HomeMy WebLinkAbout56534_CHANNEL BAY MHP_20100907S_ i'- ^ Kam,'. .• A- y l .. -. . a`+i W.e.
1 CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued j
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 i
❑ Rules attached.
Applicant Name 1 �' Project Location: County '
Address Street Address/ State Road/ Lot #(s)
City
Phone # (^ )
Authorized Agent
Affected ❑ cW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP_`
Fax # () Subdivision
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
City ZIP
❑ ES ❑ PTS Phone # () River Basin
UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
(Scale:
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift�.
Beach Bulldozing
Other
I
L
�"
R
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: t ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date `Expiration Date
Local Planriingjurisdiction Rover File Nam — a Tom%
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 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: 9 10-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
tAPplicant
Cate:
c7 FY4 IW4& m4j
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
restor R or
to impacts
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
irn act amo).tQt)
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
ount
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
i
4 s._
N.ggam,�[.[[ - .►
Wi
North Caroii.,a Department of Environment and Natural Resources
DI,vision (cif Coastal Management
Michaei F. �Eas!Ey, Governar Charies S. Jokes, Director William G. Ross Jr., Secret,ry
Date
Applicant Naaane l
Mailing Address � � D� 6 9
l certify that l have autborized (2.0ent) {��Vvl � "`' to act ou srai
behalf, for the paarpose ora applying for and obtaining all CAAIA Pewits necessary to
install or construct Cacti �-ity) L ( ---
at (location) _
�2,1� NTJ1G �C�
This cer•tix cation is ' ai-Ad thru (date)
Signature
/ d - 3 a -Ia
�_��y ...- v+�.+ . i .�.-« csi �rr-+ ♦ �. .icv+- i�tci i V Y r—l1.ftVa U' 1�11JLl1iy�(-11 \ L
f (FOR A PIERIMFOORING PILINGS BO T j'` X AT E
'I hereby certify that I own property adjacent to 1J sl M P5 b !� s
(Name of Propea-ty Owner or Applicant)
Mailing address if different from location address e `a Bb� � 1 ,
(town, state and zip) (beJef4VAb C. PA/ 14 C. --�?5:5 7
phone numbers you can be reached a
`7 ;�-l- 9-01
property located at C b—r -* :5 y — epi cg `# / 55Y C HAtax-t t5f}
(Lot, Block, Road, etc.)
on jk!6UE S%6A- in -WLP" C P-Vf-$E7- N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, 1 have no objections to his proposal. I understand that a pier/mooringpilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
dv
' I do not wish to waive the setback requirement.
maials
1 do wish to waive that setback requirement.
initials
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION ANTWOR DRAWING OF PROPOSED DEVELOPA4F- TT:
(To be filled in by individual proposing development)
13 4
------------------------------------------------------------------- ----- -� L---
--- - - - ------ ------
P
Sienat
Print or ype Narne
Telephon -Numbc-
` I hereby certify that I own property adjacent to
(Nance of Property Owner or Applicant)
Mailing address if different from location address P b Bb�( t/1 � ,
(town, state and zip) _(�ejei4VAb c, Jr/ 1-) C
phone numbers you can be reached a
property located at e- b—r -* :5
(Lot, Block, Road, etc.)
7;:�,!— 2-0 1
(gg '# 1_5y C
on 13S6 uE Sb 6- ! b , in fi[LP9-M C. -Rc--H i Ci9 FV9F7 N.C.
(waterbody) (Town and/or Countiy)
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/mooringpilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (I5) from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
ini[(
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEV EILOPMENT:
(To be filled in by individual proposing development)
p3 �
----------------------------------------------------- ------ - ----- -- --- 1'-
Si -nature
Print or Type Name
Telephone i�tumber
WRING P1L1ATGS/B0ATLJF
kTWiWEism
'I hereby certify that I own property adjacent to 's
�'ZZ;EIVED
(Marne of Propei-ty owner or Applicant)
p �F�-' ? 2010
Flailing address if different from location address ,
(town, state and zip) _MbPeOVAD C, Jr/ 1-1tia9ore::Cac3 clay ®CM C �$�57
phone numbers you can be reached a
property located at e- U—T' -* :5
(Lot, Block, Road, etc.)
"7 ;:2-!- fro 1 I
cat' `# 15-y c 14Apikir-c t 5fq
on V-Ir- 614, in . fL44M C- _ 04 i C11 M9Fr N.C.
(waterbody) (Town and/or Cou
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 minvnum distance of fifteen feet (15� from my area of riparian access unless
waived by me.
initials
initials
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AN?D/QR DRAWING OF PROPOSED DEVELOPMENT:
(To he filled in by individual proposing development)
----- Gi ---------------------------------
-------------------------------- - - - - --
----
-- --- - - ------
Print or Type Name
Telephone Numb:. --
SAMMIE E. TURNER
MARINE CONSTRUCTION ACCT
252-725-3415
P.O. BOX 1885
MOREHEAD CITY, NC 28557
PAY
TO THE
ORDER OF
F
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BST BBT.c,,
l
DATE
FOR j� 554
II' 0 0 0 0 4 8 2 2 II. 1. �
.053 10 1 12 1il.0005 2 1058406Gil.
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4822
66-112/531
Bank.