HomeMy WebLinkAbout75643A_Butterworth, Bradley_20191023JI(L ✓
$CAMA / 7 DREDGE & FILL
r. GENERAL PERMIT
ANew Modification ❑Complete Reissue El Partial Reissue
No. 75643
Previous permit #
Q B C D
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 15A NCAC / �� )�% UU
Ill Rules attached.
Applicant Name a f J (-"J L (A. 44 ' Project Location: County
Address `A I L) 3 01� ri� r tG � , Street Address/ State Road/ Lot #(s) Lo} j
City et GeorcGQ State \VC ZIP 'J k!;r
Phone # (9 0t4 5 i —'i 1C1 S E-Mail -) c �� ,�b" � + "'��� %� jm4; lSubdivision tic.. k[Sr
r Authorized Agent VV-.ckAt,.03U- cA l��.cj I!fc City ZIP )998
Affected Cw MEW ® PTA 0 ES N PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ElURA ElN/A
❑ PWS:
ORW: yes / no PNA yes / no)
Phone # ( . ) River Basin rr� � t a J" n it
Adj. Wtr. Body h i 1 �Ll P& w k " a /man /unkn)
Closest Maj. Wtr. Body W hr MO r I e 1AAJnrJ
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telh
,,orAoollcant Printed N e
Signature Please read compliance statement on back of permit •s
J
3 '01
Application Fee(s) Check #
Permit Officer's Printed Name
Signatu
Z/2-3 ICJ
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 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
NC Division of Coastal Mgt. Habitat Impact Computer Sheet d
Applicant: r A C� �� �-� l�J�r Permit #: 15
Date: a31 Iq
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
Habitat Name DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
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)
im act amount
temp impacts)
amount
(�
(� S 5Y1+F
Dredge ❑ Fill (&] Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
TDredge[] Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
❑ Fill ❑ Both ❑ Other ❑
::::Dredge
Dredge ❑ Fill ❑ Both ❑ Other ❑
-
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both [I Other El
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanaaement net revised: 02/03/10
AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Perrnit74�)'
Mailing Address:
Dhore Number,
Email Address:
I
Icertify that I have authorize(
Accent JContractcl,
to act or my behalf, for the purpose cf applying for and ottanng all CAIVA permits
Necessary foT the following proposed deveiopment. 't
at my property located all
TUC-- COUrit`;_
i furthermore certify that I a authorized to grant, and do ;n fact grant pem7issior, to
Division of Coasta.1 Management staF, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information dated to this
ciermit application.
Property 0wrer Information:
Signarure
Prirf or —type Varre
61 1 2-41q
Date
This certificabon is valid th,ough 16 ;' 6 / 1 '2-02--D
Revised Mar, 2016
%F
CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY O NER NOTIFICATIONIWAIVER FORM
I LXY I K
Name of Property Owner. Address of Property. 2 7-
(Lot or Street #;street or Road, City & Counto
Agent's Name #. Cft � C/l S� I - �c[�( rMaailing Address ro S. �
l l—
Agent's phone #: 9 S V Z f' Z Z/ ZNaA IS��d C Z 7 J
\� 1 hereby Certify that I own property adjacent to the above referenced property- The individual
w applying for this permit has described to me as shown on the attached drawing_the development
\ o�� they are proposing. A description or drawing with dimensions must be provided with this letter_
r� I have no objections to this proposal- I have objections to this proposal.
V_ \
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 1367 us
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at(252) 264-3901. No
response is considered the same as no objection if you have been notified by Certirred Mai]
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.
Z/ I do notwish to waive the 15'setback requirement.
(Property Owner Information)
Signature
9 I -a ci eu Ou Ux r-�k
Print or Type Name
Mailing AddrL-14—
rr'n�
City/State2ip
Telephone Number
I0- (-/5.
Date
(Riparian Property Owner Information)
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Signature
Pent or Type Name
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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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D. Is delivery address different from item 17 ❑ Ye
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3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
El Adyli Signature Restricted I`,INw
❑ Registered Mall —
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9590 9402 4341 8190 7596 167OCertified Mail Restrir ary rletur.
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2. Article Number (transfer from service label) ❑ Collect do Delivery Restricted Delivery 0 Signatu.,. , onatlon"
-1 Insured Mail ❑ Signature Confkmetlon
.JJ8 2290 0000 9429 2568 Vef� �>ll Restricted Delivery Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
IIIR�I�IIIII�IIII IIII!III IIIIII
United States
Postal Service
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First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+41 in this box,
EMANUELSON & DAU INC
P.O. BOX 448.
NAGS HEAD, NC 27959
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Sliest and Apt. No., o o.
