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HomeMy WebLinkAbout39758D - Urbon 0 JCAMA / DREDGE & FILL GENERAL PERMIT Previous permit# XNew 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 I5A NCAC //r!:-c' C Rules attached. Applicant Name 2i 1 //r t. , Project Location: County 6' • , • Address / • L). 154):: 94' G' Street Address/State Road/Lot#(s) / - a_ City "....Ci.t r r r.-i= State .SC ZIP Z y3lo0 L_Y; , - , ,::., , _ ,.,�),c.4 1- Phone# (f44t) 23 - 660/ Fax # ( ) Subdivision Authorized Agent City fie,t d-G-r 'G�tc/ - ZIP 1 . Z Affected ❑CW W XPTA ES PTS Phone # ( _) River Basin Lit ir)L'e-2 C'OEA ❑HHF C IH UBA N/A AEC(s): Body Wtr. /97/J� a (nat / n,/unkn) ❑ PWS: L FC: Adj. ORW: yes / no PNA yes Crit. Hab. yes ; no Closest Maj.Wtr. Body /g/Wn no — Type of Project/Activity Cia-j2S7 -4%� ` / • ,", L. L- i, (Scale: ) Pier(dock)length .,�G 8 Platform(s) _/Un/5/ 1 Finger pier(s) e A/0 - 7/ �� _ Groin length number Bulkhead/Riprap length / I •avg distance offshore . - � j`- to } o ^4 f--I�uJ max distance offshore b I k"r S - - 5 a+1,ci . _ I Basin,channel - - - I I f - ('r 1 1. rlr, . cubic yards '74 " Boat ramp ' /' Boathouse/Boatlift�/2i X ZY a Beach Bulldozing - - i I .co/ ir • �� 1 - Other 7 _ 4- — — --- y • Shoreline Length ? i V i SAV: not sure yes no j Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no 1 ✓tie.,r C_( .: «_tom- 1 . . Waiver Attached: yes no A building permit may be required by: 77aCdCn 45 <<---' . L See note on back regarding River Basin rules. Notes/Special Conditions /�/-d 1 G' e- %C.c v 27/ L..•- 1. 6f 7/1//2C'e.) //AAp� 64 .�.'�, i (—/ei r<< It'I. C-�,e-z7K- t -256-: 11(.4 Agent orApplfeant Printed Nafne Permit Officer's Signature i 71, /2./7/O 1 3J7/05—' Signature' "Please read compliance statement on back of permit** Issuing Date Expiration Date Iran C° //1i41 4.6/-.-) 5re7,-6 A/4z-0W774 Application Fee(s) Check# Local Planningjurisdiction 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 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 Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington Regional Office(9 I 0-395-3900)for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Washington District Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall 1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889 Raleigh, NC 27699-1638 252-264-3901 252-946-648 I Location: Fax: 252-264-3723 Fax: 252-948-0478 Parker-Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde, Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties) 2728 Capital Blvd. Counties) Raleigh, NC 27604 9I 9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District Fax: 9I 9 733 I495 15 I-B Hwy. 24 127 Cardinal Drive Ext. Hestron Plaza 11 Wilmington, NC 28405-3845 Morehead City, NC 28557 910-395-3900 202-808-2808 Fax: 910-350-2004 Fax: 252-247-3330 (Serves: Brunswick, New Hanover, (Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and New River Inlet-and Pamlico Counties) Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 GENERAL PERMIT COMPUTER FORM APPLICANT NAME: JC ADDITIONAL NAMES: AEC DESIG: Cam) T h DEVELOP AREA: _.�.� PROJ DESC: P - 2_ (Will only take 6) (Will only take l) WORK: Pk 32,8) G1 CZ /a, (Will only take 4) /Z, 2`/ MAINT: (Will only take 4) IMP: U vv 39 22 (will only take 6) ACTION EXPIRATION DREDGE&FILL REQUIRED: 1 z/7 (o-f 3/ /O5 CAMA MAJOR DEVEL REQUIRED: Z-17Ic'`I L 7/01 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM- Name of Individual-Applying for Permit: John Urbotr Lot 345A,(172 Greensboro Street),Holden Beach,North Carolina (Lot or Street#Street or Road, City& County) I hereby certify that 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, should be' provided with this letter. Ihave no objections to-this-proposal. If you have objections to what is being proposed, please write the Division of Coastal Management 127 Cardinal Drive Extension, Wilmington, North Carolina, 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 I understand that a pier, dock, mooring,pilings, breakwater, boat house, lift 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_), 1_do^wish.to.waive_.the.15' setbackrequirement. I do ttot-wish to-waive-the 15' setback requirement. /7--'Z' S' e Date Print Name ' ' Y% ?to- 3z3-w`-1-E Telephone Number with Area Code N DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying for Permit: John Urbon Lot 345A,(172 Greensboro Street),Holden Beach,North Carolina (Lot or Street# Street or Road, City & County) I hereby certify that 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, should be provided with this letter. X I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 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 I understand that a pier, dock, mooring, pilings, breakwater, boat house, lift 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.) X I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. S �� V bSignture D • ; FO LA 9 e. o jkirrirA • Pritnt Name Telephone Number with Area Code . . _ :'::•:•,11..,'•••• •'':•:'::•:•:..•'•':,••••:.•••.•...' ••,:...•:,••:••• •• :'• •: : •-• .. ' 'SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ','•''.;.::::::.' ; "' ' ' :' . " • . • k ?- . ,. •. . • ,• i • Complete items'I,2,and 3.Also complete SIg i X :.• • ' : ; : :•• • . ., ., . • • ; item 4 if Restricted Delivery is desired. id i : El Agent ''''''"'‘ '''''''''':::''' ''''''''''' - :'' ' -• - .' ' I; IN Print your name and address on the reverse _, I -. ' " ' - CI Addresse .. ,, . .. so Wet we can return the card to you. . •, :. -eceived by(Pried Name). _ C:Date of Deliver -•- , • Attach this card to the back of the mailpiece, . • or on the front if space.permits.. , D. Is delivery, different from item 1? 0Yes 1. Article Addressed to: . . _ If YES,enter delivery address below 0 No • • • ' Sylvia FoujerOn _ ,., • . . ,. .... . —,... .. ..;,•.,... .c.. -jF-,.::: ,1-;.-,,,:.!N.,Y:':-Y 4: '''J.' . t 45 Amayi Cour . , ' . • .. _ f.. , if :;-. .:',',.':.-!!-;:'";-.-.:,'...',.:f,,.. .41., -•,. . .: prevard, NC 28712.,-:.., .---'••••• :: ', . ; :1-.--::,,:.=:--'-.1:,'-i--:...-:,...-..:4•-?..f.--!..-. : ---,::::. _ -,-:::•,....:• •:, - -,..,:-...--,,.-:,-,-.-.,,:.7.,'::::',..?-:; ': ,:..'C..' . • .`"';;41..'IL'2 ", . .- , 3. Service Type - .-::,, -r.- -,'• ;,- ' ----'• -.; Al Certified DA11:'•li:EZPre.ss'Mail . - 0 Registered. 7 .1:1'..Retirrn Receipt for Merchandis . ' • . '' " • 1:1 insured Mail,. CI C.O.D.- ,-.: . . . „ • . .. • _ . . • - • 4. Restricted Delivery?,(Extra Fee) 0 Yes ' • 2. Article Number 7002 3130 0004 0319 3493 ! i (TransferfrOm service aabeki, _ . Domestic Return Receipt— ::. 102595-02-M45 - • PS Form 3811,August 2001 •. • ,. •; • • --------._„._________— . . - - ••- • ' . • ' SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY , . . • • ' ' " . , . . - .... • .2- - • % , z•:'.: .:. ',I:.; •"':'3.'. '..,..-.:„:.:.Y, :' - :e • Complete items 1,2,and 3:Also complete • • - • •••;',:••'••-•'-: •••••-••••-7.\,•.1-1 •-,•-•,'•••, ••••••••••••:•••• ••••••1-•co.:',•••••:••••••••.••,,s,••-••••. item 4 if Restricted Delivery is desired. , • ------ 0 Agent •-• : " ,:. ''••• ••,••••:: ':, ,••• ":'....'•-• :••••••:'••••:••• ' ••• NI Print your name and address on the reverse 0 Addresse', - 6-. . . . :; sip that we•carrretum thecard to- ou. , , 01 rot Deliver ' • Attach This card•to the back of.thy wed by(Print e mailpiece, ' N • • '. :, or on the front if space pprrnite • c:Zj•:-- ,k •',li1 1 Artcle Address 11:;5.,,•- D Is YdEelSiv,e eryn taedr dde nrte fsros 444e71 N VO Box 53668. . ,5'4,,::: ; . • • Fayetteville; NC' 28305 . . 3.Arvice Type . Certified Mail 0 Express Mail 0 Registered 1:1 Return Receipt for Merchandis 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number 7002 3150 0004 0319 3509 , (Transfer from,service labe0 . . . • 'i PS Form 3811;August.2001 : :. Domestic•RetUniTtecelpt ;:. :1 .;i 1 i-. t i I 102595-02-M-154 . . , , - • . , ' . . •. , • _ . - . BRUNSWICK SURVEYING INC. D.E.N.R 12/6/2004 11494 6160•Dues and Subscription(744.000) App. fee. 100.00 6160•Dues and Subscription(744.000) App. fee. 100.00 • BB&T Checking 200.00 D 11494 BRUNSWICK SURVEYING INC. BRANCH BANKING AND TRUST COMPANY 1027 SABBATH HOME ROAD SW 910-842-9392 SUPPLY,NORTH CAROLINA SUPPLY,NC 28462 66-112-531 12/6/2004 a 0 eri a � he t m �fd D.E.N.R $ *•200.00 f 1'wo Hundred and 00/100 DOLL7\RS D.E.N.R m 127 Cardinal Drive Ext. I. i Wilmington,NC 28405 0 g MDMO • 31-75-91 P 3 ii c-i!) C27aulL._e.,_-_)1AA___<pov.b_ _ Np ate 111000LL49411' is:053LOLL2LI: 52L76757920 BRUNSWICK SURVEYING INC. D.E.N.R 12/6/2004 11494 6160•Dues and Subscription(744.000) App.fee. 100.00 6160•Dues and Subscription(744.000) App.fee. 100.00 • 13B&T Checking 200.00 •