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HomeMy WebLinkAboutFontaine, Sandy 78892CLK1 CAMA / ❑ DREDGE & FILL N. O 78892 A B B C D GENERAL PERMIT Previous permit# IRWNew ❑Modification ❑Complete Reissue ❑Partial 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 15A NCAC [] Rules attached. Applicant Name I j I I i f PCount Project Location: y , c, Address Phone # ( ' ) Authorized State( ZIP. E-Mail Affected L) CW ❑ EW El PTA __ � ES ElPTS A Affecte 00EA ❑HHF ❑IH ❑UBA ❑N/A ❑ PWS: ORW: yes / no PNA yes / no) Street Address/ State Road/ Lot #(s) ') i FAW Phone # (_) River Basin � I Adj. Wtr. Body__ _. - _ _ (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length_ N■■■■■■N�■■ i Fixed Platform(s)NOON■■ 'NOON■■ NOON■■■ NOON■■■ ■I Floating Platform(s) Finger pier(s)_ �:'.'■:'■::: :::::::■■ Groin length MEN NOON■■ NONE ■■■■ . NOON■ ..■..■ NONE ■EMS ■:ONES ■■■.■■.■■■■■■■■■■... EMS ®.■■■■■■■■■■A ®NOON■. ■ MEMO ■Ems ■■■■■■■■■■■■■ ■■■.:■■■■■■■ ■■■■■■ ■■■■■■■ Ems ■OEM ■B■E■■■■■■■■■O NONE■■■■ ■�■■w MEMS ME■■■■E■■■ NONE ME ■ Moro- M■■ ON■■■■E■■E ■■ ■Its■ ■aa■■■ ■■■ NOON■ ■■C■w■:C■ ■■■w:8 �:N■i::E:: N■■::NOON .■■t�■■MEME •EON■■■■r� ■ . N■�w■Nw■E�■■a NE■■■ ■ ■ NOONIM MIN M :■�MENOMO ■NEE :80::� ■� I Agent or Applicant Printed Name Signature't*Pleaseread compliance statement onback ofpermit"' Application Fee(s) Permit0(flcer's Printed Name Signature. _ 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 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, certifythatthis project is consistentwith 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 Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bartle, 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 - South of New River Inlet - and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I herebycertify that I own property adjacent to ` G n��ntl A s fY p P Y J .T'r9i2�L �-Sr9.dDy "�-s'�-�ry s (Name of Property Owner) property located at LcI�KL .i/c z (Address, Lot, Block, Road, etc.) on eRFsk in CszAdr,y CoutiTY N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above I I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) Plans are to install erosion control along approximately 85 ft. of waterfrontage at 735 Beasley Ln. In Havelock, NC. (Parcel ID # 5012-2001) This proposal includes the removal of 4-5 large stumps from the water or along the water's edge to allow the grading and tapering of the approximately 5' high erosion scarp. After removal of the stumps, multiple loads of fill dirt and sand will be placed to slope the embankment. A fabric designed to impede soil erosion will then be laid on top of the `fill' and held in place by large granite stone and/or concrete boulders. (Rip Rap) These stones will Span the antisAictance-ofthe-new-filland-completely-couer-the erosion control €abrie. They will also serve as a water break protecting against future erosion. This proposal includes all eroded waterfrontage for this lot and may protrude a few feet into the adjacent lot on the North Side as may be needed for total erosion control. The work being done may impede the 15' setback requirement from the lot on the south side belonging to Harry S. Harding. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin 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. (Pr erty Owner In ormatior At Sigrare _J a u6Q" Print jype am J S Mailin dress e 4-Ft-(o�yc.�>G City/StatelLip r- % k> 32.E Teleph ne Number/email address Date (Adjacent Print or Information) Mailin ddr ss / .�5�. le 2 7'a"'L le City/State2i 9/9-G3i- 7z6ft:;, Telephone Number/email address �/-2i—Z / Date* 'Valid for one calendar year after signature' (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to C-fl i2,4 1- 5VW-Ot' /i/irEKs s (Name of Property Owner) property located at 73S f Ne z ts- Iz (Address, Lot, Block, Road, etc.) on ercf-s.- K in N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above IoC i I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) Plans are to install erosion control along approximately 85 ft. of waterfrontage at 735 Beasley Ln. In Havelock, NC. (Parcel ID # 5012-2001) This proposal includes the removal of 4-5 large stumps from the water or along the water's edge to allow the grading and tapering of the approximately 5' high erosion scarp. After removal of the stumps, multiple loads of fill dirt and sand will be placed to slope the embankment. A fabric designed to impede soil erosion will then be laid on top of the `till' and held in place by large granite stone and/or concrete boulders. (Rip Rap) These stones will span the entire distance of the new fill and completely cover the erosion cantrol fa is They will also serve as a water break protecting against future erosion. This proposal includes all eroded waterfrontage for this lot and may protrude a few feet into the adjacent lot on the North Side as may be needed for total erosion control. The work being done may impede the 15' setback requirement from the lot on the south side belonging to Harry S. Harding. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin 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. (Property Owner Information) (Adjacent Property Owner Information) Signature Print or Type Name Mailing Address City/State/Zip Telephone Number/email address Date 7T+.aa XkL..�+1 SignaIle* _carry .SAcoen tt4td'i�� Print or Ty Name 790LJes ;wlTi/ /v�(IQ , Mailing. oddrgss FL 3 Z a3 /"1wn o City/state2ip yo7-69Z- /3s/ Telephone Number/email address -L Dote* y (Revised Aug. 2014) *Valid for one calendar year after signature*