HomeMy WebLinkAbout73683A_Trautman, Mike_20190725CAMA / DREDGE & FILL NO. 73684 v
-. GENERAL PERMIT Previous permit # ® B C D
New ❑Modification ❑Complete Reissue ❑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 I SA NCAC N , �� l3CU
Rules attached.
Applicant Name _ Jo b r ^ C o t-'Ju n Project Location: County C„ ,, r . ' c k
Address
City State Nc ZIP a10� o
Phone # ( ) E-Mail
Street Address/ State Road/ Lot #(s) a 1'} 1
t c- k
Subdivision Cc r o
Authorized Agent
k e Il r
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City C v v 1 \c,
ZIP ad -+C1 d. -1
ElCW
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'W PTA P'ES IMPTS
Phone # ( )
River Basin Pa
Affected
❑ OEA
AEC(s):
❑ HHF
❑ IH ❑ URA ❑ N/A
Adj. Wtr. Body ,n,l
4o V"t-A-% TS• (�� (nat Aran)
y_,�n unkn
❑ PWS:
ORW: / 6
PNA
/a)
Closest Maj. Wtr. Body
cl e, k Sw ✓
__
yes
yes
Type of Project/ Activity
j_AgA v,c r LA_ I)r c c G,6,
I-� rr - by-v I r_-t u j
(Scale: � = LI 0` )
Pier ( e
Fixe
Floa
Fing,
Groi
Bulk
Bas4
Boat
Boat
Bea(
Oth
Shor
SAV
Mor
Phoi
wan
■■■■■■■■�■■■�■■■�■■■■�■■■_
PMW
P tf��V
NIVO
i length
■■■■■■
im
■■■■■■■■■■■■■■■■■■■■■"M
number
■:
■■■■■■■■�■■ice■■■■■■■■■■L��■■■■Y■■Y■
NEEM
rap length
■■■■■■■avg
■■
■■■■�
!��!■�7�f�■�i�■■l■■■■■■■
nce offshore
distance offshore
max distance offshore
■■■■■ems■■�■■■■i�■■®
■■�
■■■■■■■■■
■■■■pia■■■■■■■■■■■.■.vr�r■■■■■■■■■■■■■■■■■■
'1JEMMMMMMMMEMw=MMMMMM
MEN
-line Length
notsure yes 6?
W.MMENNE
AMID
MEMENEEME
NAMMEEMEMEMEME
UPS
torium: yes no
'no
■■VtiJ■■■■■��:QG■■■■■■■II■■■■■■■iall�i0■■■
A building permit may be required by: cyd r •*V ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions 15no .k Icy ly. d • C �` ? 3c� �r .. v. N �l . liC t t ti S Dv -1 " ,ti u \l 3.:+ + I
ru�r n if[x,1 0^ 11,. !eJ.), 64 ►� Ik%G�1 GV-4 low : ✓Odf1 rn Vcitk
M P -, ,t- .JA-. n,r 4L, e &. ^A, 4...r r- , k -I A. .,a I..
Name
Please read compliance statement on back of permit
x 1e..St 'rUNL'._ 6 Pit
ApplicationFee(s) -+-4og3k Check#
Tlasl ao II Ia.5-ldom
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 I) 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 71 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/ 1-888-4RCOAST 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
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: i Permit #:
CCjI-)uur� l�c�hlrl
Date:
Describe belo',� 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
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
�7.
Dredge Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill L� Both ❑ Other ❑
v
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 ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 02/03/10
i
-47A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date —7"
Name of Property Owner Applying for Permit: I-)-(
—Wo
Mailing Address:
nS I "_. ro
I certify that I have authorized (agent �� is to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) C �- hU G `)
4,<D
at (my property located at)
This cWeation is valid thru (date) '
r�.)
Owner Signature
7-1 �3l
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
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PS Form 3811. July 2015 PSN 753n-02-nnn-Qnsa
Domestic Return RecelDt
LISPS TRACKING#--
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Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 3394 7227 5391 96
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4® in this box*
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201fExtra -Services & Fees(Chw-k box, aO fee *PIff 0 Return Receipt (hardo,py) $
0 Retum Receipt (electrwir) $ POStmark
0 Certified Mail Restricted Delivery $ Here
0 Adult Signature Required $
0 Adult Signature Restricted Delivery $
Postage
Total Postage and Fees 2019
$6.95
$
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signature) that is retained by the Postal Service'" - Restricted delivery service, which provides
for a specified period. delivery to the addressee specified by name, or
Important Reminders:
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or Priority Mail* service.
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■ For an additional fee, and with a proper
endorsement on the mailpiece, you may request
the following services:
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of delivery (including the recipient's signature).
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electronic version. For a hardcopy return receipt,
complete PS Form 3811. Domestic Retum
Receipt; attach PS Form 3811 to your mailpiece;
to the addressee s authorized agent.
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signee to be at least 21 years of age (not
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IMPORTANT. Save this receipt for your records.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
1 hereby certify that 1 own property adjacent to t��l� ($ n ,s
(Name of Property Owner)
property located at a 17 IC1 i c rl C„�
(Project Site: Address, Lot, Block, Road, etc.
on in �( )- ir(= i I 0. Ct,-r i3 V CL , N.C.
(Waterbody) (City/Town and/or County)
Agents Name Z 1 C� f h z � C g 1 Mailing Address: d iC 3 0
Agent's phone #: s--1 Sa `4S -1- 5 o kz 0-af v i 14, N C, a 1 q 4-1
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
6ocj a cce5 s Gt.rt
C" 12�ck+ bccc St"t
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Gruen Si, Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. No response is considered the same as no objection ifyou have been notified Py Certified Mail
(Property Owner Information)
:P��
Sr nature
Print or Type Name
(Adjacent Property Owner Information)
Signature''
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Print or T pe Name
MaN Add Mailinq Address
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City/State/Zip Ci /StatelZi
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Telephone Number/Email Address
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Date
Telephone Number/Email Address
Date*
Valid for one calendar year after signature*
Revised Jan. 2017
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