HomeMy WebLinkAbout55727_COOPER, AB_20100510❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification El 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 ) `
[QRules` ttached.
,
Applicant Name Project Location: County o %
r•
Address ' Street Address/ State Road/ Lot #(s) _
City 1 State ZIP
Phone # (: %� `1�;? Fax # (
Authorized Agent
)(t i
j��-')��
ElCW
❑ EW
EjlP't A' Ufiff-� ❑ PTS
Affected
ElOEA
ElHHF
❑ IH ElUBA ElN/A
AEC(s):
❑ PWS:
❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore,__ o
Basin, channel t " p "
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bul
Other
Subdivision
i
city L `1 k'`l ZIP _
Phone # ( f River Basin . i
Adj. Wtr. Bodyi (nat)
Closest Maj. Wtr. Body t C:)
(Scale: III—, , --
`� )
t _
Shoreline Length (I VU
SAV: not sure yes" -
Sandbags: not sure yes no ' $ ! t
Moratorium: n/a yes n
Photos: yes no
Waiver Attached: yes o
e
A building permit may be required by: {1T ! \ �•. ,' �/ ❑See note on back regarding River Basin rules.
Notes/ Special Conditions r } t - Y c /r
'1 . }
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
The time period requirement for this
J J_J a:l in 71
i UCVCI UtJ111Cl11 15 3U3pt:"UCU ulllll 1L-J1-
i
2010, pursuant to Senate Bill 831. The
Permit Officer's Signature effective dat of ex it tion for this
permit is
Issuing Date Expiration Date
Local Plan ningjurisdiction Rover Fife 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
NC- Divi st m 0`7
s r0g�r.
,applicant:
Date: �
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
DISTURE3 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 ❑
AUA'
RCDENR
ort"i if ;iii ;� )eoar meni. of _nvlrOrlmec,I: a!-ici `,i:at!.ira ,�i it,:; :•a
C visicn Of Coastal Manageme'nt
Sever!y Eaves Perdue, governor James H, Cregson, Director Gee F reema ecrtar RECEIVED
MAY 4 2010
Date L4 , ►c), tom Wr®heod Cify DCM
—
Applicant Marne H G�� �, t ►�-- --
Flailing Address TO 1�oX ZSO
& L'O-)V 4-'-c. l lrz flc.- h Q . <--
I certify that I have authorized (agent) 'U2.E05-►W:!S to act on nay
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) �K€/J6��j o r $► ��-
at (location) P oYL-4 �, �i h arL-c 1 O
This certification is valid thru (date)
Signature
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 STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Goy 1s RECEIVED
(Name of Pi operty Owner) MAY 4 2010
property located at `3 �� Aloe,) ti Sh,,z c E Moregead city nCM
(Lot, Block, Road, etc.)
on �,A r�,� C_ , in k4--{ x--)�yoe- h N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: IZ6 'ZB�� Mailing Address:��
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 PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
f
3X ��X3 'ae��
U w O'kR.
2(cG�'YD5 L,-
C---A ,5
13 c 1,
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address
City/State/Zip
"12(, 21-65-
Telep one Number
1�0 ��a,
Signature
Print or Type Name
Telephone Number
Signature Date Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOOREVG PIL17VGSBOATLIFTBOATHOUSE)
RECEIVED
I hereby certify that I own property adjacent to �� _� is
(Name of Pfoperty Owner) MAY 4 2010
Morehead City DCM
property located at `3 o f-a ti S {�0,2 s i h'
(Lot, Block, Road, etc.)
on LA ram- L-. , in AAA-4 a✓ Jet: �c h , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: I2( Z36.5 Mailing Address:T15 /3n�6 250
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 a$ea 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.
Cj%-L� S DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
ro
*ZG6P5 Vwn Yz
t ;X-4--
aiib
TZ 1t
(Information for Property Owner Applying
for Permit)
'P d�� 25i]
Mailing Address
���,�d u ��c.l► �Ju,z, 216SIz
ity/State/Zip
`� 2(0 2,�%5-
Telep one Number
(Riparian Property Owner Information)
Signature
6/Z-ti,1a/ S4 ,9� fh Z-Tf-
Print or Type Name
jsj _ 7a�,--jkO,
Telephone Number
Signature Date Date
MUD BUCKET DREDGING INC
6S%z2., 1, 4363
507 HEDRICK BLVD �1 ' ] j 66-112/531
MOREHEAD CITY, NC 28557-3045 I C7
Date
Pay to the�%i` I
-> Feelures
)� omen:oe
Order of
BRANCH BANKING AND TRUST COMPANY
(� 1-800-BANK BBT BBT.com
FOR==---------
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