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HomeMy WebLinkAbout70672_Replace Pier_20180227.AMA / ❑.DREDGE & FILL N2 7®6 l 2 A �B C D GENERAL PERMIT Previous permit # MIA New ❑Modification ❑Complete Reissue ❑Partial,Reissue Date previous permit issued to I/A 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 NCAC (:2)-71-1 )-L do Applicant Name PJA,6 Address) (Pof � 4Cy i r YiEw LA-O-K City T-'� State P c... ZIPe►— Phone # (2�2) -7/ u.-r i49 c� E-Mail Authorized Agent k?� Affected' ❑ CW X] EW .® PTA ❑ ES ❑ PTS AEC(s): " ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no Project Location: County Street Address/ State Road/ Lot #(s)yE.F ep , i •pc) " F Subdivision City r _pk) r4-r5 ZIP�- Phone # ( ) River Basin-77411--,PAr-L-1 I'Zo Adj. Wtr. Body" 'PAt,�A�,i (c::) 1 J1 na /man '/unkn� Closest Maj. Wtr. Bodynr"`'i J 7i ■■■■■■■■■■■■■■■■■i■�1■■■■tl■■■■■■■■■■■■■■■ ■9"7eiLr'i�l r7G�t�l-'Lii■■it■'at1■■■■tli6■!�il�l�lElf!�l:�l�■■■■ I�:::: �::■■�■e::®®:E: ONwA:ENERR::■CMIN ■■■■■till■ii■■■■i■■11■.■■■■■■■■■■■■■■■■■■ ..-. ■■■■i■■■■■■■■■■■■■■�1■■i■■■■■■■■■■■■■■■■ .■.■.........■■■■■■Ili.■■■......■.■iii■■' ■..........■■■■■■■■I1�.■■■■■■■■..■.■...■. ME ■■E■�i'!.!!■■i�i111■E�■■■■■� 1�.■■■■■■■■■■■■■■■■■■ NSA 11I ■■�i■■■■■■■■■iiiiii iiiiiii■■o■®EeEiii�i No MENNEN �C ��(7A041/ eC_ r Agent or Applicant Printed Name Signature"Please readcompliancestatement°onback ofpermit" ApplicationFe� e(s) ,Check# ,,PEfrmit0fficePs Printed Name 2 / f - 0 a A - Issuing Date Expiration Date Permit#: —? D G'7? Date: Describe 6efowthe HABITAT disturbances fair the appCca6am. All *values should match the nan•te, and units of measurement found in your Habitat code sheet_ TOTAL Sq- F' FINAL Sq_ Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final• (Applied faro (Anticipated tidal Habffat Marne DISTURH•TYPE disturbance total disubanc e. Dws barrcg disturbance, ' Cho6se One includes any adudes are total includes ' Excludes any anticipated re,farafiafr any anticipated resiarafian andfor restara$on or andfartemp, restoralan or temp impact tamp inipacts) impact amount) tenp impacts) amaurtf) Dredge Q FIR [j Bath. Q Other Dredge Q , F1[ Q Satfr Q Other Q ' Oredge-0- Fill Q Path Q Other Q Dredge q Q Bath Q Other [{ Oredde Q Fill Q. Batt[ L7 ether Q i —riff f-4 Bath Q after Q' f • •• '•i - - Dredge !=; T^' Bath t=r ether C! ( - 1. � � • _ _ } Ored4a Ci ►ff Q Bath t , oilier Q DMdge•Q Q. - Bath C. - other (• xQ=P i Fill C Gaut Q (low- I• .(. ��� r ;rt r1- �a�r Q- ��ttter Q� .{. � f I � - ! .. - I • •- ��iqa �1•' � Pazn •:,cuter I' 1. • � wLijal Oredge Q F1•t i Q- flatfr'Q' ether. Q I I [hedge Q . Fill 0 SM. [[ ' Ofher"Q I hereby certify that I own property adjacent to I / (Name of Property Owner) property located at l �f E�'S'�� C1,' e,e) Zae. e_ (Address, I ot. Block, Road, etc.) on fA� Cyr /,cd , in Zt, cc /S' C -d2%C N.C. (Waterbody) (City/Town 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 DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) /2V �c c.Q-- 4'10�rAE'5 'Opal e:- WAIVER 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 must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Propgrty� I/ nform�ation (Adjacent Property Owner Information) Signature Vl011 dGLT. G I ks Signature JE6,0/ct` 0 � /!�-efk'r T) Aook Print or Type Name Print or Type Name 1 e�PFos % t/, a t/ 6,,rQ _ �1 �I (✓ W �1 Mailing Address C City/State2ip .2 Zffl, Mailing Address City/State2ip Telephone Number 2.c a -- s'9 ,7 Date Telephone Number Date 6/18(2012) (Revised ,CGIGJ 's I hereby certify that I own property adjacent to (Name of Property Owner) property located at � 45 `� C"" e c! L-Q e., 'e— (Address, Lot, Block, Road, etc.) on 1,, ,4 s ;z,C-Iey- in ��ie.z��i' C'c•e �,C N.C. (Waterbody) (City/Town 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 DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) V/0 cam p� ► ��o �.c (' `Dr �r WAIVER 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 must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pr perty Owner Inform ion (Adjacent Property Owner Information) Signature �i T, L 1 k 5 Signature r /__ \ / Mao c% �• � L asra /lP, 14 svr Print or Type Name Print or Type Name le— %ter✓ zo"'P , /s'.g G�c r % c4 eu.a /—4'C'e - Mailing Address Mailing Address City/State&ip City/State/Zip Telephone Number ,2sa-7/�1-Ds—f Date Telephone Number Date 6/18(2012) (Revised 1 f�, 1 >~ CoasigCMan-a ent ENVIRONMENTAL 2ALtTY BUFFER AUTHORIZATION CERTIFICATE FOR PIER AND DOCKING FACILITIES ACCESS WAY ROY COOPER Governor MICHAEL S. REGAN Secretary BRAXTON DAVIS- Director A riparian buffer authorization is required for pier and docking facilities access ways through the Tar -Pamlico & Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 02B.0233 & .0259. The Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies with the aforementioned regulations. Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation. 1. - Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The alignment shall minimize the removal of woody vegetation to the greatest extent practicable. 2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of pervious materials like open -slatted wood or composite, mulch, or grass to meet the intent of the rules to the - maximum extent practicable. 3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet. 4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your property indicating the relative location of the pier or docking facility and any requested access way. This drawing will be used to aid in compliance and monitoring efforts. • Pre -project site conditions: --a,,• x By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify that all information provided is complete and accurate. , Xel � f Agent or Applicant Printed Name Permit Officer's Signature Agent or Applicant Signature Issue Date CAMA GENERAL PERMIT #: "mod (---1'3-- —:5 State of,North Carolina I Environmental Quality [Coastal Management Washington. Office, 1943-Washington Square Mail Washington, NG27889 G252-946-6481 Wilmington Office 1 127 Cardinal Drive Ext. Wilmington, NG 28405-384sa' 910-796-7215 Morehead City Office 1400 Commerce Avenue Morehead City, NC 28557 1 282-808 2868