HomeMy WebLinkAbout54547D - JamesLAMA / ❑ DREDGE & FILL
541,
;PNFERAL PERMIT
Previous permit #
issued
)�levv ❑Modification El Complete Reissue El Partial Reissue
Date previous permit
ized by the State of North Carolina, Department of Environment and Natural Resources
environmental concern pursuant to I SA NCAC
:oastal Resources Commission in an area of
attached.
Rulesattached.
+ �'ttt , /
L 1� �D
Project Location: County lywio I&41w,011
/ �
Name
StreetAddress/ State Road/ Lot #(s)
1A7 State ZIP I /
!`!� % 2D� se
_
O / Fax # O �--
Subdivision �s��s
ed Agent
City —
yW [k4pTA ❑ ES ❑ PTS
Basin eel
Basin
Phone # ( ) -�'�'
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
/River
Adj. Wtr. Body li -f C r! nat
El PWS: ❑FC:
Closest Maj. Wtr. Body 41
��
yes f no. PNA [yes no Crit.Hab. yes / no
F Project/ Activity _
FG p�/ter
rck length 2 X
i 3 x:5
angth
imber
id/ Riprap length_
,g distance offshore_
ax distance offshore
:hannel
jbic yards
ine Length '
not sure yes no
igs: not sure yes
xium: n/a yes
yesC
r Attached: yes no
ding permit may be required by:
(Scale:
regarding River Basin
CICAMA / ❑ DREDGE & FILL
54d
GENERAL PERMIT
Previous permit#
❑New ❑Modification ❑Complete Reissue El Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
�j
❑ Rules attached.
Applicant Name
Project Location: County
-
Address -� 1 .
Street Address/ State Road/ Lot #(s)
City Wl r2rt..u. ),p- State_XZIP ���%:
i'_✓'� / �' �,�� !� %':j.�,.-,
f/
Phone # () r. : ! Fax # (i)
Subdivision
Authorized Agent',`? �` /rs j,
City "".- ZIPlr.
_lCW ❑EW ap'm Li ES ❑PTS
AffectedEl
Phone # ( ) River Basin
l
OEA El El ❑ USA El
AEC(s): HHF
i
Adj. Wtr. Body
(nat 4rj Yunkn)
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
3.
Type of Project/ Activity
Pier (dock) length X
Platform(s) ; •=' �C' }
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other % 'S�ilV1
Shoreline Length '11%�
i
SAV: not sure
yes
no
Sandbags: not sure
yes
o
i
Moratorium: n/a
yes
o
Photos:
yes
Waiver Attached:
yes
no
A building permit may be required by:
Notes/ Special Conditions
l
Agent'or Applicant Printed Name`s
Signature *f'Please read compliance statement on back of permit u
Application Fee(s) Check #
,sy L] See note on b:
YL' `
1,
(Scale:
regarding River Basin rules.
Permit Officer's Permit Officer's Signature
-5"h,-//V/%3�/i�
IssuingD�a�t`feJ
Expiration Date
/�n
�—$-F-����
7_
Local Planning Jurisdiction
Rover File Name
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 Quality. Contact the Division of Water Quality 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
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd,
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(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 -below New River Inlet- and
Pender Counties)
Revised 08/09/06
C Division of Coastal Filgit. Habitat Impact Computer Sheet
>plicant: �11CVllt1 �pvn� Permit #:
ite: 5 j1Z
,scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat 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/o
temp impact
amount)
� 1 ,� l
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Dredge ❑ Fill ❑ Both ❑ Other
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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 ❑
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
reema
,edy Eaves Perdue James H. Gregson Dee ecretx
rernor
Director Scretar
AGENT AUTHORIZATION FORM
Date: 31/1
ne of Property owner Applying for Permit: Name of Authorized Agent for this project:
ill �t� . ,
b
'ner's Mailing Address:
one Number
Agent's Mailing Address:
411
Phone Number Mk) L� _q�n 1
:ertify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
r and obtaining all CAMA Permits necessary to install or construct the following (activity):
njR Pj
ny property located) at
his certification is valid hru (date)—
,
Property owner Signature Date
to
A
DIVISION OF COAST.�I,;vLANTAGEr2ENT
MAN PROPERTY ONv\TFR \T(-)TTFT(' e TTn)
:Tame of Individual Applying For Permit: /y) rely a,bfr
Address of Property: 3 7 �.— /�a.� f K)"
(Lot or Street r, Street or Road)
u/ . I M s 1-w
(City and County)
ff
I hereby certify that I own property adjacent to the above -referenced -property.
The ind
applying for this permit has described to me as shown on the attached drawing the developme
are proposing. A description or drawing, with dimensions, should be provided with this le
--- L� I have no objections to this proposal.< --
If you have objections to what is being proposed, please write the Division of C
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-39:
within 10 days of receipt of this notice. No response is considered the same as no obje(
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m
set bck a minimum distance of 15' from my area of riparian access - unless waived by r
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 1 S' setback requirement.
-S
Sign Name Date
QJ /40Koyr ;
AD�a'
DIVISION OF COASTAL, M.AN-AGEN,fF-NT
RIAN PROPERTY OW INTER NOTTFTr a TMr
:Fame of Individual Applying For Permit:
Address of Property: 3 i 6 D k w c Pu, ,1 0 f
(Lot or Street ir"r, Street or Road)
(City and County)
&_C. 2��/I( -
I hereby certify that I own property adjacent to the above -referenced --property. The ind
applying for this permit has described to me as shown on the attached drawing the developme
are proposing. A description or drawing, with dimensions, should be provided with this le
- I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-39
within 10 days of receipt of this notice. No response is considered the same as no objeo
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift m
set bck a minimum distance of 15' from my area of riparian access - unless waived by i
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement
53 I do not wish to waive the 15' setback requirement C--
Sim Name
Date
C DTI.2
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