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HomeMy WebLinkAbout56023_EDLER, DANNY_20100623L`CAMA / ❑ DREDGE & FILL GENF-RAL` PERMIT New ❑Modification ❑Complete Reissue ❑Partial Reissue 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 a Previous permit # Date previous permit issued attached. Applicant Name :, ' Ji! '�� j ` �• ; n e ! (t i Project Location: County Address '. 7G G�5eL mane- ` Street Address/ State Road/ Lot #(s) City t" { l 4 t i, C'-V r � C` State ZIP Phone # (�)?�` ,ff'd Fax # ( �'j� -' "� N Subdivision Authorized Agent - -" ' City r ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) ' r " " River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body gnat /man /unkn) ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity (Scale:C ) Pier (dock) length Platform(s) Finger pier(s) Groin length — — — —I — number I Bulkhead/ Riprap length kA avg distance offshoret j max distance offshore Basin, channel I cubic yards Boat ramp Boathouse/ Boatlift r Beach Bulldozing - ----- 1—� ---- — Other I — Shoreline Length SAV: not sure yes no i Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes (no Waiver Attached: yes (no A building permit may be required by: ('i� UA � See note on back regarding River Basin rules. Notes/ Special Conditions (� ^ ^• � rTAI C +r 'N ono . Agent or Applicant Printed Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature 07 Issuing Dat Expiration Date Local Plan ningJurisdiction Rover File Name 7 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 [)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 DANIEL E ELDER r„ Jr�40� 9300 GOOSE LN MECHANICSVLLE, VA 23111 68-54/614 BRANCH 27401 [ Date Pay to the /`+ j jj j orderof 01l%1 l�r�ll�tK k IIIi��oi'1��IaI Yr iCYr IC;�j • Z �`� tiO -- - -- - Dollars WACHOVIA Wachovia Bank, N.A. wachovia.com Fore"For G lVP I:0 5 1400 5 4 91: 10 70 10 78 408 201I' S 140 � U v LU N > W W r-1 a` z U O m lot j tt�7C tSTI I-V'> &, L(a -oPD(� '_-S7pN %V ppprnbt ry, 1:71 L1Ndti's. W tull S o F-- �- L- .11l� T I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGS/BOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to vk D Yam{ ids (Na e of Property Owner) property located at (Lot, Block, Rofid, etc.) on I , I l �� , in I t���-ii , N.C. (Waterbody) (Town and/or County) Applicant's phone #&N ? 16 Mailing Address(I500 6 00`<- 1t1t%;L, �c'f rlarj li_ IJI KA OL II& 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 / boatli / 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) I k� m'd, 6 aM A, - !�wl( dtiulif doc.,� 6 z5ptr No ,� G�Ai%iM P,/ I�,l�. r,U? 1 I �,C a diked, i -5k-,e f ck n& Co. vn� (Q, A- - (Information for Property Owner Applying for Permit) Danny Elder, Ron Keller 9300 Goose Lane Mechanicsville, VA 23116 -------------------------------------------------------- (Riparian Property Owner Information) Signature Print or Type Name 3�G �7 ( —q ?�2, 7 Telephone Number ((r o / 201 Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent tot�uLgkf, 2e;'D (Na e of Property Owner) property located at (Lot, Block, Rokd, etc.) RECEIVED JUN 16 2010' Morehead City DCM on in j�?9P �;- , N.C. -� (Waterbody) (Town and/or County) Applicant's phone #:�'f�� 1 0 - M416 Mailing AddressN 500 600S<- 4�ecltM I I I L 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) e d Y1 111 oho c She Izlti m [24-e-v,e (Qdk - -------------------------------------------------------- (Information for Property Owner Applying for Permit) Danny Elder, Ron Keller 9300 Goose Lane Mechanicsville, VA 23116 17 �o (Riparian Property Owner Information) ,G Signature %zD /3rKT ly 1 rzf�K� fi'1au9r Print or Type Name -73�- y9a -77?- Telephone Number 6^/71io Date /0, � �R-oFoSED tr APD rTT o KV4-, VtLIMOI5 WILL P.0 pkUt�"D- vfc IST r` t"X pc Pm off. •Pt L1 ��s W ttl,,. Sty-nK-Tr— RECEIVED JUN 16 2010 Morehead City DCM UNITEDSTATEStBV .7 aid • Sender: Please print your name, address, and ZIP+4 in this box 4 REc-FIVED /4X moret.-Ow c, Dcu UNITED STATES �OSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-1 0 • Sender: Please print your name, address, and ZIP+4 in this box 0 G®o JUN 16 2010 r ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: �A4r- 2. Article Number (Transfer from service label) PS Form 3811, February 2004 Agent by (printed Name) D. I delivery address different fro RitV 11�, �7 jNo iIf YES, enter delivery addressA s Qg>r^ ' 3. Service Type ❑ Certlfied Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) 0 Yes 7010 0290 0000 1457 8257 Domestic Return Receipt 102595-02-1+1540 F ■ Complete items 1, 2, and 3. Also complete A. item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse x so that we can return the card to you. 0 ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: '00e .v 7-U Q IJ ✓/� Agent ❑ Addressee by (Printed Namg) C. Datg of Qelivery Is delivery address different from itbr -t? 0 Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7 010 0290 0000 1457 8264 PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 Applicant: Ron Keller Date: June 23, 2010 General Permit #: 56023C Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts amount OW Dredge ❑ Fill ❑ Both ❑ Other ® 40 40 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanageawent.net revised.02/03/10