HomeMy WebLinkAbout85925D - Beverly®CAMA ❑DREDGE & FILL 2?' N° 85925 A B C
GENERAL PERMIT LPrevious permit
Date previous permit issued
2 New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
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 SA NCAC c } I'( u n U ❑ Rules attached. � w. General Permit Rules available at the following link: wwdeo.nc.eov/CAMArvles
Applicant Name Gi'Jc.'f i
Address
City i..)'. i, %u i. S4 State n r ! ZIP Z "45
Phone#(�y) II2-+ 3ie.2
Email 6eVCvlered.....i f— (- 11":JI,.,,t4
Authorized Agent " ' " It
Project Location (County):
Street Address/Sate Road/Lot #(s) / y�
!Ct, C -;, ( Ili
Subdivision
city IP "iL'
Affected ❑CW EW ®PTA MEs ❑PTS Adj. Wtr. Body +<< <,. (n(t(l a nk)
AEC(s): ❑OEA ❑ IHA ❑ UW ❑SPIMA ❑ PWS Closest Mai. Wtc Body
ORW: yes/h0] PNA: ye , no„
Type of Project/ Activity
(Scale: N
Shoreline Length
Access Length (� `
Pier (dock) length V y
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Gm, ng[h/M----------�
Bu heagpfuiprap length ✓ `-
vg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning l
Permit Conditions rl�t
yes
yes',,
yes
ees nog
nit flZ
v be required by:
I
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED MPLIANCE STATEMENT. (Please Initial)
Agento Applicant PRINTED" Permit Officer'sPKFTEjYNam
Signal[ ` Please read compliance statement on back of perm'[•• Signature
i(�r1,:,', �12 (; v Z (C' I`( 222
Application e(s) Check g/Money Order Issuing Date Expiration Date
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
1-1 Tar - Pamlico River Basin Buffer Rules
1-1 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Manaeement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330
(Serves: Carteret, Craven —south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
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 and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021
AGENT AUTHORMATION FOR C IT APPLICATION -
Name o('Pmpeety Qwoer Requesting Permit:
Mailing. Address;
Phprv�,Nuniber! CA 1-1 aD__ SD_ -ILL
6AEmail Address*
I deftifiy that. I have a uthoked
Apint I Contmct&
to"act"on mybehalf, tar -tire purpose of applying -for and qWdinlng'all PC CAMA _rmits,.
'
n6te-ss "ry-(or the--fall.oWin,!g,propged,d-evij,1,6pMent-- 51_,Qvc151
an 9
pt-my_,property located a!
County.
I (jifthermopcer- -* that I - aria jthofizad to giant and do in fadl grant. permission, to
e am a1
Vt OFUcer and;fh6i�- agents to enter
-6�vlwp of 'cuasldi Wn2ageineht. staff. the Local,Pern
on g7bt n '-. afbremenAonDd /a ds- ih - connecUon, %vitfi - evalUatirg w6imadon. 04W'10 Hilt
permit application.
FrOoTty Owmdnromatian
Title
-This,terfificatfoo is valid through
NC
1gwiljo
rj%,C.,,D1VjSjON.0F COASTAL V'W�AGEME , NT
a 'M4ERJ4QT,JFfcATl0 -� aeAAV18R FORM
."'DJACENT RIPARIAN P-R PE -MY 0
Ft p podion to be, conipteazed by olvnevarlheir'.09011t)
04 qfukfly-
il- oi r, - 1.-�ll r-,
Agem Pl%A6#,
...... . ......
AW A . ccw RiPAIMA'M PROilERTY OWNER'S.C[Mrif ICATION
(qojj'onj_gRdLop to bo c(impleted b'r 1110 Ad acal"t PSO Ofl0410r.y
60 "cod ptop
A
dlym "I ba prryvid du swivi 6 121
DO
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yo T#IS —(0 - . -poffig propv�d(f, YDU,MttSr IT13MY-100 PC L -
blops,90"316M (PcAl) bl, &V1,010 Wid0l 0'days of raceipk of this twife: e. i:crrcvp - opdeil�ff :;houtd-bO
ma hedfo'
13 ;011ildore'd the,same VA t14 tibjicljort If 00 nam baeo. 0104"fled bk
CarYh'c�.d AMU,
WAMR SECTJON
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204
R.C. DIVISION OF COASTAL MANAGEMENT
AD-JAMIT AJPNRlAN'PR0P'ER7Y..0WNE,R NO-11FICA-flONMAIVER FORM
5 E71PT R:i,-- EST Ei3 aT HAND DELIVER'
Rep portlan to be complieto:bypw, nef'tar -thdiragenl)
W 6,J)d wdld
,v pro-p-
Meff kg Add; -ss of. Owner-
crkes a anlA eal,
lclL
AWAPENTWARIAN PROPERTY OMMR's cERpFICATiO.N.
(Etotfa'm nodjon,ta Wcomt teted by thli.A6fa6enr Pro arty chvn.�
them!"j.canify dial f-m-a proper viadi'acan, to Via atovew Pippany. P;ainclivi'dwizz) iqppiylpp forEM&
wMit hoq 6� N,5016
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tvtlo) 195-7211, spop!sg is cansij1a1;6(y, the:,$jnie ;as. no %C,,b been nali0ece by}�
IWAIVEP SEC7[64
I UNJhWi Ar,CJ R"al .1,1V pmp"cd Fie -dcck, FM,,Pk.
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bulkheads of eibf6(i ovwiml) 10,4APvAr Uno ,Wtod(, ypti m2nulp
cpFlx farb"r
ale
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I do not W16h loi0ive the W 1y _.
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Date Received
Date De Ifed
Check From Name)
Name of Permit Holder
Vendor
Checknumber
Check
amounf
Pernik Number1Cpmmentr
Receipt or Refund/Realfwafed
C.1-1
Co1umn2
Cdumn3
Co1umn4
C.1-5
Co/umn5
Co1umn7
Column8
Cn1umn9
6/16/2022
Jerry Ennett
Schnell
Coastal Bank and Trust
4778
$ 200.00
GP #87758D
JD rct. 17989
6/16/2022
Island Time Construction Money Ord(
Braxton
First Citizens Bank
3E+08
$ 600.00
GP #87759D
JD rct. 17990
6/16/2022
Pippin Marine Construction LLC
Jamieson
Wells Faro
6073
$ 200.00
GP #87757D
JD rct. 17988
6/16/2022
Lighthouse Marine Construction Inc
Calcott
Coastal Bank and Trust
4300
$ 800.00
GP #85642D
JD rct. 17683
6/16/2022
Patriot Boat Lift & Dock Maint, LLC
Jacobs
A uesta Bank
1211
$ 200.00
GP #85645D
JD rct. 17682
6/16/2022
Maritime Coastal Construction LLC
Ellis
CresCom Bank
3474
$ 200.00
GP #87716D
BB rct. 18006
6/16/2022
AMW Docks & Marine Construction
Watson
Truist
7248
$ 200.00
GP #85926D
BB rct. 18008
6/16/2022
JAMW Docks & Marine Construction
Beverly-
Truist
7258
$ 400.00
GP. #85925D
BB rct. 18010