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HomeMy WebLinkAbout55312_BROWNLEY, LEONARD_201003311� 9 CAMA / El DREDGE &FILL GENERAL PERMIT Previous permit# K New ❑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 15A NCAC }�Q, i DO . �j0� Rules aft ched. pp '1 Applicant Name 1.,C' ;)Y\c r� i'�tt1�Irt (2. Address Z.24 't j�/1 ti �a. 3v�c�Jlar U . City� 4JV6rt State ZIP 3� Phone # Gil.`• ) 3� 1560 Fax # ( )}" Authorized Agent Y e.=�rno 4c X Affected ❑ CW p EW 04 PTA ) ES ❑ PTS AEC(s): ❑ OEA ❑ HHF El IH ❑ UBA ElN/A ❑ PWS: ❑ FC: ORW:yes / no PNA yes / no Crit.Hab. yes / no Project Location: County ,n _y to �/ (Is� Street Address/ State Road/ Lot #yy(s) nn Subdivision City v c r -ZIP53 al Phone # (? )nn (#SIG- S2-12 River Basin 6NA.-tr 04� Adj. Wtr. Body C: (natnat /�) Closest Maj. Wtr. Body A:rN)1 w Type of Project/Activity (�c Qkca,��^n �oc t•'ae +.��11par)P:^�'`R'"'` (Scale: tjp' ) Pier (dock) length II�t Platt Finger Groin ulk `Basin Boat Boat Beach Other Shoreline SAV: Sand Moratorium: Photos: Waiver Attached. yes to A building permit may be required by: Notes/ Special Conditions ; tjL� en on back regarding '4���i AP River Basin rules. nn �JIr\3lovw . c ,,.� �y ❑ See note ' . "r�, JrYi�J - tt 4 �- ^' +" i Platform(s) pier(s) �' I length II I number ,. 6` hea�{/ Riprap length- avgdistance offshore max distance offshore_ � I -}p i channel i cubic yards � ramp I I I Boatlift Bulldozing i Length �'25� r not sure yes Tn. y n/a esVo bas: not sure es yes I Age pplicant Printed Name y Signa Please read compliance statement on back of permit v r 3()&o Application Fee(s) Check # PermitOffic 'Signature 1 10 o I Issuin ate Expirati n Date Local Planning Jurisdiction Rover File Name Age pplicant Printed Name y Signa Please read compliance statement on back of permit v r 3()&o Application Fee(s) Check # PermitOffic 'Signature 1 10 o I Issuin ate Expirati n Date 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 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, 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 (252-946-648 1) 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/ 1-888ARCOAST 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 C 3rm lvq) F T Pro .0 5'. cpnievi L4 I I < 3m)w �o Scjw Prof - 2, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to l OA ar &OC-i/I 4 y s (Name of Property Owner) �Fc property located at � O� PCel / a q-10cl �/ 1C d q a� c, & (Lot, Block, Road, etc.) oac p�® on C in (Waterbody) (Town andlo County) 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 bx individual proposing development) Sian re Print or Type Name Telephone Number Date: 3 — 3 — 10 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT '9�PFC �f'Fi`F© I hereby certify that I own property adjaccnt to teoli w� 9/64o/,4 s L9 (Name of Property Owner) PmPen}' located at PO� ¢ f ll 17S� I agr/ o� /� d q • ` (Lot, Block, Road, etc.) on C w , in br, �/l S/l5 �✓ N.C. (Waterbody) (Town and/or County) 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 DEVELOPME-NnT (To be filled in by individual proposing develapmerzt) Q� Sia ature N'la r-- � De- I�Ct Pint or Type Name U i 1 e:ephone Number Date: M LEONARD L BROWNLEY 66-65/531 3460 PH. 910-353-1500 1381 PINEY GREEN RD. a- t-_ / O JACKSONVILLE, NC 285A46I-4532 DATE PAY TO THE /11 /� 0/\ OO ORDER OF NNN FFF--��� 111 VVV V am uftzt"L \ /v0 DOLLARS LJ RBC Bank` PREAMR RUC D-k (USA) OEECSDVG �.5312c,� 553►�� siw i:0 5 3 L008 50l:0 260 L 5 L8 2 51I' 3460 a �— NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary Date 3- 1- 1 D Applicant Name Mailing Address arj grow'/-e r Pin le v 6,r-ee� Pd e °CM I certify that I have authorized (agent) �� Ir-5 to act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or construct (activity) 'Tjt�KkeQ , Cam, � at (location) —2. This certification i,-r�alid thru (date) Signature Aor 6--1- 10 � 285 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastaimanagement.net A- r....-1 n......A.,, 4— I A u;...,.,+.,.,, A-f; .., r.....i.., — GnoL Dnn —jl j \ 1001 Dno! (`.,n-- Donor Acclican,: L p p„, Date: k, 1f4 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount ha��� Dom Dredge'& Fill ❑ Both ❑ Other ❑ ow L&Dredge El El Both El Other = I, AIZ Dredge ❑ Fill ❑ Both I� Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Drodge ❑ Fill ❑ Both ❑ Other F] Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredgc ❑ Fill ❑ Both C] Other f.7 Drodge ❑ 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 ❑