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Home My WebLink About75392_Millard Juba_20200623 0 CAMA / .. DREDGE & FILL No. 75392 A g) C D GENERAL PERMIT Previous permit # )1C •'New Modification Complete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality �7 and the Coastal Resources Commission7 in an area of environmental concern pursuant to 15A NCAC //'•/ v� f(Ut �rSRules attached. Applicant X// c- . ij 1 County Name <� is � � Project Location: �Ce-, 4 �,r-� (--, Se-- p Address /. '6 /7-,, Je-/�-!, //I/Dt e/ Street Address/State Roaa�d/Lot#(s) J�g / r 7/r e City ; i/,•e-,- I,.,,, State{�/{7 ZIP ,If 71 y /�,- ,`! iC ''.2 Phone # (--7G`1 1Cp /d'iG // E-Mail Subdivision r- Authorized Agent w'f //4<, /�,•S tr.•� .1 A- '-v• /J City 4,- // ZIP o?Jf, ,, Affected Cw Aw ❑PTA ICES OPTS Phone # ( ----)- ,RRiiver Basin r , ,pe,., OEA 7 HHF 0 IH 0 UBA ❑WA Ad . Wtr. Bodyf�- / AEC(s): r, c f PWS I . &man /unkn) ORW: yes / no PNA yes / no) Closest Maj.Wtr. Body ' .-+ /,-, �-•' Type of Project/Activity_. . • , f' ,. •/ / c_ 4.•.,/ I ��; '��_ ��i (Scale: / ` - %G t ) Pier(dock)length iFixed Platform(s) j Floating Platform(s) A 1 — - . I i i l i I j J . Finger pier(s) Groin length I i number Bulkheac prep I gth 4�0 ✓ avgdistance offshore O , r r jf 4 max distance offshore �' { i :/ /i f , Basin,channel i lit`" 4, i 1 cubic yards - 1 i Boat ramp j 1 ✓ r„! r 1 ii 0 Boathouse/Boatlift I, '— — Beach Bulldozing _ I r'/1-py 11G' ,{ 1, rce / Other -_ . 4' r I�` rs**".6414241‘12-9-' Shoreline Length 1140 SAV: not sure yes no . -- -- I� —� --_ �c// J Moratorium: n/a yes no i �` � r r f p A I/ f LK Photos: no 1 G } I !f '. G�._ ,. 1� Waiver Attached: yes no / • ----- A building permit may be required by: /%�'/c. / ,i � c ! . E'!See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) / / / Notes/Special Conditions /C. 17_ .2(74 ) ,ic // • 7 / .-A c.. ,!/ tt..j c'/ i, 11\1 C T4 f ` C, . iDaU I t S[A ,,'•,r l � �// Agent or Applicant Printed ep _ u Permit Officer's Printed Name 1 y Signature lease read compliance statement on back of permit** Signature Application Fee(s) Check# 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/ I-888-4RCOAST 252-946-648 I 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 Firefox about:blank • ADJACENT RIPARIAN PROPERTY OWNER STAT MENT • ( T • I hereby certify that I own property adjacent to 1 i \\` _ C, 11 d Xd N of Property Owner) property located at ?l z '\C\Q��ee \ p (Address,Lot,BI , ,eta) • on f 11'VI l\`d�\\les' R in N.C. • (Waterbody) (City/Town and/or County) 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) • • 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.) wish to waivethe 15'setback requirement. I do not wish to waive the 15'setback requirement.. (Pro arty Owne Info ati n) (Adja nt Property.Own r Information) try\ A �^, Alt .6- 5qq�1yy�oXrr��, �V, ' * r rp 1\ • ll SS Pl lDlnetr(('T m c \ Print Ti Na • U1P.� \I�r \r,ct City tat City/s ' , - 53(6-9141 Telephone Number Teleph a Num er Dare ' Dare (Revised 6/18)2012) • • 2 of 3 6/18/2020,9:35 AM L V / ,v c.; lit.1 ve« i -P j _ ADJACENT RIPARIAN PROPERTY O NER STAT ME T 6_9.,,-- I hereby certify that I own propert adjacent to 's 3 I Z , T e of Property Owner) property located at r (Address, Lot, BIThlktl, etc.) on TOSIAV1 C.0 \v Cr , in , N.C. (Waterbody) (City/Town and/or County) 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) 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.) LSI 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) Cc\.)