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HomeMy WebLinkAbout77296_Susan Adams_20201015 /Ql 0 CAMA / DREDGE & FILL -r�Imo '�t[ �'1005 No 77296 9, C D GENERAL PERMIT _1-1/ Previous permit# ( i )C ,New Modification ❑Complete Reissue 11Partial Reissue Date previous permit issued A,/,!' As authorized by the State of North Carolina,Department of Environmental Quality i/ //�U and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC . ❑Rules attached. Applicant Name -- �,e+� / Project Location: County / ; 7, r' Address .5 ij/c a,. /1,, i /�` Street Address/State Road/Lot#(s) J Y 1, I, h,�; - City Jef/, State!(/C ZIP , cl / L-z,, ,,,/ 4 Phone#( ) :— ,/ -�c'. E-Mail Subdivision/mot c f 72,, ,, ' ��„ , Authorized Agent 7:1 / 7 ., < City /r /<, r ., l ZIP _2 7 /O Affected ❑CW ❑EW FtPTA ❑ES OPTS Phone# ( ) River Basin -1 / r AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body tel., r -i J.r at, man /unkn) ❑ PWS: J ORW: yes / no PNA yes / no, Closest Maj.Wtr. Body / N._In f, '-- Type of Project/Activity i / , . c: %/, ,, e (Scale: ) Pier(dock)length I Fixed Platform(s) } Floating Platform(s) Finger pier(s) — Groin length ' 4 / i ..... number -- .-._.._._...._._... i c ulkhead/-Riprap length I .... t -1..-- .- -- avg distance offshore .' I max distance offshore '-2 i 1 { Basin,channelsd, -— cubic yards i Y J I f / / ", r I4, Boat ramp i `.- y, I i Boathouse/Boatlift _ �_._._. - - II --- - -.. i -- - - fi Beach Bulldozing - y�` ,re- I / if Other 1 4,,.4';' !' I ' 1 f Shoreline Length J /�( r Y' . l (. i I j 1 SAY: not sure yes no _.._.._;.....,�d y II rC /1 _ -)_._..... c 1Xr r t /. ,.;I -I i i . . 1 r:_e.,:7 _. '/ R T Moratorium: n/a yes o 1 ' Il1 .ram Photos: yes no 1 Waiver Attached: e o I ' I 1 A building permit may be required by: —, /: -I 6 I(--'-See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions . ^// '/C ' I I p rimed e Permit Officer's Printed Name Signatur **Please read compliance statement on ack of permit** ignature ! /c/v ,,' / . a / /5 2ei-- a / // /5 , & 5 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(9 I 0-796-72 1 5)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 /�/J 0 - CAMA / DREDGE & FILL 04 fl005 N° 77296 ABCD GENERAL PERMIT Previous permit# New Modification ❑Complete Reissue CPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC L Rules attached. Applicant Name - - _ Project Location: County Address /,, 1 - Street Address/State Road/Lot#(s) City State ,'( ZIP , Phone # ( ) _ E-Mail - Subdivision /L'/ Authorized Agent City _-- ZIP Affected ❑CW ❑EW ❑PTA ❑ES CIPTS Phone # ( ) River Basin /;j`" ❑OEA IHHF ❑IH ❑UBA ❑N/A , AEC(s): Adj.Wtr. Body i `. - .- at /man /unkn) ❑ PWS: J" ° � " ORW: yes / no PNA yes / no Closest Maj.Wtr. Body / J Type of Project/Activity (Scale: / ) Pier(dock)length_ 1 i i Fixed Platform(s) 11 Floating Platform(s) _ _. i f Finger pier(s) 1 i 1 I —i i �� , i Groin length I f j t.. 1 ill number ___._._.�—.---- -- ...-----._.._..__._.— :' .i 1V...-+---4 - -' --'-''-- - 11 Bulkhead/Riprap length 1 1 avg distance offshore i I max distance offshore f ..1 I I Basin,channel ' I . .' r' I I j '. i 1 1 _---� cubic yards I / I -' T+,I.:, I Boat ramp I T-^.-^V 7 . .t . I 1 i ; ."' I i Boathouse/Boatlift — -I 1 — «..-� I !- r—' 1111 I � ; Beach Bulldozing i _ { ' l 1 j+' . 