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HomeMy WebLinkAbout55701_ENGSTROM, BILL_20100421❑iCAMA / ❑ DREDGE & FILL f J'�/ GENERAL PERMIT rC Previous permit# I❑New ❑h"iodification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natura esources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ` ❑ Rules attached. Applicant Name ��' U\1 - 3�'rr," Project Location: County E r :� Address i7®► 24t) `c Street Address/ State Road/ Lot #(s) City sr ��cP Stater ZIP °�Q � ► ' ;��:.�o?� � Phone # ( ) Fax # ( ) t`" t Authorized Agent �-a i � Affected ❑ CW ❑ EW ® PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes �no PNA yes / IKD Crit.Hab. yes / no Type of Project/ Activity V. r r- ire Pier (dock) length 5 x 2`i Platfi Finge Groil Bulkl Basir Boat Boat Beac Othe Shor SAV: Sand Mori Phot Wah Subdivision City (vQ v"' I' +36 (^ ZIPr7i' Phone # (2 3 S jddS River Basin / < t : Y Adj. Wtr. Body t §>. I? C" r nat an unkn t Closest Maj. Wtr. Body (Scale: )rm(s) - - — r pier(s) ilength -- -- — —IF — number lead/ Riprap length avg distance offshore max distance offshore � I ,channel cubic yards ramp - t• louse/ Boatlift I.. i Bulldozing rf -- -- dine Length not sure yes gn, )ags: not sure yes torium: n/a yes is: yes ,rSb� er Attarheri• vPc rn, - I I I - - - t A building permit may be required by: ( C n 'it n �l �,.�j �J ❑ See note on back regarding River Basin rules. �r Notes/ Special Conditions Signature "PleaseJrdcom' ' ncesta eMenton back ofpermit" 1 173'+�1o3i5 Application Fee(s) Check # Permit icer's Sig ture f l /Z4�ICJ 41r7J�r Issuing Date Exliiration Date toA Local Planning Jurisdiction Rover File 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/ 1-888-4RCOAST 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 .�o� b Gf'`s POSTAL� Serial Number Year, Month, Day Post Office U.S. Dollars and Cents 17346631590 2ao-o4-2o ma $200.2 o� LAmount TOO HLOWODOLLARS * **** ** ++ ***** Pav to o1 v► I 1:00000800 2 1: SEE REVERSE WARNING • NEGOTIABLE ONLY IN THE U.S. AND POSSESSIONS 173L,665159L-1Ila North Carolina Department of Environment Resources Division of Coastal Management Charles S. Jones, Director Michael F. Easley, Governor Date October 21, 2009 William G. Ross Jr., Secretary Applicant Name Bill Engstrom Mailing Address 1750 W 244th St Torrance, CA 90501 [ certify that I have authorized (agent) Foley Contractors, LLC to act on my behalf, for purpose of applying for and obtaining all CAMA Permits necessary to install of construct (activity) Bulkhead/Dock , at (location) Jewell Ct New Bern_ NC 28560 (Fairfield HarbourL This certification is valid thru (date) 1 year Mi!ijq� «L 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-828-2808/FAX: 252-247-3330/Internet: net An Equal Opportunity/ Affirmative Action Employer-500/oRecycled/10% Post Consumer Paper T ,ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to'R;: ZiJzu!, 44. 's (Name of Property Owner) property located at 963 J-a-w WA O . (Lot, Block, Road, etc.) on .�. (��.,, Cie-, in Xi &j 'MFj&3 � , N.C. (Waterbod) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) �G, Signature Er c'- - - -, "t, 0- Print or Type Name Telephone Number Date: �� `50/Cq ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to's (Name of Property Owner) property located jat 963 U-a,,a NAA Or. , (Lot, Block, Road, etc.) on EE.R. 9p12"1.1 in/i 81 gjFk J ej&q& ;=v , N.C. (Waterbod) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) aa: - , 4I, gnature Print or Type Name Telephone Number Date: 1 01- NC Division of Coastal Mgt. Habitat Impact Computer Shee Applicant: Bill Engstrom Date: 4/21 /10 Permit #: 55701 C 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 Shallow Bottom Dredge 13 Fill ❑ Both ❑ Other ❑O 100 100 Open Water Dredge ❑ Fill ❑ Both ❑ Other O 500 500 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 ❑ 252-808-2808 :: 1-888-4RCOAST :: www.necoastaimanagement.net revised:02/03/10