B. Received by( ted Name) C. D e of D ive
✓, i
D. Is delivery address different from Rem ,? ❑ Yes
If YES, enter delivery address below: ❑ tSo
a type
a. dull
❑ priority Mall Express®
III
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I i Ill
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❑ Adult Signature
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❑Registered MaIITM
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
02 2553 6306 4720 69
❑ Certified Mail®
Certified Mail Restricted Delivery
Delivery
❑Return Receipt for
❑ Collect on Delivery
Merchandise
�e�u _ —
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
71117 1450 1 17 7 70244 1
❑ Signature Confirmation
iil Restricted Delivery
Restricted Delivery
3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
DWOON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOMFICATIONANAIVER FORM
Name of Propwtyy Owner.
,address of Property: �,Q V�& rAkA 'L, LQ a C� j �� 0 f J� —r �c�►n � _ � �i �`t ��
(Uof or fted A Sbiet or mod, My & court
'-B a66�, Cots-�-
A9Ws Name#: Cotes $�+ ear. • �. Maft Aftass: ( 6b 3 M-e ui e
Ass phone V a5^ a - a y9 -1 Ca ! -7 Grua, N*,". A)C- aTs a 9
I hereby cep► that
a"no for this Pert
they are propoov. i
____,_r,I have no objections to this proposal, ______I have objections to this proposal.
megsomM
( �� � no@A �noaca. f`aribd � OW ofto in
a'by0saw +1RCOW8%
WAVER MnON
I untlwshm that a Pier, dock, mooring pilinsis, boat ram, breakwaW, boathouse, or oft must
be ad back a minimum distance of I& from my area of riprien acoetas unless walled by me. (If
you wish to waive the setback, you mug InWd the approprlaha blank below.)
I do wish to waive the 15' setback requirement
i do not wish to waive the IV setback requirement.
gc� Owner '
rivp P � � C�
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to���o ir. � YYS t Y �'� Ole � Th e_
Orm—
TMOMM NtrrMW18W Aeit M
3LMM
(14rvfasalAug. 2014)
9 x 30 Platform
Drawing by Bobby Cahoon Construction for:
Arlington Place
Proposed Neuse River Concrete Pier
Community Beach Area
k1000L1UII LU UC UC1C1111111CUf
This drawing is the sole property of
Bobby Cahoon Construction Inc.
and is not intended for use by any other entity.