HomeMy WebLinkAbout63725_Doug Black_20190208CAMA� 11 DREDGE
- 72953,
GENERAL PERM IT Previous permit # A-
cam'.
levy- ❑Mo lific'kion �Complefe Reissue. Partial Reissue Date previous permit issued 23
As` authorized.brthe State'of North Carolina,- Department of- Environmental Quality 1 JJ
and the Coastal Resources.Commission in an'area.of.environmental concern pursuant to 15A NCAC . O t-f.• 1 2 o U
,. [*Rules attached.- .
Applicant Name ' 12rntA!-? �4GI4—
'Address :/ 1�, % J= .....J / V'r` f `A
State C ZIP
•Phone # E-Mail. ;
Authorized Agent-
0
Affected Cw �EW� .PTA i❑ ES ElPTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes " no PNA yes //
Project Location: County r4 t4 � D:F.,
Street Address/ State Road/ Lot #(s) p'f .'S �� _•/ 3 % "7
..Subdivision
City ZIP- Z7-W<S
Phone # ( ) River Basin'%A,? -CMG i Gy
Adi. Wtr. Body�� n�Z C U �%, r/G�2 _nat /man /unkn)� C U �%� r/G�2 _nat /man /unkn),
Closest Maj. Wtr. Bodyn�^L� �y �' ✓�
WIN
■■■■■■■■■■■■■■■rn■�I■��■■■■■■■■■■■■■■■■■■■
M.
■■■■■■■■■■■■■■■v�■rl■■■■�■■..,���a■■■■
M. ■■■ ■■■E'er■I■■■■■■�1■1'1■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■{■■■■■■■�;1■1:1■■■■■■■■■■■■■■■■■■■■
■■MO■■■■■■[■■■■�111M]MUMMOMMENNIMMEMEN■I■11■■■■.■■■■.�.....
■■ ■■■■■■I■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■E■■■■En`■lea■Q■■■■
�.■■Mum■a■
■■■■■■i■■■■■■■■■■■■■■■ ■■■
> 01-lg
Agent or. Applicant Vnted Nffre
Signature. PI aseread complian•estatementonback ofpermit"
a
Application Fee(s)
K"JeL L
P�ermitOffiqer's Printed Name - - -
Signatur
-7-L,4
Check #-..,' Issuing Date Expiration'Date . , .
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to �Q1. 1�4) UTl 's
(Name of Property Owner) _ .
property, located at 1 u`? =, \ CR bic H-5 ,
on?r (Address, Lot, Block, Road, etc.)
��1�1►CQ •1-V , in 5)[ iInG -TON , 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 drawling)
J`
Np-r Ia 5�1�
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.
[do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
- cA 1 ONES 61 1►C'K
Print or Type Name
IU!, F
M !ling Address�� Q I?
City/State/Zi
osa
Telephone- Number
1-Q5-Qo19
Date
Propetty Owner) r�fgrmatiolfi)
S' to o - Mal L C � .`
Pr't yp W C V �� W AE
M iling Addressrk Q 1
J J `/
b (
q 3 7 =�C
Tele one bu-mbLK
Date
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to `' 1 mN c lANj 2)) NC- °s
(Name of Prooertv Owner)
property located at
61E-R,
� (Address, Lot, Block, Road, etc.)
on -ice m i 1(n � VE Ie , in 1 � ) C• 5`i, n G -TDis[ ,
(Waterbody) -(City/Town and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
locion. .
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)
YET Shi'l
1 2
lurDJs
-SET sh',
114#I
�OUAT Li -
No`f SCAIE��
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.) r
I I do wish to waive the 15' setback requirement.
rC / J� 1 do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
tgnaturt. Signature
Print or Type Name n Print or Type Name
�p4C ui�1C� CreS
M,ailin A ress 1 Q Q Mailing Address
1�1 5 1id�r�10c� _ Ai %q 2F4 3
City/State2ip City/StatelLio `50
Telephone Number Telephone Number
/- 7/T-171-- 214-9 �44
Date Date
(Revised 611812012)
Coa.."stal'Afgprrgemen_ t
EiV c1kNA0rALdiJA FTY
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
ROY COOPER
Governor
MICHAEL S. REGAN
secretary
BRAXTON DAVIS
Dtrecivr
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: r
By your signature below you agree to be held responsible for meeting all of the cond ��d above and verify
that all information rovided is complete and accurate.
or
Ageni'oFA,licant
CAMA GENERAL PERMIT #:
vertu, mUrnc Ds Ji ature
3 201�i
Issue Date
State of North,Carolina I Environmental Quality i CoastaLManagement
Washington Office 1943 Washington Square Mall Washington NC27889 1252-946-6.481
WilmingtonOffice( 127 Cardinal Drive ExL Wilmington, NC 28405-38451 910-796-M5
Morehead City Office 1400 Commerce Avenue Morehead City, NC 28557 1252-808-2808
Applicant-<T�>0 u tp,
Date: -A C)
General Permit IP
Describe below the HABITAT disturbances for the -application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft
(Applied 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 includes
any anticipated
restoration or
temli impacts)
FINAL Feet `
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
2 qp ��
2•� u ^rk�
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