HomeMy WebLinkAbout55314_COOPER, AB_20100330-
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❑ CAMA / E DREDGE & FILL
GENERAL PERMIT
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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\
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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
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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
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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
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Dollars
m BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.cm
FOR�J "Z,
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