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HomeMy WebLinkAbout56828_CAULEY, JIM_20100917❑CAMA / ❑ DREDGE & FILL /tl GENERAL PERMIT Previous permit # ❑New ❑Mcdification ❑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 ❑ Rules attached. Applicant Name, Project Location: County Address 1 '1 Street Address/ State Road/ Lot #(s) City Phone # O_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no _ State ZIP Fax # ( ) ❑EW ❑PTA ❑ HHF ❑ IH ❑ FQ PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity �■iiii�i�iwi■iwi■■�i�■■iiii■ii■i■iiiiii MmErm-20MMfEl MOMWEEMEMEMEMEM ME NONE M. •- ■■■�i■■�11A ■■f�AI■■■■■■■■■■■■ICI■■■■■■■■■■■■■■ ■■■fi■■ii■■■■Gi■iiil■ii■■■�;ii■■■■■■■■■■■■■■■ IMME a ■■■OEM■■■■�■�■iiii■elii wiiiw�a�■i■i■i ■■■■■■■■■■■■■■■■■■■wl�www■■www®w■■www■■■■ ■■■■■■■■■■■■■■■■■■■■■■®■■■■■■■■■!.■■■NMI Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # Issuing Date Expiration Date , Local Planningf urisdiction Rover File Name I 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 (252-946-6481) 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (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 Applicant '-E)) G� I Date: q� �11 ��) I RQ�) 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 nt) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp im acts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill 2 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ), e 514 S -js 0,2:C3i`10 09/17/10 08:24 FAX 252 237 8117 ROSE RAND ATTYS U 001 To: CAMA Attn: Heather Fax # 252-247-3330 Date: 09/17/10 This will confirm that I am the owner of the property located at 311 Easy Street, Cape Carteret, NC and that I have authorized Mike Foley, as contractor, to perform the tasks required by the CAMA permit for this property. Jim ley -399-9536 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to j Q u ec/ 's (Name of Property wner) property located at 3 (( Cct5V Slot (Lot, Block, Road, etc.) on b va- �0c�-�i C , in k j�✓ , N.C. ( aterbody) ( own and/or County) Applicant's phone #: 2 5'Z'3 t l � S3�Mailing Address: �� �' c /�'�l C�`� ��✓ 4✓1 /5 wC ;1- ?"6 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROP D DEVELOPMENT: (To be filled in by individual proposin,� deve, pment) /VC' 1k r ' ! (Information for Property Owner Applying for Permit) Mailing Address W isv>g IV --)7�%( City/State/Zip Tele umber -31 /o Si ure Date (Riparian Property Owner Information) Signature ile-Glyn � _ PriiYt br Type Name 25zZ -6 ,3F-n yo Telephone Number 7/7 /i o Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBO�ATHOUSE) I hereby certify that I own property adjacent to j (-.- /Q u s (Name of Property caner) property located at 3 ! I r✓ c (Lot, Ski Road, etc.) on e - k J , in C�9-✓ I- --✓e't— , N.C. ( aterbody) ( own and/or County) Applicant's phone th 2 5-Z'3 lq 7 � 5�3�Mailing Address: Sw I/ C' U tit 7S'jl ��u ��✓ He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive I do wish to waive that setback requirement. --------------------------------------------------------------------------------,---------------------------------- DESCRIPTION AND/OR DRAWING OF PRO P� �DEVELOPMENT: (To be filled in by individual proposin deve46pment) zss�o SY /-/1 (Information for Property Owner Applying for Permit) w y 6 t, u &L Mailing Address G��iswe IV City/State/Zip .)-s� 31�9 5 s�4 Tele umber Si ure Date (Riparian Property Owner Informa ion) �l Signature i4g� Print or Type Name Telephone Number Date R MICHAEL D FOLEY, JR. 66-7704/2531 568 UC. 26016819 C5 / �j(z� 08631897316 PH.252-229-7147 `L/ '✓ I 235 CARTER LANE S(C 3) DATE TRENTON, NC 28585 t PAY TO THE ORDER OFF/ A — ✓/ ✓ j8 �� OLLARS s State Employees' Credit Union® %Trenton, North Carolina 240 a MEMO � �:253 �770�+9�:0863 L8973 L611' 05�8