HomeMy WebLinkAbout47432D - Henderson❑ CAMA / ❑ DREDGE & FILL A, T3 2
GENERAL PERMIT Previous permit#
❑New ❑Modification El 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 J Project Location: County
Address - -.. ti Street Address/ State Road/ Lot #(s)
City
State ZIP 1
Phone # O
Fax # O
Authorized Agent
❑ CW ❑ EW
❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA ❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ Pws:
❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body y, i C (nat /man /unkn)
Closest Maj. Wtr. Body -
Type of Project/ Activity
(Scale: )
Pier (dock) length
I- Tr--
Platform(s) - --
Finger pier(s) 1
I I
Groin length
number
Bulkhead/ Riprap length—)
avg distance offshore
max distance offshore />
Basin, channel
�' - � � I I ❑._I
cubic yards
Boat ram
Boathouse/ Boatlift
Beach Bulldozing —❑
Other J;
i FV11
Shoreline Length ----
SAV 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:
Notes/ Special Conditions
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on back regarding
rules.
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❑ See note
River Basin
o
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
C(rJ
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
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 1 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/05
/0'' '
:CAR/IA/ '2 DREDGE & FILL
3ENERAL PERMIT Previous permit#
_New :Modification -iComplete Reissue LTIPartial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources '
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC , i j -_ 5' � ��
f4
1±1 Rules attached.
it Name ._3. E \- \ ‘, bG K-5,) Project Location: County �N L, -')
e'-- ----" -1 \-') -(LZ`.. rl✓/C- Street Address/State Road/Lot#(s)
,,�p �S- ./ Yru` 1-2- State State 0 ZIP `aLia 11-4 '> 7�1.i_ t� TO1L 42.2
( ) Fax#( ) Subdivision
zed Agent tires`L�,;= (1--_ City`jtQ E O‘o$ C-i�a-I-\-) ZIP 2.-:-= '1
I ❑CW 21,EW rig PTA J ES ❑PTS Phone# ( ) River Basin W G
❑OEA ❑HHF ❑IH ❑UBA ❑N/A �a a+).‘--)
Adj.Wtr. Bodyi ltl�twdL(--'L •) 1 (nat
❑PWS: ❑FC: n
o PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body t- C W Q. a L_
yes n
J
f Project/Activity V ,:. P v iN L C ` \z„.n,.-.c.-\\.Ab m w s, a i)
(Scale: `t ,
xk)length
n(s) . `..a......_ } .._
>ier(s) 1 ��
mgth -- — - A , -
1 ,
--7---...................2...
imber { ' I
Riprap length }1.S O
a --
g distance offshore
_::;
ax distance offshore I
hrma i
— I { f..
Ybic yards —1 (O
mp { •- i
"1
Jse/Boatlift ' ` t S
I -t - I 1--- \ , 1 1 i) .
iulldozin tt
,_
-,-- i -.
1e Length \1)� � -......._ j
not sure yes no ` { t
s: not sure yes no ..... — _ r.......-�... t 4 ,
I
lwm: n/a yes no
yes no
1
Attached: yes no I
. 7
20 06 04: 14p p. 2
C / u9 1 i :ena P. ■
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit . e+u l e✓5
Address ofPrup iv: j �{�; /mac l �,. e� ;
(Lot or Street g, Street or Road)
zI •C;
(City and County) j
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying.for this permit has described tome as shown on the attached drawing the development they
tire proposing. A description or drawing,with dimensions„should be provided with this letter.
—173 cf ems( v --r+rl Q f�s t"' pet� 4 5 �_ /- �.
I have no object to this proposal.
[f you have objections to what is being proposed, please write the Division of Coastal
VIanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
vithin 10 days of receipt of this notice. No response is eonsidered-tbe same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be
tt bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If
on wish to e 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
,62
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NameDate
I; &-/V/< o4s A
int Name AV
7 /0 - 7- 3 / 86 NCDENR
lenhnnr T.in..,l,.r ',,, A..a.. r...a_
20 06 04: 14p p. 3
^ CI U9 1 t :9tla f+.
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit -, (-(E&1c l -e v-5<,
Address of Property: / /S L
(Lot or Street i,Street or Road)
in 6,,(s \ •C.
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described tome as shown on the attached drawing the development they
are proposing.( r(/A descriptionJ^ or drawing,with dimensions should be provided with this letter.
I have no objectis to this proposal. = �`( te ;r {� Utz Je,�.,<
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered-the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier,dock, mooring pilings, breakwater, boat house or boat lift must be
et bck a minimum distance of 15'from my area of riparian access-unless waived by me. (If
-on 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,
•
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sm Nanle �� / Date
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asp) 7s_i 3sS2 NDENR
'levhone Number with A i r P """"d°"'O4
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give authorization to
Antinori Marine Construction to act as the
contracting agent in obtaining and signing for the
requested CAMA permit.
Job site address is:
. C, zf 6 d
My permanent address is:
P.0 5ox. 7 aoJ
po!L : 3 At vg
1•1 c a,E(SYt)