HomeMy WebLinkAbout73883A_Arrowhead Beach POA_20191015R CAMA / ❑ DREDGE & FILL No. 73883
GENERAL PERMIT Previous permit# A B C °
XJNew ❑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 7/ r r C� r
/� p Rules attached.
Applicant Name f Ir r c:)W � r-c, dt 61c<r h Prop. Q,,jA4,r_, j7,•,,,(.Project Location: County �'. _,,"-)a n
Address Cam% S ja0lX Tr ( , Street Address/ State Road/ Lot #(s)
City ("d -u c rn —State NQ ZIP ;fix 1 C) 4 �', �e k. 7 1
Phone # (1152) `(1 - H3tn3 E-Mail Subdivision ; �c_. , �A ecc,C h
Authorized Agent
Affected ❑ CW #* KI PTA ❑ ES ® PTS
AEC(s): ElOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A .' j
❑ PWS:
ORW: yes / (no PNA yes / no
Type of Project/ Activity K (,, ; ` ILI'
Pier a %b A 5 YZD
Fixes
Float
Fingi
Groi
Bulk
Basir
Boat
Boat
Beac
Othr
Shor
SAV
Mor
Phot
Wah
City <!t }-rZIP
Phone # ( - ) River Basin
Adj. Wtr. Body T rj ra n CAcg C (oat lman /unkn)
Closest Maj. Wtr. Body 01("rr Yr^c r (E S'A, "J
(Scale: I � u' )
Platform(s)
■■■■■■■■■■■■■■■■
M
■■■■■■■■■■■■■RME,
.n Platform(s)
■■■■■■■■C�■11�i1i1■■�■■■■!!!�■■■■■■■■■■■�iJ■■
i length
■N■■■■■■■■■■■■■■■■■d■■■■■■■■■■■■■■■■■■■
ieaq/Jkiprap length
av8 distance offshore 2-
■■■■■■■�■!A■■■■■■■■■■■■■■�■■■■■■■
■■■■■
max distance offshore —
■N■■■1■■■!■■■■■■■■■■■■�■9■■■■■■■■■■■■■
■■■■■■■■lili!■1■■■■■■■■■■��Ii1■■■i■-�7■■■■■■■I
■■■■■■�.■Leo■■■■■��■■�:■■■�■■■■■�■■■■■■■■■.
cubic yards
ramp
■■■■■■■■■■■■■■■■■■■■■�■■■■vI■■■■■■■■■■
■■■■■■_.,�■■■■■■■R7■■■■■■■■■■■■■■■■
■■■■■
-i Bulldozing
�!■Ifs■■■I�■■■■■■�1■■tl■■i�■I�::1i�■■■■�■■■■
not sure yes .
��■■■■is■■■�i■■ilw■f■■il■■�■L1�■■■■l■,■aa
■■■■■I
torium: n/a; yes no
no
.
■�■■■!■■■■H■i■■■■■■
A building permit may be required by: C� V� 0-.-a r C Uu r14
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Lytk-kc' 1`Cknr�l�rt
PermitOff%gt's Printed Name
Signature
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 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/ 1-888-411COAST
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
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)
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. HabitatImpactComputer Sheet
Applicant: �e�:LC'� rv� Permit #: r7
Date: �0/l c� II �l
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
We-1*C
Dredge ❑ Fill ❑ Both ❑ Other 159
L/Esjv
Dredge ❑ Fill] Both ❑ Other ❑
Dredge ❑ Fill ❑ Both fg Other ❑
G Sti�c��tt
SYtL �
Dredge ❑ Fill ❑ Both ® Other ❑
! 1 l'I T 'f
t' -1 4
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.nccoastalmanagement.net revised:02/03/10
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to,
s
property located at (Name of Property Owner)
on
(Waterbody)
(At)Clress, Lot, Block, Road, etc.)
in
(City/Town and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
2&Y
�d
Ovid 54W^ f,e-
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.)
Ij do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
;(Property Owner Information) (Adjacent Property Owner Information)
Signature l
y�2 •'�rc��i.� Signature
Print or Type Name Print or Type Name
r.�/�
Mailing Address Mailin ,A�dress
qrty/St te/Zrp 0ty/State2ip
Telephone Number/email address - �'�o/1 �3
Telephone Number/email address
Date Date*
*Valid for one calendar year after signature* (Revised Aug. 2014)
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
�rnwhead 'Fx^ 1t K PM
Address of Property: 2()` c4ylek 1'r
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
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 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
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 sign the appropriate blank below.)
I do wish to waive the 15' setback requirement.
V I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature �c/ 4
c / 5 I'd l %
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/Email Address
Date
*Valid for one calendar year after signature"
(Adjacent Property Owner Information)
Signature *
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/Email Address
Date
Revised 2017
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