1 i i Other 1{ Shoreline Length /,` I r'7 gyp�'�"� ' �'I : I. V f-,s i SAV: not sure yes no l:9 �" -- ,�'E // t ` Moratorium: n/a yes no i,I. i J i f 1 I a Photos: yes no i j ------ ---- - 1 — --r 1I Waiver Attached: yes no - A building permit may be required by: /!,r 7- / ( - I l See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions , - / 1 1 ( i1�.i/r1 i� c�C` Agent or Applicant Printed Ma e -� Permit Officer's Printed Name ' (� A Signature Please read compliance statement on back o 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(9 1 0-796-7215)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 09-15-'20 12:41 FROM- Four Oaks Middle Sch +9199634123 T-373 PO00410005 F-7 4 .4uthorizedAgent Consent Agreement (property owner(3) , herby authorize Tobin Jay Tetterton T,I s Marine Construction, LLC to act on my behalf in obtain` the location listed below, m� CAMA hermits for PROPERTY ADDRESS: s he c- PROPE RTY OWNER'S MAILING ADDRE SS: e• Phone No, 7.____: !41— PROPERTY OWNER'S SIGNATURE: \ AUTHORIZED AGENT SIGNATURE: 74 2 t TOBIN TETTERTON DATE: ` i J R 24 .10 w/Authorized Agent Consent Agrro, i 09-16-'20 08:20 FROM- Four Oaks MiddIe Sch +9199634123 T-376 PO005/0005 F- 07 ADJACE T IPARIAN PR PERT OWNER STATE E T I hereby certify that 1 own property adjacent 0 ' f��yy��gglyl property located at At1 , (Name of Property :. ®r) on - � b/`ci5 (Addres in� �oCkti Road, t' . (Waterbody) N ___- J>��l , N.C. (Gity/Town and/or County) • ...__ • T. , ppl`cant has described to me, as shown below, the development proposed at the above Adte,CP.tit I have no objection to this ro property proposal. Owner I have objections to this proposal, —� Chock otie — DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development mus(fill in description below•or attach a'site drawing) ';' , / 6 /Me ` Cir. /; ,/ Adjacent 1NAIV S�, t�CTION Property I understand that a pier, dock, mooring pilings,ER boat ramp, breakwater, boathouse, lift, or groin1. r4viisr must be set back a minimum distance of 15' from my area of riparian access unless waived by I`tt`a me. (If you wish to waive the setback, you must initial the appropriate ppropriate blank below.) Cate - i do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback re ' q ent. Witt_(P .pçewnern11 U/V° i (i ►-nt Pr• •arty O i ner I formation) ' slur � I1j 141/ Italia , ( ,..1 A . blii ` A a r Ai_ y Nam ,� 0Name�- rint or Ty • iling Lid ss L t? I ttt/iA usr' 1 C.,.. •� 7 �4 ill �qdd sS c ___ ir_ .7‘OP"--- italyip re -Rrumber/ ail address i •SGP�S 4. _ 4 J- t!O6r ,1. • , .Telephone Number email address �'/ Date , 9'Z'1 o Date* `'Valid for one calendar year after signature* (Revised Aug, 2014) 09-16-'20 08:20 FROM- Four Caks Middle Sch +9'199634123 T-376 P0005/0005 F- 7 AD.! NT RIPARIAN PROPERT OWN R STATEME T I hereby certify that I own property adjacent fiLSIILS 4 el /4 ' .....S property located at A . (Name of Property 9 rjer) it 1 d bf~r . or? _ (Addre n �"JJ�pCk, Road, t, r. (Waterbody) .'f 9/" N.C. (CltylTown and/or County) ..... The applicant has described to me, as shown below, the development proposed at the above location. AfliRCRrt; __X___ I have no objection to this proposal. • Property Jwn,r I have objections to this proposal. chisCku,ut ----- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (*Individual proposing development must fill in desct'ipfion below or attach a site drawing) '5:)(3-t.t./..) X