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