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Home My WebLink About73669A_Bunch, Lonnie_20190717`❑ CAMA / DREDGE & FILL NO. 73669 B C ° GENERAL PERMIT Previous permit # 4New "lodification ❑Complete Reissue El 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 0'7 H A Rules attached. Applicant Name �._ tJ1`1 ! �. Project Location: CountyLl (✓Lf /� /LI Address / /35TR I C_jc5 G-&N E City___16TJ7xb StateKiC- ZIP V N 44 Phone # ( $1) x 12 E-Mail Authorized Agent ❑ Cw ANEW PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ORW: yes / 6b PNA yes /(5 ❑ ES ❑ PTS ❑ UBA ❑ N/A Street Address/ State Road/ Lot #(s) /121 3jO1C( LAIQLE, Subdivision CityZIP Phone # (75 2) `/'Z(.-• I27 ( River Basin LawubT�/U� �cyur�lA/Y Adj. Wtr. Body SIPi t /m_ n /unkn) Closest Maj. Wtr. Body t` (� ■EM■■■ ■■. la■ 1110 "IMI#,Ar o ■■■■ 1 ■ ME M ■■ICJ■ /1■■■■■■ %■,/• �%■■■ ■ ■WINK■ ■r��■■®■■■c��■■■■■■■■ yr�,G.V■ ME Nor EVEN ME ■■U■M�■■■�i■��i■r�t�:�r�WWZ��■■■ ■ J■' ■EYNEwmaw■ %/1►Z�w-WO '" N7 TIME■ ■■INIENOWUMOV, rNA IA /./ ■ so MENEM • a mom ■EM■t■ ■■■■■■■ri■■■■■NE■V.■■■Ik�!!w/,i!!■i■r■ ■i r ■M ■■■ ■■■■■■�c�c: ■■■■■ ■�I�®■■■�i■M■■ ■=■■■■ ■M ■ii■i c►��■�■■■■IAIN■MEM■n7A■■■ ME■ ■■■■■ it am Via■ : 9MINE�■■■■ ■�■■■ �� ■.�■■ ■�■..� ■■. ■■ME■■■■■ ■■■ ■■■■■ . ■■■■ ■■ ■■■■■■ ■nMENi it �t n, 1? Agent or Applicant.l3r111ted Name Signature Please read: liance statement on back of permit 4 e! � ZI U(o.�- Appli�ee(s) Check # Permit Officer's Printed Name :. — `tC— Signaturef Jul 17 Z013 BU J' 17 Issuing Date I — T 6piration 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 2S2-808-2808/ 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 Citv District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3 723 (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 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFIC4TION/WAIVER FORM Name of Property Owner: Address of Property: Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & Mailing Address: I 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 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. 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 Certified Mail. 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.) ,e 'I do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Print or Type Name �: /� Mailing Address /!c City/State/Zip Telephone Number Date (Adjacent Property Owner Information) Print or T e Name Mailing Address City/State ip Telephone Number Date Revised 6/18/2012 dic .& CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFIC,ATION/WAIVER FORM Name of Property Owner: Address of Property: ///` Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & County) Mailing Address: I 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 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. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCAI) 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 Mail. 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. I do not wish to waive the 15' setback requirement.-. (Property Owner Information Signature Print or Type Name �/3 �f�x Mailing Address CitylStat&Zip erne Number Date (Adjacent Prd'perty Owner Inf tion) Signature (f ,E, b S. 001,1dft, Print or Type Name �a %3ox/y Mailing Address NC 1?/_1711/� CitylStatelZip asJ- 31�-3y/,I- Telephone Number . =��' �l Date Revised 6I1 &(2012 Lonnie Bunch Strick's Lane LA NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: (J` vl6 Permit 7 Co q 6 Date: du� 1-71 -W19 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 A �� Dredge ❑ Fill ❑ Both ❑ Other ❑ I O 6� J F I 0 S 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST = www.ncccastailmanagement.net revised: 02/03/10 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED I hereby certify that I own property adjacent to Z— n /7 /7 d ' s (Name of Property Owner) property located at / /'g S f r , f-k,-' S 6 ,- - , (Project Site: Address, Lot, Block, Road, etc.) on �sZ(`��+: r.�vns �� in Qcf-�a �c1 AC. (Waterbody) (City/Town and/or County) Agent's Name #: N / A 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) \ K 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. Griffin St., 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 if you have been notified by Certified Mail. (Property Owner I formati n) Signature 2� /Ins �k2 Print or Type Name Mailing Address City/State/Zip 2 5 z -3/z -5" `�-)q Telephone Number/Email Address Date (Adjacent Property Owner Information) Signature* Print or Type Name Mailing Address City/State2ip Telephone Number/Email Address Date* *Valid for one calendar year after signature* Revised Jan. 2017