A' i/ 6/mecd - , - tajacent WAIVER SLCTtaki Rmyterjy I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin rwt-Nr must be set back a minimum distance of 15' from my area of riparian access unless waived by i,i"s' me. ( u wish to waive the setback, you must initial the appropriate blank below.) ;r,,tiiii coo l do wish to waive the 15' setback requirement- ,, i do not wish to waive the 15' setback requirement. U(PUpert ®wne i rmation;n � � (Adjacent Property Owner iptormation)) s' alto- ^ llltll M n t or Ty Nam It I.` /r3 Cl 1 r ro �� t� r gin orT et fling ad ss . G ac res /de use— 8/1141 Address -- 7 1 .V CltylStateiZip Ci Te a e tt'umbsr! — t5y `1 fti 3 - 3 i (p,547 fe-5 _ grail address Telephone Number/email address 1�.J h�ctrl (a {j�?a[ �c( hliur)er Late `Valid for one calendar year after signature` (Revised Aug. 2094) n 1 O9-16-'20 08:20 FROM- Four Oaks Middle Sch +9199634123 T-376 P0005/0005 F- 07 ADJACENT RIPARIAN PR PERT OWNER STATEME T I hereby certify that I own property adjacent property located at,Yk 3 i5 (Name of Property ®r) a • Vc,s on (Addles t, aCk, Road, t • �n , N.C. (Waterbody) (City/Town and/or County) Ir�-l'pplicant has described to me, as shown below, the development proposed at the above ndiva,,. !'� ' ro. I have no objection to this Property p POSaI. Owner I have objections to this proposal. Check une DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) /1 /1 ))/ / 6//MfeS -- S>1,5 7/--) Adjacent WAIVER SECTION Prnp@rty I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin n,wusr must be set back a minimum distance of 15' from my area of riparian access unless waived by Must me. (If you wish to waive the setback, you must Initial the appropriate blank below.) :,litrai Cito I do wish to waive the 15' setback requirement. i do not wish to waive the 15' setback req ent. Wk._ (P , peg Awne I ',nation)V iivp( ' nt Pr erty O ner I formatton) S_ caul. Q. bnriA t7 at or Ty Name! ` r`I A I(a 6- 04 '' ✓ 'L ,� d •rint or Ty e.Narrre ' i fling Rd ss .6 ,A .e...m.t.iii el Y- kS / is 7<5r� iii !{adr ss Ci /S te/zr It / at_SA, /VC 76' Ce),P 1 3 7 }y( 7ea p Te o e umhor/�ail address `/ 62a. -1�J - Telephone Number/email address %`/ Date Z1 O Date' `Valid for one calendar year after signatures (Rev,.Aug, 20 14) NC Division of Coastai Mgt Habitat Impact Computer Sheet Applicant Su Ili r„ f Date: General Permit#: 7 742,6 5 Describe below the HABITAT disturbances for the application. All values should match tie lane,and units of measurement found in your Habitat code sheet TOTAL Sq.Ft FINAL Sq. Ft. TOTAL Feet FINAL Feet I (Applied for. (AnticipatedFiel (Applied for. I (Anticipated final DISTURB TYPE I Disturbance total disturbance Disturbance disturbance. , Habitat dame C includes any Excludes om :otalincludes Excludes any I Choose One anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact / / temp impacts) impact am cunt) i empimpacts) amount) Su A"t`ti Dredge❑ Fill Both ❑ Other ❑ gs J/e 0f'eAk Dredge❑ Fill[•Both 0 Other ❑ 1494-k JS Dredge 0 All❑ Both ❑ Other IrJ' O J e) Dredge❑ All❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ All❑ Both ❑ Other ❑ I I Dredge❑ Fill❑ Both ❑ Other ❑ I Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ All❑ Both ❑ Other ❑ Dredge❑ All❑ Both ❑ Other ❑ Dredge❑ All❑ Both ❑ Other ❑ Dredge❑ All❑ Both ❑ Other ❑ i Dredge❑ Fill❑ Both ❑ Other ❑