HomeMy WebLinkAboutKnowles, Freda' � 72095
u CAMA / E DREDGE & FILL IU A B C D
GENERAL PERMIT Previous permit #
❑New ('Modification ❑Complete Reissue []Partial Reissue Date previous permit issued
Ag authori-sed by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC O Rules attached.
1
Applicant Name � ' + t
Address F f i
City ',j C a•�j St 'e =_ zlf .
Phone # O -- _ E-Mail
Authorized Agent _
Affected ElCW ElEW ❑ PTA El ES ES �I
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) ler
Fixed Platforn
Floating Platfo
Finger pier(s)_
Groin length
number
Bulkhead/ Rip
avg dista
max disl
Basin, channe
cubic ya
Boat ramp
Boathouse/ B
Beach Bulldo
Other
Shoreline Le
SAV:
Moratorium:
Photos:
Waiver Attar
Project Location: County i
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # q River Basin _—
Adj. Wtr. Body_(nat /man /un
Closest Maj. Wtr. Body - - — — --
(Scale: )
A building permit may be required by:.i YVI 1 u oee nv�e �n �a�n =sa �, s •-�• -W •• --
( Note Local Planning jurisdiction) /
Notes/ Special Conditions // t
Agent or Applicant Printed Name
Sig na r� *� Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Printed Name
Signature �.•
Issuing D"'ate 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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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 FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: % Y 4""�'
Mailing Address:
Phone Number:
Email Address:
X-^10 01-y 0 S 'l0 4,o iz:
4,�-%3i0
certify that I have authorized Lew
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: %!/ce e/"
at my property located at q P
in I� �v County.
ii Ao-N f ,Old /Z_S
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner I on:
Sig tore
Print or Type Name
l� Title/
Date
This certification is valid through I
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Tracking Number: 70070710000388621196
Expected Delivery on
Monday 8 January 2018 by
8:00pm
Status
Delivered
January 8, 2018 at 5:36 pm
Delivered, Left with Individual
NEW BERN, NC 28562
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Destination Address Information
Address: 1518 KIMBERLY RD
City: NEW BERN
State: NC
6-Digit ZIP Code: 28562
4-Digit ZIP Code add on: 3308
Delivery Point Code: 18
Record Type Code: Street Record
Delivery Type: Residential, Sidewalk
Service Delivery Information
Delivery Date from AAU (Notification Delivery Date): Monday, 0110812018
PO Box: N
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Weight: 0 lb(si 0 oz(s)
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Tracking Number: 70070710000388621189
We were unable to attempt delivery of your item on January 8, 2018 at 1:48 pm in
GREENVILLE, NC 27858 due to hazardous or unsafe weather conditions. Your item will go out
for delivery on the next business day as conditions permit.
Status
Alert
January 8, 2018 at 1:48 pm
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GREENVILLE, NC 27858
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5-Digit ZIP Code: 27858
4-Digit ZIP Code add on: 8355
Delivery Point Code: 66
Record Type Code: Street Record
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W❑CAMA / ❑ DREDGE & FILL N272095A I C E
GENERAL PERMIT Previous Permit #
EINew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCA
r EJ Rules attached.
Applicant Name f"* N ' ' Project Location: County( 0
Address ZVI
► ` 1 , , 4 '� / I ,'?,,r Street Address/ State Road/ Lot #(s)�
Phone # ( ail Subdivision
Authorized Agent ( c - Cit
Affected ❑Cw ❑Ew ❑PT&-. --DES_,•-dPTS Phone# ( eRiver Basin lblt KI 3 4-
❑OEA ❑HHF ❑IH ❑UBA El N/A
AEC(s): ❑ PWS. Adj. Wtr. Bod ( �• `-t +_� (at / /unk
ORW: yes / ;no PNA yes`%.io
Closest Maj. Wtr. Body � l i ' = tom(, 2
Type of Project/ Activity r ++r �`'
Pier dock leng
Fixe
Float
Fing
Groff
Bulk
Basin
Boat
Boat
Beac
Oth
Shor
SAV
Mor;
Phot
Wain
-ng Platform(s)
r pier(s)
■■■
length
number
MEN
MEM■
EMEMMMENOUNWE=
■■■■■
•
■■■■■■■■■■■■■■■■■■■■■■■wry■
■■■■■■■■
max distance offshorw�,.--,
■■■■■■■■■■■■■■■■■■■�■■M!�■■�■■■■■■■■■■■
■■■■■■■■
MEN
■■■■■■■■■MEM
■®
■■■■
NEONBulldozing
cubic yards
ramp
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
-line Length
not sure yes
.torium: n/a Yes no
no
■■■■■■■■■■■z;r
■■■■■■■■■■I■■�i6+l■■■■■■■■■■
Attached: Vas
A building permit may be required
( Note Local Planning jurisdiction)
Notes/ Special Conditions
,` l] See note on back regarding River Basin rules.
nt or Applicant Pri Permit Officer's Prl Name j
Si * eas dFompliance statement{ on back of permit Sigpature
64
Application Fee(s) Check# ,fssuing Date l Expirati6n Date