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