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HomeMy WebLinkAbout55314_COOPER, AB_20100330- L} -Z Co --10 ❑ CAMA / E DREDGE & FILL GENERAL PERMIT ���1A�� Previous per # IE]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 I SA NCAC O.Rules attached. Applicant Name �'�,? `, �; Project Location: County t '� Address i' Street Address/ State Road/ Lot #(s) CityjArb StatZIP Phone # (_) ^� '";j�Fax # O Subdivision Authorized Agent (L t ,�(c City 1 1 _ �TZIP ❑ Cw [IEW C1PTA [ ElPTS Phone # O 1 ^ River Basin Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body - (nat /man /unkn) ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body i Type of Project/ Activity (Scale:1%1 ) Pier Platf Finge Groi Bulk Basin Boat Boat Beac Othill Shor SAV: Sand Mor: Phot Wai\ .ENE:MIMEMEM1 ■■■:■�:::E11101 �■■.■E■■E:■■■■■: :■®■:■:.■■■.■■.■■.■■MEN ■: ■■:� ■■■� ■0::�■■®■■■■■■■ E11ME."EM ■■■■■■r■ ■■!1■■■■■■■®■■:■■ ■■■■:.■■ cubic yards MEEN■..�,. E,a.LM�m..w . .......®■.�..�.. . ■■■■■■ IrainTsRIMIR ii■■s_.■■1■■■■®■r�IwrrAa�' Bulldozing r mom MEN L =Jw ME NMI iiimmil Jine Length R21 m 91a m,.� ■ �::0�::■MMM :■ I�CC: not sure yes n Fags: not sure yes no MM _ ..torium: n/a yes IS: yes n MEN MEMO ■0■E■■0■ . ■® ...�... A building permit may be requirerd� by: Notes/ Special Conditions J Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # %�j❑ See note on back regarding }River Basin rules. The time period requirement for this {{ development is suspended until 12-31- i 2010, pursuant to Senate Bill 831. The Permitofficer's signaturef ' effective date of expiration for this permit is L47d-� I Issuing Date Expiration Date Local Planningjurisdiction 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 (252-946-6481) 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:910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 Applicant: �Ir) f✓ Date: 55-3tlC 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 ❑ 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 ❑ 0.<:031 10 A � A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date �' 1 Name of Property Owner Applying for Permit: Mailing Address: TOY�✓ice I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) Property Owner Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATEM ENT (FOR A PI ER/MOORI NG PI LI NGS(BOATLI FT/BOATHOUSE) I hereby certify that I own property adjacent toc2d=-e - is (Name of Property Owner) property located at ,� 2 1 ta2d h �' �' d ►z C_ �'"G (Lot, Plods, Road, etc.) cG s3 L.9 ►�i �- , N.C. on )3a5c, So w n C'd-� � , in (Waterbody), (Town and/or County) He has descri bed to me, as shown bel ow, the level opt. he i s proposi ng at that I ocati on, and, I have no Aecti onto his proposal . I understand that a pier/moon ng pi I i ngstboatl i ft/boathouse must -be set bads:a minimum distance of -fifteen feet-(16). from my area,of riparian access unless waived by me. I_do-not.wish.towaivethesetbackroquirement I do wish to waive than setback requirement. DESCRIPTION AND/OR DRAWING OF. PROPOSED DEVELOPMENT: (To befilled in by individual proposing development) C Ff ICE. -A o '3' 0 A 2' Z 1 (Riparian Proper Owner Information) (Applicant Information) j Signature j Mailing Addreas D 250 c, Print or Type Name Clty/SiataZp Telephone Number Telephone Number .- ( /y Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PI LI NGSBOATLI FT/BOATHOUSE) I hereby certify that I own property adjacent to �G-4 .__- 's (Name of Property Owner) prey I oc ated at j-z I N e 2d h -5 1-1 o (Lot, Block, Road, etc.) cis Lr9 r L �� on B ��� So�� � �aT a-L. , in, , N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the devel opment he is proposing at that location, and, I have no of jecti ons to his proposal. I understand that a pi er/mooring pi I i ngs/boartl i ft/boathouse must be -set -back a minimum distance of fifteenfeet-(15') from my area of riparian access unless waived by me. I do not wish to waivethesetback requirement. I do wish to waivethat setback requirement. DESCRI PTI ON AND/OR DRAWING OF PROPOSED DEVEL OPM ENT: (To befilled in by individual proposing development) / I_ 3 r 3 3 4�- 'Z:'k Q19 Z / Z -5 (Applicant Information) �g Mailing Address P O i3 250 City/State0p Telephone Number -S'6 14 Date D rt-05 Z4+ (Riparian Property ONner Information) 9gnature Pr i nt or Type Name --� Telephone Number %/0/ Ddte MUD BUCKET DREDGING INC 507 HEDRICK BLVD E)Ilb -3/5 4300 MOREHEAD CITY, NC 28557-3045 6's-3/co, 66-112/531 Date 4, Pay to the )x u� Order of -A Dollars m BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.cm FOR�J "Z, -000001130011' 1:05310LL20:00052932l831,liim _uLmm, 4