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HomeMy WebLinkAbout63935_Patsy B. Burnworth_20190315 CAMA/ DREDGE & FILL Z D 3g 35 No. 72996 A C '-7 D Smr- GENERAL PERMIT Previous permit ��-% ::New 11Modification ._1Complete Reissue ❑Partial Reissue Date previous per it issued /4./ As authorized by the State of North Carolina,Department of Environmental Quality 7-7//G and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC • .. j�ulespttaSbed. Applicant Name /.tS r a• 41 r/i/ 7f'' Project Location: County f y���£' ���<<� Address e)4 /-Ctt)/c r /) , 7t1 Street Address/State Road/Lot# s) City Z.()/se.'K1 State4)L ZIP aV � O �� l� /� U,lt� �)C_. Phone# 77 / E-Mail Subdivisio�t /�< Ge%v� ( Authorized Agent r /4'/r1 6 7. ‘7�(i �!/ City rt-,4 ZIP r ------ -CW PTA ❑ES ❑PTS �' Phone# Ili;Basin h/ /� Affected �� ( ) AEC(s): OEA HHF C IH ElUBA ❑N/A Adj.Wtr. Body / A/CL? ( /man /unkn) __ PWS: -^� Closest Maj.Wtr. Body r`- ORW: yes / -/ PNA yes /r) c/ i Type of Project/Activity C 42 J�. - �z- �0 / ��/S ,/,C 1,247.,---G- -- P ,/ J /r r I (Scale:/ /O ) Pier(dock)length Fixed Platform(s) � Floating Platform(s) M_ ��1N 1 Finger pier(s) l • ' �IUFJ �U Groin length ( .' IMIIIIIMII number r , 'J N / _ _ Bulkhead/Riprap length �� i -' J •� j avg distance offshore 2 / _— -^ AO • max distance offshore _ U s ll i IFAIMINI 1 I Basin,channel '� r - I /21•••••1011 • I .4, cubic yards ■ —� Boat ramp 11. 11111111111111111 Boathouse/Boatlift '-" I j nzim IMMI Beach Bulldozing �r 'i f! 9 . -' _ -/ All.../G — ,. �7 .. N - _ ____ Shoreline Length / ilitinii. SAV: not sure yes 414 A _._.. j._._ j ®® Krai learAg Moratorium: n/a yes ,9 ' i { (- ' ® 'I _ _ + G Photos: yes %' � � I ,_ i ' ! =!� ,�� r`-� Waiver Attached: yes A building permit may be required by: /1L >r--' '0 See note on back r arding River Basin rules. (Note Local Planning Jurisdiction) 1 � 1 ����/ /� Notes/Special Conditions l� ( U� ' (Jill < GJ/ /e / '' 2--J A/4<e 1 4- ' /7 d (-- , ,,/ ,____, ire: ( Agent o pl n rinted Nam Permit r' rinted ame p Signature PI r o p• nce Siazet'nent on back of permit** Sign ture 2 �- //_) /7/ ICoo�/ ) /5 14 � • APPl tionFee(s Check# Issuing at 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 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/ I-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde. North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden,Chowan, Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 Authorized Agent Consent Agreement 11-1 5y �(aJ, . (1&rYI(A)Or j , herby authorize Tobin Jay Tetterton of ( (Property Owner(s)) TJ's Marine Construction, LLC to act on my behalf in obtaining CAMA permits for the location listed below. r1ZOPERTY ADDRESS: g‘;'D 1„)e..st 15 (G-nef +eel c(. ►hoc-FA N.L. PROPERTY OWNER'S MAILING ADDRESS: Pu.-F 8. tkei k)Des /-4 q-50+ s addle RKn Rd. tiO so/1 �(_L. � 7g?6 Phone No. 02 512 a 3 7- 1 PROPERTY OWNER'S SIGNATURE: Pa/40, 6. 41-444111/1VW AUTHORIZED AGENT SIGNATURE: TOBIN TETTE TO DA 3 TE — / � 20/1 W'Authorizcd Agent Consent Agree. /ADJF CENT .1.'JPARIAN PROPER owilE S T A/WE uT I hereby certify that I own property adjacent to f a-+S , . ,3urfl r-JOr g s property located at �'6O (,Jest Ts lard Vi(Name ! 