C �AA
Zhiheng Wang
Yurong Liu
304 Sylvan Way
Chapel Hill, NC 27516
re: Brad & Jackie Butterworth — 221 Kitty Hawk Bay Drive, Colington Harbour.
We have been requested by the above property owners to do the following work:
1) Construct a 48' groin on left side of property.
In order for us to obtain the Cama permit for this project, Cama requires each adjacent property
owner to be notified. We would ask that you sign the attached form and return to us as soon as you can.
You may fax it to us at 252-261-1115 or scan and email or simply mail. We are also attaching a sketch of
the proposed area. If you have any questions please do not hesitate to contact us. If you do have any
objections to this proposed work, you may contact Cama (Coastal Area Management) at 252-264-3901.
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: t`
Mailing Address: qfo�
77y-WP _ `DI Y Vim" ?2v z
Phone Number:
Email Address:
I certify that I have authorized
Agent J Contractor
to act on my behalf, for the purpose cf applying for and obtaining all CAM,A permits
necessary for the following proposed development:
C �C l n
C"
at my property located at
in- _ County.
I furthermore certify that 1 am authorized to grant; and do in fact grant permission to
Division of Coastal Management staF, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection ;with evaluating information related to this
permit application.
Property Owner Information:
46i�
Prfni or Type Name
G�
T,�t1e
Date
it
This certification is valid through _ / 6 1 61 I UZD
Re vised Mar. 2016
N
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Fn� lectsoa3 SSRYEtEROt a NT PUTIM. I l0 RM OFFI*10E (252) a80-9998 TAX (252) a8(?-0.57T
CERTIFIED MAiL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY 07NER NOTIFICATIONMAIVER FORM
Name of Property Owner 6J
Address of Property: Z t L-�tt
�{t��� (�'(Lot oeet or Road, City & Coun
Agent'is Name #: �� C/1 �c!� ("Cl Mailing Address*
l r
_ Agent's phone Q (t (4 JliC 2 7 J rj
V)r ' 1 hereby certify that i own property adjacent to the above referenced property- The individual
applying for this permit has described to me as shown on the attached drawing the development
D they are proposing. A description or drawing with dimensions must be provided with this letter
I have no objections to this proposal. I have objections to this proposal.
ff 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 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No
response is considered the same as no objection if you have been notified by Certified Mai'
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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.
I do notwish to waive the 15'setback requirement.
(Property Owner Information)
Signature f
Print or Type Name
MailingA ddres
236-?J
City/State0ip
� "I - S4- I - 1q4 �
Telephone Number
10- t-h.
Date
(Riparian Property Owner Information)
Sigrrf�ture
Pint or Type Name
22 r Tf `4
Mailing Address
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❑ Adult Signature Required $
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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: ^
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9590 9402 4341 8190 7596 23
2. Article Number (Transfer from service label)
7018 2290 0000 9429 2551
PS Form 1811 .Iuly Pni s PRN 753n-nq-nnn-9n53
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❑ Addressee
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D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Expresso
❑ Adult Signature
❑ Registered Mall -
Signature Restricted Delivery
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Delivery
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Merchandise
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❑ Signature Confirmation -
red Mail
❑ Signature Confirmation
red Mail Restricted Delivery
Restricted Delivery
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USPS TRACKING #
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
9590 9402 4341 8190 759L 23
United States
Postal Service
• Sender: Please print your name, address, and ZIP+4`1 in this box*
FTfANUELSON & DACE INN
P.O. BOX 448.
NAGS HEAD, NC 27959
Emanuelson & Dad, Inc.
PO Box 448
6705 S. Croatan Hwy
Nags Head, NC 27959
Phone: 252-261-2212
Fax: 252-261-1115
email: emanuelson(a)embargmail.com
10/01/2019
Gail Leonard
225 Kitty Hawk Bay Drive
Kill Devil Hills, NC 279948
re: Brad & Jackie Butterworth — 221 Kitty Hawk Bay Drive, Colington Harbour.
We have been requested by the above property owner to do the following work:
1) Construct a 48' groin on left side of property.
In order for us to obtain the Cama permit for this project, Cama requires each adjacent property
owner to be notified. We would ask that you sign the attached form and return to us as soon as you can.
You may fax it to us at 252-261-1115 or scan and email or simply mail. We are also attaching a sketch of
the proposed area. If you have any questions please do not hesitate to contact us. If you do have any
objections to this proposed work, you may contact Cama (Coastal Area Management) at 252-264-3901.
We thank you for your cooperation in this matter.
Sincerely,
Jackie Lewis
Emanuelson & Dad Inc
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