HomeMy WebLinkAbout47440D - Mara❑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
r� ❑ Rules attached.
Applicant Name `. , Project Location: County
Address �. Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # () Fax # () Subdivision
Authorized Agent City ZIP
Affected ❑ CW C EW ❑ PTA ES ❑ PTS Phone # O River Basin
AEC s : OEA ❑ HHF C IH - UBA J N/A Ad . Wtr. Body nat /man /unkn
1 y'_ ( )
El PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length_
Platform(s)
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
t
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no I`
Photos: yes no
Waiver Attached: yes no -- - '
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Nam
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
(Scale: )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature �.
1
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, certifythat this project is consistentwith 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
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/ 1-888-4RCOAST
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
CAMA/ 'DREDGE & FILL
1)5
ENERAL PERMIT /
Previous permit#
ew Modification ❑Complete Reissue E Partial 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 I 5A NCAC ) I/I . ) 1-��
�• Rules attached.
nt Name `) c , _ IV\ A fl--1\ Project Location: County V E N L a—
s -7 Z,oS 6 p 1 .,; 0\\-t-t_ ZL Street Address/State Road/Lot#(s)
ice.;.L r CS i-N State N C ZIP ._ 1 0 ► ;L .,\-,.- 1-N V-
#( ) Fax#( ) Subdivision
ized Agent 1\L t.-1. c 7> City 'fo?S,,,i -\17L-flL\', ZIP 2-o y u
d ❑CW XEW > TA ❑ES ❑PTS Phone# ( ) River Basin Ct kE
❑OEA ❑HHF ❑IH ❑UBA ❑N/A & ., 0.4
Adj.Wtr. Body Sao KS Lt-\No w/g,L (nat
❑ PWS: ❑FC: /
yes / no PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body _ `�/
)f Project/Activity T Q5'(,,,,. i. .,,() 'P‘ 1'-'Al .D L if L Y-E \
(Scale: 1
ock)length
m(s)
pier(s)
ength
umber
ad/Riprap length
ig distance offshore
lax distance offshore
:hannel
ibic yards _
+ .
uu a ift lS*q 1_
3ulldozing _i_- f
1
I
le Length - 2-
not sure yes CW,OT f rums 4. + i
gs: not sure yes �� - 4-- • ' II
num: n/a yes ono
y,
CDno i Attached: C - I I I _
f - n
r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
el F. Easley,Governor Charles S.Jones,Director William G.Ross Jr.,Sec
Authorized Agent Consent Agreement
Ct/ tieziw/Mii(ec.82/x)4r, .� 6. is hereby authorized to act on my behal
nted Name of Agent)
to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to ti
c activities described in the attached sketch.
TION
OF PROJECT:
/ 03 -TRv.r , )u E
D PS A t
ERTY OWNER MAILING ADDRESS:
72 o ' GrL5 1 / tj4 '2ayD
2A` e f 6,v PHONE NO. y/ 9 35S Ye. 53
)RIZED AGENT MAILING ADDRESS:
Gl Z h'tf2/J Cf
a ,✓� z 8 yL(3
PHONE NO. 1/D -3(a Z a I s-9
ure of Property Owner. �..� /1 .
)2 07 04: 40p Hal Fogleman 910-2703374 P. 2
DIVISION OF COASTAL MANS' .Nf
ADJACENT RIPARLAN PROPERTY OWNER NOTIF1CATION/WAIV R FORM
amc of Individual Applying For Permit: S on_ fir,
•
ddress of Property:_ (O 3 Tr,' Jt / v e
(Lot or Street#, Street or Road)
1_ t'/ &-c .
(City and County)
hereby certify that I awn property adjacent to the above-referenced property. The individual
plying for this permit has described to me as shown on the attached drawing the development they
c proposing. A description or drawing with dimensions,should be provided with this Ietter.
have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal
Lanagement, 127 Cardinal Drive Fa-tension, Wilmington, NC.28405 or call 910-395-3900
ithin 10 days of receipt orals notice.. No response is considered the same as no objection if
)u have been notified by Certified MaiL
•
_'WAIVER SECTION .
understand that a pier,dock,mooring pilings,breakwater, boat house or boat lift must be
bo k a minimum distance of 15'from ay;area of riparian access-unless waived by mc. (If
)n wish to waive the setback,you must initial the appropriate blank below.)
l/ 1 ,-, I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
Ign Name Date
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
3me of Individual Applying For Permit: ,\77it. on. 71/4_ro`
idress of Property: (0 ?j ,j ro LJf f)-✓e
(Lot or Street#, Street or Road)
10psac'/
(City and County)
iereby certify that I own property adjacent to the above-referenced property. The individual
plying for this permit has described to me as shown on the attached drawing the development they
proposing. A description or drawing, with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal
anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
thin 10 days of receipt of this notice. No response is considered the same as no objection if
u have been notified by Certified Mail.
WAIVER SECTION
nderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
bek a minimum distance of 15' from my area of riparian access-unless waived by me. (If
a wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement . 5Fr 41'4 c-1 c/(Aw
I do not wish to waive the 15' setback requirement.
("14 Vi ---- A.- --C)7
ame Date
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