HomeMy WebLinkAbout73859A_Dion, Carole_20190925r. w CAMA / ❑ DREDGE & FILL No. 73859 B C D
GENERAL PERMIT Previous permit# (jA
New ❑Modification [-]Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality �j
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC lY �
IS Rules attached.
Applicant Name r e ()I, o .� Project Location: County
Address
City .4e �� �, r� State Nc ZIP2—.-:22Y
Phone #(?,S2)�,(�—`(76280M-s]-e_k,�
Authorized Agent
Affected ❑ CW �4 Ew ® PTA EZES J.PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no)
Street Address/ State Road/ Lot #(s) S (D(c 7
Subdivision H b /', I/ � 7 l"S �^ d
City /f �z r l 4 r J
ZIP 2 i `/ V
Phone # ( — ) River Basin PG S 1L- N {T„h
Adj. Wtr. Body z. ., (nat l /unkn)
Closest Maj. Wtr. Body 6 �^ �� S q
Type of Project/ Activity n
(Scale: / y0 )
Pier (dock) length_ _ '�
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
i
Bulkhead ipraplength / ST)
avg distance offshore
max distance offshore
Basin, channel
cubic yards '
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length 95,3
SAV: not sure yes no
Moratorium: n/a yes no
Photos: es no
Waiver Attached: yes no
A building permit may be required by: r v.. nr a s
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agenntt or Applicant Printed Name
U
Signature ** Please read Please read compliante statement on back of permit on back of permit *� 1
Application Fee(s) Check #
u R ❑ See note on back regarding River Basin rules.
1k
YV sn C (-V Q /
Per it Officer's Printed Name
S' ature %
Issu n 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 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, 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 -
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
Untitled Map
Write a description for your map.
Legend
f 146 Sunset Cir
ROPENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor 4 Iames H. Gregson, Director Dee Freeman, Secretary
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Appl,
Mailing address'.
I certify that I have authorized StakeL,V.-ACA-0�vid . ..... (agenticontractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of -3 %.,-1 V_ A'Q_ C' <4 __4
" /_4_ "
at my property located at-1,
M
This certification is valid through (date).
'�' �
Property Owner's Signature
Print or Type Name
Telephone Number
1367 U.S, 17 South, Elizabeth City, North Carolina 27909
Phone: 252-264-3901 \ FAX: 252-264-3723 k intemet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer- 50% Recycled \ 10% Post Consumer Paper
l
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to �� e� / t a�`� 's
/ / (Name of Property Owner)
property located at/ �1 % 11. a Ci r" Cl
(Addrass, Lot, BI k, Road, etc.)
on 6� >_, in �i , N.C.
(Waterbody) (Cityfrown and/or County)
Agent's Name *
Agent's phone #:
Mailing Address:
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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�1, � �0. . �/kAC6-
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 Contact information for DCM offices is
available at htbnJ/www.nccoastalmanaaementnet/web/cm/staff-listin_a orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been nodied by Certified Mail.
(Property Owner Information)
L
Signature
Print /or//Type Name
Mailing Address
1�e 4 Po PcL , IV, C. a7 9 Y
City/State0p
Telephone Number/Email Address
Mn J. 2 7 . aoJ R
Date
(Riparian Property Owner information)
Signature
Print or Type Name
I `GCS _3Cln�� Cirnk
Mailing Address
4i,4�ord, AIC -?7TYi4
City/StateOp
Telephone Number/Email Address
Date
(Revised: Aug. 2014)
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to 0 is
(Name of Property Owner)
property located at
��" ddres Lot, Blo k, Road, etc.) /
on �(' in c , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Mailing Address:
Agent's phone #:
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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
,-�'e /," C�- 6 � I 1-/,Q J-
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. Contact infonnation for DCM offices is
available at http://www.nccoastalmana_aement net/web/cmistaff-llstinp orby calling 1-888-4RCOAST.
No response is considered the same as no objection N you have been nodfred by Certified Mail.
(Property Owner Information)
Signature
Oct rOLe- b 1 o �1
Print or Type Name
/441 Su �, ���" d':r Cl�
Mailing Address
#ef,tQ rJ A], G. 2-7 9 `/ `4
City/Stat p
,a,5z-4,4--�(7,-,
Telephone Number / Email Address
Date
L� A l4c�:ss
Print or Type Name
/A/o Sy )/S� i
`ailing Address
City/Stateop
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Telephone Number/Email Address
I 1/Z? / 0
Date
(Revised: Aug. 2014)
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MAP I 2-DO82-Ts066-HI ^'r ' 'r PIER/LG/GRADE C J G 20 16 6.00 400
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: „
Date: '1/ Z, s /11
Permit #: % 3 8's 7
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
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)/
/
SK �i 4
Dredge ❑ Fill i- Both ElOther ❑
[ 0 J
Dredge ❑ Fill Both ❑ Other ❑
3 CQ
Dredge ❑ Fill ❑ Both ❑ Other ; -
3
3 Co o
cr
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.nccra staimana-g-ement.net revised. OZ0310