\\OSC\ U-\00' X ,,,--• ie‘t , k)-14„---- si�1�\Q r A �Q >l,Sig al / � G�1tiys ( WG "VtvV F ,IJoyp re m \ �Y' 661 ;trot or 7 Name00L,iitr O pe Cai A re (24./ Mailing Addres it Stat i 64- c-ii), -- \29 10 t/Sta 2i Telephone Number Telephone Number Date Date (Revised 6/18/2012) • • Davis Hauling and Excavation Contract/Proposal Owner Clint Davis 6116 N. Savannah Rd. Belhaven NC, 27810 Phone (252) 945-2926 Fax(252) 964-2926 NAME/BUSINESS: JUBA MILLARD P.O.# 318 Pine Tree Path Bath NC 27808 ADDRESS: 1566 HARMON SCHOOL ROAD WV DATE: 3-27-2020 PHONE: 1-304-300-1896 FAX/EMAIL: iubamillardanmail.com e raded C3�a it20 —Ori3 DESCRIPTION HOURS RATE AMOUNT This proposal is for a estimated 100 foot concrete bulkhead 65.00/per 6500.00 foot Price for CAMA permit 400.00 TOTAL 6900.00 The above prices, specifications and conditions are satisfactory and are hereby accepted. Davis Hauling and Excavation is authorized to do the work as specified.We will not be held liable for damages that may occur to property outside of job being done for duration of the job. Payments will be made 1/2 at the beginning of job, balance to be paid in full at completion of job. Company Owner Signature: Property Owner Signature: Date: Thank you for your business! Firefox about:blank N.C. DIVISION OF COASTAL MANAGEMENT AGENT ALB HORIZATION FORM Date (j3 90 Name of Property Caner Applying fur F ermit cw w r A tkbn. Mailing Address: Tr;fte_kon, k W 24 T739 = q N. \R f certify that I have authorized(agent)n1C{lda l 1 S y.��to act on mCav behalf,for the purpose of applying for az d obtaining all CAMA Permits necessary to 1 install or construct(activity) ' qq�C .„ C �(1('r2 Di\ S\MIC#11^ne_7 on,4 at(my property located at) This certification is valid tbru(date) _ q Property Owner Sire Date 1 of 1 6/9/2020,3:46 PM NC Division at Coastal Mgt; Habitat Impact Computer Sheet Applicant / ;//cr I J4 be - 1 Date: J o23 O 2O any General Permit#: 75J9'- /7 • • • • Describe below the HABITAT disturbances forte application. All values should match he acne,and units of measurement found in your Habitat code sheet. TOTAL Sq.Ft. FINAL Sq. ft. TOTAL Feet FINAL Feet • (Applied for. (Anticipatednoal (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. • Disturbance disturbance. Habitat Name includes any Excludes any total includes Excludes any Choose One anticipated restoration any anticipated restoration and/or • restoratidn or and/or temp restoration or temp impact �// • • tempimpacs) impact am curt) letup impacts) amount) "`o `Li c Dredge❑ Fill 0/Both ❑ Other ❑ //o //e // 314 O/l✓%i/x. Ly Dredge❑ Fill ' Bo El5r56 thOther ❑ sso Dredge❑ Fill❑ Both 0 Other 0 Dredge❑ Fill❑ Both ❑ Other ❑ Dredge Fill❑ Both ❑ Other El • • Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ All❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both El Other ❑ ' Dredge❑ Fill❑ Both 0 Other ❑ Dredge❑ All❑ Both ❑ Other 0 Dredge❑ FIII❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other 0 Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ FlII❑ Both 0 Other 0