HomeMy WebLinkAboutNC Coastal Reserve & ECU Dept of BiologyLICAMA DREDGE & FILL I J
N2 71657 A B D
GENERAL PIERMLT Previous permit #
U.New ::Modification ompj lee Reisslu'e—. LIPartial Reissue Date previous permit issu'ed As authorized by the State of North Carolina, Department of Environmental Quality L41 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
a Rules attached.
Applicant Name____
Address
City State '�J't ZIP
Phone 4F
—E-Mail
Authorized Agent
Affected El Cw
72 EW gPTA Ll ES El PTS
AEC(s): E OEA
D HHF 'D IN El UBA El N/A
71 Pws:
ORW: yes / no
PNA yes /. no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
W.,
Phone# River Basin
Adj. Wtr. Body (nat /man /unkn
Closest Maj. Wtr. Body
(Scale:
cubic yards
7
Boat ramp J I I I
Boathouse/ Boatlift--
Beach Bulldozing
-7-
Other
-4�
Shoreline Length
SAV: not sure yes no
H
Moratorium: n/a yes
yes Photos:
Waiver Attached: yes no
A building permit may be required by: "-'i See note on back regarding River Basin rules.
Note Local Planning jurisdiction)
Notes/ Special Conditions
In -
1�'- . ()n e ( (_� 4,r, -Yo
Agent or Applicant Printed Name
Permit Officer's Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check#
Signature
Issuing U11ILC t4piration bate
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 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(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)
(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://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17
_.
iCAMA / ( DREDGE & FILL
GENERAL PERMIT A B C D
,New I ,Modification I (Complete Reissue i ''Partial Reissue Previous permit #
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
Applicant Name ;Rules attached.
Project Location: County
-- --
Address _ Street Address/ State Road/ Lot #(s)
Ci - --
-- - - - State ZIP
Phone # ( ) --- - - - E-Mail _
Su - - - -- _. -- - - - - -
- -_ bdivision
_—
Authorized Agent _ 1
-- - - �. City--- -- ZIP_ ¢ ,
Affected I CW I EW r-, PTA I jES ❑ PTS - Phone # - - - — - — --
J OEA 11 HHF �-1 IH p USA p N/A ( --) - — — River Basin
AEC(s): Adj. Wtr. Body—�---T PWS: nat man unkn
ORW: yes / no PNA yes / no Closest Maj, Wtr. Body-._—
Type of Project/ Activity
t
Pier (dock) length_ _ (Scale:
Fixed Platform(s)
_ f �
i
Floating Platform(s) _
-r i- - -
Finger pier(s) �
Groin length --
number I j
Bulkhead/ Riprap length
avg distance offshore- }
max distance offshore?
Basin, channel "».., . _
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
- -
i
Shore
line Length
SAV: not sure yes no
Moratorium: n/a yes no 1-
Photos: yes no-i-
�, , -
Waiver Attached:
f
yes no
A building permit may be required by:
( Note Local Planning jurisdiction) See note on back regarding River Basin rules.
Notes/ Special Conditions
i
i
� 4 tc
Agent or Applicant Printed Name
PermitOfficer's Printed Name — — —
tat
Signature "' Please read compliance sement on back of permit'F* Signature
-- — —
Application Fee(s) ------ Check # Issuing Date
' Expiration_ Date
CAMA / I ' DREDGE & FILL ✓
GENERAL PERMIT A B C D
'New C-.Modification I IComplete Reissue i 'Partial Reissue Previous permit #
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
Applicant Name ' ' ' 7Rules attached.
Project Location: County
Address -- - — -
- - - Street Address/ State Road/ Lot #(s) —
CityState — - I -- ,- --
-
Phone # E Mail _ �` "" - Subdivision - 1
- --
- - - -- +-
Authorized Agent 1 - -- ---- City- - _ - ZIP t.
� CW tIEW r-PTA i ES El ) - ---
Affected Phone # ( _) River Basin
AEC(s): DOEA LHHF ❑IH ❑U13A El N/A -- 7
❑ PWS: Adj. Wtr. Body.- - _ _ -- n(at !m_--_ an /unkn)
ORW: yes /'no PNA yes / no' Closest Maj. Mr. Body_
Type of Project/ Activity
Pier (dock) length (Scale: f'
Fixed Platform(s){- -
— ! f
Floating Platform(s)
Finger piers) -
Groin length
number -
Bulkhead/ Riprap length
avg distance offshore
max distance offshore —_
Basin, channel _
cubic yards_
Boat ram
Boathouse/ Boatlift T
1 Beach Bulldozing
Other
Shoreline Length
< <i�
' L
SAV: not sure yes no , ,
Moratorium: n/a es no
y
Photos: yes no
Waiver Attached:
yes no
A building permit may be required by:
( Note Local Planning Jurisdiction) 11 See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Permit Officer's Printed Name
Signature ** Please read compliance statement on back of permit ** Signature
Application Fee(s) — --._— --
Check # Issuing Date — ---
' Expiration Date