HomeMy WebLinkAbout55786_BRISSION, EDIE AND DAVID_20100611WF] CAMA / []DREDGE & FILL /,j, 1 p
GENERAL PERMIT ��j
❑Nevv ❑Modification ❑Complete Reissue ❑Partial Reissue
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 15A NCAC
Applicant Name
Address
City State -IC_ ZIP Y
Phone # (' �! , �(� „ 'RV # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
OEA ElHHF ElIH ElUBA ElN/A
AEC(s):
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Previous permit #
Date previous permit issued
Ej�Rules attached.
Project Location: County i
Street Address/ State Road/ Lot #(s)
Subdivision
rr � r►r
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City ZIP
Phone # ( ) River Basin
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Adj. Wtr. Body (nat /m;/n- unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
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A building permit may be required by: + ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions fxml-
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date
Local Planning Jurisdiction
The time period requirement for this
development is suspended until 12-31-
2010, pursuant to Senate Bill 831. The
effective date of expiration for this
permit is
Expiration Date
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 [)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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
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, Bertie, 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 -below New River Inlet- and
Pender Counties)
Revised 08/09/06
Apolicant: E-dkj (A
Date: 11/0
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredgo ❑ Fill ❑ Both [] Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Jun 10 10 08:40a Dave Desktop
919-778-3101 p.1
RECEIVED
ADJACENT RIPA.i LAN PROPERTY OWNER STATEMENT jUN 10 2010
Morehead City DCM
I hereby certify that I oIvn property adjacent to'
r ISso�
(Name of Property Owner)
property located at
(Lot, BI
Road, etc.}
an �t
in _ ` ot-y- 4-.-r r 2�- �L-A N.C.
( erbody)
�, (Town and/or County)
Applicant's phone #: -, r ��`j?�,Iailing Address:
lr fe
C
� -7
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
-------- ---- —-------------------- _ ___
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:-- -
{To be filled in by property owner proposing development)
�S
CPI��II�
--------------- ---------- ------------------
(Information for Property Owner Applying - ��°
for Permit) (Riparian Property Owner Information)
l /c 4"(11k, c �-'19�<
Railing Address
City/State/Zip T
Signature
Print or Type Name
ZS 2 — 2--VLa— Zoo S
Telephone Number Telephone Number
Signature Date Date
J,an 10 10 08:40a Dave Desktop
�4•�., LU U0=a1p z)nerry 5nucdre
919-778-3101 p.2
6084622205 p,I
RECEIVED
P-RnPE.R3 ' ?v TATPENT
JUN 10 2010
Morehead City QC&I
I ha-eby cerzi that I oltir PrcFY adjacent to
} "'ame ofPreperry {fl-rner)
prO�er� TOCateC ar
(Lot? Bloc , Rom ad
on t
('Iowa and/or County)
Applicant's phone #; �'%- Alailing
,, address:
He has described to me, as shown below, the developmeat he is pc;)
; oposing at that location, , and, ��
havc no Objections to his proposal.
DESCRIPTION AND/OR DRAWING OF '._. _---_---------
PRQPO }LOFiNw'T.(Tobeflledin b Proerl� owner ropo,sing deeopmrnt�
(Information for Property Owner Applying (Riparian ;
Property Owner Information for Permit)
Mailing Address
S1-1 ignature
G ity/5tate � 1 �b'ct3 7 5 Sh er,- (�1re Gkc ►
Gq Print or Tvpe Name
Telephone Number
elep one Number
Signature Date Date
Z?
DAVID A OR EDIE D. BRISSON
NCDL 8201663 Ph 919-788-3101
110 Walnut Creek Dr
Goldsboro, NC 27534
I'd [O the
order of
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Ttt
`r 2582
66-21/530
BRANCH 77570
T- t///Date
Dollars
C Beck Ic n
+ WACHOVIA
Wachovia Bank, N.A.
For wa.5� .A
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1:0S3000 2 191: 1033SO? 694S4Silo
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