3rr®���-r �9 �r) (Address, Log,.Big , :load,etc.) on ni 1 r Co /�r'�e r ., r aux;1 pect.k.JorT 7.0 , N.C. ftfi/aterbody) (City a own end/o'County) The applicant has described to me, as shown below, the development proposed at the above location. ._ V I have no objection to this proposal. c.: I have objections to this proposal. DESCRIPTION AND/OR DRAWING NG OF PROPOSED DEVELOPMENT (Individual proposing developmerpt must flab rn description below or attach a site drawing) Net() vinyl b ! 1ed • .72: WAIVER SECTION . I understand that a pier, dock, mooring pilings, boat ramp, 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.) V I do wish to waive the 15'setback requirement. I do r wish to waive the 15'setback requirement. (P.mper4r owner kOnvinationl ollacen Pr®r::arki 0/299ne gnAantna•Hon ....i... .. 4.76...,.. / / Sign ;e^ a st 1 Lk(nk)ovT� Eidz c'jN 5 akv..50Ai Print� e D L Name5 Print orb Type Name L 5apidl! )Q uh 4/ 5. SHE2►-wO a. Mailingddress ir/ia�T g Address IA)i5,9rl AIL 7 894, Ai�4s(w, � Z��9G �Y pa+set bu.en sae ri-4 4) CitylS�ate/�ip O • 252- 23�8Q6ZD.AWsJN2. ix 13�� .90Qi[.• Telephone umber/emai7 address Telephone Number/email address D ll Q?/2O 1' !l- 2 g /t3 D�fe= year -�lafid fix one calendar 'Revised Aug. 2O14 after signature"= 15f'rJ'jAcERI T APARII N PROPERTY GifelER STATEMENT 1 hereby certify that I own property adjacent to Pat59 8- Qt,r/1 rJDr 's /(Riam co;Properey Owner) property located at (Q ) We 51- d Ts la., Vi e k) kd. an i ) /y11 r CO I(r VP r (Address, Lo �I oae�, .L in ' (jean fetco f Co .t , N.C. (t .►aterbodv) ( ityITown andk r Comm ) The applicant has described to me, as shown below, the development proposed at the above location. i have no objection to this proposal. ":AZ.17 ! have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT - (inditridcra{proposing developme,:► must fill In description below or attach a site drawing) Ne,G6 vIny1 1914 ear/ tlifVI=li'2 SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 mu*lldat the appropriate blank below.) ✓MIf I do wish to waive the 15'setback requirement i eke iLG,t:wish to waive the 15'setback requirement (Properly Owner Pnforrnation) (Adjacent Property OwnerInlbrinatior4 latt10.1(4/6 d‘gof e,eiegialear— Signer e u rn W o r W rIM1►.R Rog-rFR S-tAki,1 Print or ype Name Print or Type Name 4-50 Li' vacJ/. k RI. 2/2 4 Va..rropt t‘ter Miailing ddress Mailing Address ln) N C. a ? F14. W,Lso4 IBC 276.93 City/State/Zip r r 1 q ea,I-sy b k?'rt�a e r� de./ C late lip a52- a.37.. (/ L {/ahmo. COM 132 299//83 hSuIIavA4@MJc1,'G. 60M Telep one Nurnber/em it address Telephone Number/email address 11�zq ego/ $ //729//8. Date 111 I Dafe* ;Revised Aug. 2014) Valid for one calendar year after signature • - NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: AXyve,PA 6c/rf Date: �54( k ,45r „ General Permit#: Describe below the HABITAT disturbances for the application. All values should match the name,and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount) 4-742�`�'"dt Dredge ❑ FillA,Both ❑ Other ❑ :j Dredge Fill Both ❑ Other ❑ / ar""0-' 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 ❑ • • 2 2.808-2'8Oa 1-8Z -4RCOAS"t re'stse 02:{J3: 'U