HomeMy WebLinkAbout47430D - Bethune❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Previous permit #
❑New ❑Modification ❑Complete Reissue
❑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
❑ Rules attached.
Applicant Name ,�; "
Project Location: County
Address V
Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # () Fax # ( )
Subdivision
Authorized Agent `' _
City ZIP
Affected ❑ CW ❑ EW 60 PTA ❑ ES ❑ PTS
Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body r"
ORW: yes / no PNA yes /. no Crit. Hab.
yes / no
Type of Project/ Activity
(Scale: ) I
Pier (dock) length
Platforms)
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 - - - -
- - --
i
i
_
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no = "
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
------
--
-
- -- -
A building permit may be required by:
❑ See note
on back regarding River Basin rules.
Notes/ Special Conditions
,agent or Applicant Printed Name - Permit Officer's Signature
Signature ** Please read compliance statement on back of permit"
Application Fee(s) Check #
Issuing Date
Local PlanningJurisdiction
Expiration Date
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 i 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
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mail
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 06/29/OS
/ - -
]CAMA/ Lizr DREDGE & FILL t
1ENERAL PERMIT Previous permit#
?New .-Modification ❑Complete Reissue '.Partial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ) )--/ , � � J�
y Rules attached.
t Name�L e. H►4*_ �t 1 rkv..,.:)t Project Location: County =J 7G 1L
1-1 1 3 . 41 13SSA iN A 'i Nt Street Address/State Road/Lot#(s)
>c-tt-`) ttlo�. Statet L ZIP ,_t ` t,, 1--\ ,Ls..) $trvi)
(Zs"z) Li q to- u-•Z Fax#( ) Subdivision
ed Agent Or) c ILL-1 TT City-1 PStaiL- &t-,=1c.;4 ZIP 2. y
❑CW ,Q W ZPTA ›ES ❑PTS Phone# ( ) River Basin Li4PE 4
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body 1• PSlJ L- 'SJ%•••.. ) (nat
PWS: ❑FC: _
yes /%n PNA yes /(h=2 Crit.Hab. yes / no Closest Maj.Wtr. Body Ai-`�V.V./
Project/Activity 1 ).)S'"1-►airr... S 4-1-0 C f‘ r%._ :-i. I .)(--' - r,_,i_,\E N )Li
t,it*,A(1._"-", J F t K a_ r-t 06- Ix..) 3s 1 v-) SAr,.i. k4:4--i?I .57 (Scale: I - L
:k)length
(s) � "`.'��P } T L. J N_ ! y"r -" l
er(s) 1 !_
I , _� 't
Igth J 1 _ _. _. .._.._.. - : . . 1
nber ii
. =
li Riprap length_ �� 4 - -- _—
distance offshore '7,,. i a ��"mob
��c•A�vr),�, .
K distance offshore 7.. •• . . {
annel ( +1
tic yards
ip
II Y
;e/Boatlift
illdozing
1
. �t , 1 . I
Length `L `'�'t ~
not sure yes 'no } 1
not sure yes 'iw=
um: n/a yes P: no- I
i
yes �- 7
1 �1
ttached: yes J I I '— 1
1 -- ri . ..
JAN. 30. 2007 12:20PM HOG SLAT NO. 4480 P. 1
ni 16 -1?"- ®
COE Sitti
DATE: ///30//4
TO: 7)/A1-- 1 /2"z''�
COMPANY NAME:
FAX NUMBER:
FROM: 7j41V,'c/
This Fax Consists of Page/Pages(Including the Cover Sheet).
If You Do Not Receive All of the Pages, Please Call
as Soon as Possible: (910)594-0219.
COMMENTS:
ivt.7 `^ € ///e• ht‘e- C— - _
110 ^P -0 O O 3!1 p. 2
CERTIFIED MAIL— RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: ' !''`.' !=.- 'i& `-11/e_
Address of property: _ . _ 4t ¼!,:i-'ck'
(Lot or,trccttt,Street of road)
/ ; FC4t/7 dy; " ,41,14/?
(City&County r
I hereby certify the 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,irhave,no
should be provided whit this letter.
objections to this proposal
If you have objections to what is being proposed,please write the Division of Coastal
Management,400 Commerce Ave.,Morehead City,NC 28557 or.,call(252)808-2808
within 10 days of receipt of the notice. 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 .. ,
sandbags 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 requirements
; 0 7
Signature . / ate
SENDER: ::OMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sign u �j
item 4 if Restricted Delivery is desired. X t� L jJ • r. ❑ w-nt
• Print your name and address on the reverse ``` ‘ ❑A. �• ee
so that we can return the card to you. B. Received by(Printed Name) teof De'• -
• Attach this card to the back of the mailpiece, D..D
or on the front if space permits. , • Z
D. Is delivery address different from item 1 '��I - .....I,1. Article Addressed to:
If YES,enter delivery address below: 0 . �C1
5-}'Q,.: Le�.5+ L es ,)*
•
1 9-0 W s4 VQ.v-1 w I fi J e
/�� JJ C 3. Service Type
�p �{�t•-( r Pit 1';es IV 0 Certified Mail 0 Express Mail
' ( 0 Registered 0 Return Receipt for Merchandise
c�: 7 'i 0 Insured Mail 0 C.O.D.
*� 4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7005 3110 0000 0503 3530
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
"4