HomeMy WebLinkAbout31041D - Forest ep. CAMA / DREDGE & FILL • - N a 31OL}1,D
GENERAL PERMIT
)' •'-' New
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 �'� I
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC .
r L Rules attached.
Applicant Name re) �- ill( SCy /i 'nn WI//i .. Project Location: County Nf t,1 ri,--1A Vr t
Address a `� /
- r � '7 � J� S P.� S � �s Street Address/State Road/ Lot #(s) ���J s ...�oS P�1t�``
City CoJ,nu l.•..1 StateNC ZIP 1- Il'in S/r/, tit /c
Phone# Fax # Subdivision iO rp
Authorized Agent City CG ro/i el A gf 44 ._i; ZIP _
Affected C CW ❑EW %PTA S L PTS Phone# ( ) River Basin •-',/),( T Pq r -
❑OEA ❑HHF ❑IH UBA N/A
AEC(s): Adj. Wtr. Body 1V Ir-4 f C V+3.1i' 5��A d (nat /man /unkn)
❑ Pws: ❑Fc: �� raravC' 5��A
ORW: yes /�) PNA yes / no Crit. Hab. yes / no Closest Maj.W Body--�N f r e c� o rf
Type of Project/Activity -�7u,S '�•jC 4. '. .- A '`� 7cir y.r- p r fi.( Hy, %\ -e x iJ A 41 i✓t,rr n r-i
(3,/( C o 4 1 14.l .) r c- / l'i l)' :] c �'f/, // t //
` �� (Scale: N ( )
Pier(dock)length / �4../'
Platform(s) /' _. I
Finger pier(s)— Ex 1 S I in P,f - V DO, k ).
Groin length _______ —. __ _
number— \
Bulkhead/Riprap length • • •
\
avg distance offshore ,
max distance offshore _
v Q
Basin,channel
i • 1
cubic yards I 44 a jI\
Boat ramp f rj V
Boathouse/Boatlift J� j ' i I
F
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_ I ;'
Beach Bulldozing r=�s-
Other I I M _. _
I
T
` 1 tItShoreline Length
—r '
SAV: not sure yes no -�j��1 — —
Sandbags: not sure yes no pr.ar o!,(t.) F^/(r elr r
Moratorium: n/a yes no /
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: �" - . I See note on back regarding River Basin rules.
NaJ Notes/Special Conditions M I)(r of /i,. /j `.( i/ no Y. 6 ( /4l E.r %01,(C` f- ' ',' J
_--iV I il r ' -'{ rto.-. , -
1.904,,t, �.e...04•// J �--�
Agent of Applicant Printed Name Permit Officer' ignatu Gl.--):
Si atur '""'Please read compliance statement on back of permit i"" Issuing Date Expiration Date
�0 D. 6 �? h � o)
pplication Feels) Check# 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 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(910-395-3900)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 252-264-390 I 252-946-6481
Location: Fax: 252-264-3723 Fax: 252-948-0478
Parker Lincoln Building (Serves: Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 919 733 1495 I5 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: 9 I 0-350-2004
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)
Revised I0/05/0I
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DIVISION OF COASTAL MANAGEMENT ,;" ,,2 7-- ei v
ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATION/WAIVER FORM
Name of Individual Applying for Permit: Forest By The Sea
Homeowners/Lagoon Boatowners Association, Inc.
Address of Property: 1200 St. Joseph Street
Carolina Beach, NC 28428
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 lett .
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.
I understand that a pier, dock, mooring piling, breakwater, boat house,
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 requirement.
' '-Ali ) )—-Z- —0 ?___
Sig ture Date
J .2 • Lew )S
Print Name
((!lt)4) ur Ii2) -rm%o c
Telephone Number with Area Code
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ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete A.A. Sire
item 4 if Restricted Delivery is desired. ❑ Agent
• Print your name and address on the reverse ��/� (�2'f Qcfl Attdresse
so t that weican return the card to you. g�eceived by[PrintpdR me) C. Date pff Deli i
• Attach this card to the back of the mailpiece, / //S C � t 1 (�
or on the front if space permits. (/tC> >l✓1 .i- G�
D. Is delivery address different from item 1? ❑ Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
<<.xv Y<-,nrt, 3. Service Type
El Certified Mail ❑ Express Mail
1?y Registered ❑ Return Receipt for Merchandis
❑ Insured Mail Cl C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2f
UNITED STATES POSTAL SERVICE First-Class Mail
111 Postage&Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
FOREST -RV / NE S'EA
/ Aao4wt . �" ` ' . It is
AJC- .1 8 4'�8'
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2,and 3. Also complete A. Sign. c
item 4 if Restricted Delivery is desired. ❑ Agent
• Print your name and address on the reverse � � ❑ Addresse
so that we can return the card to you. B. Rec-' ed by(Punted Name) C...qp of Deliver
• Attach this card to the back of the mailpiece, 1 7 '7o 2_
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
> L&u;;s
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I3114 -- `d -
`C✓LO- -ra, o4 1Z, ,( c2 3. Service Type
• ❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandis
El Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 102595-01-M-2E
UNITED STATES POSTAL SERVICE First-Class Mail
111 Postage& Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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FOREST BY THE SEA
HOMEOWNERS ASSOC., INC. 6890 :1'
, 1200 SAINT JOSEPH ST.,NO.751CAROLINA BEACH,NC 28428 Date ��� •� / '� 66-19/530 Nc
1806
a Pay to the
Order of L A M A i $ � w . Cr9
"�`� �-� i . y`" ,.-i!� �.__- - Dollars 8 `"" r
BankofAmeric, �`� / J/
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II . y rt
=.' For uc� . �/ / .
'L 1:05 3000 L96.: 000 60 40 2 2 3940 6890
"""""��'��711.rzi�0IYDill.l�llli.Ll]g1�1RG ls:iW WYr-.L[l�ril:i[..IM1¢m OC'1 rye A,rrrvri an - - i.l immr?.i.l:i4ni5u-v-i.ruin0.tirt ll:.ivDni LS:!Ymvlii L[lWl.1._-.i -_
GUARDIAN®SAFETY YELLOW DEYE