HomeMy WebLinkAbout55712_BISSELL, ROB_201004295/3/io 1�
CA�WIA / El DREDGE & FILL I(j,M
GENERAL. PERMIT Previous permit #
I l.l�lc.w. I]Mnrlifirntinn ❑('mmnlotP Raiccna ❑Partial Rai -sue 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 15A NCAC
Rules attached.
Applicant Name t {�
Project Location: County
Address 2l ? �__ (A
k1�
Street Address/ State Road/ Lot #(s)
City .� _ 71 i 1 State �c2lp, }(
Phone # ( °'� Fax # ()
Subdivision
Authorized Are
City
ZIP
❑ CW DEW C31 P7A ❑ ES ❑ PTS
\\
Phone # ( ) h I ? Basini t_t, i t_ ,. - (.0 !t
Affected
_River
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
AEC(s):
Adj. Wtr. Body Y�) `_2
Nat, /man /unkn)
❑ PWS: ❑ FC:
%l
l
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body—)
Type of Project/ Activity/f.f`1
Pier ( Ill
/
Platfi
Finge
Groi
Bulkl
Basir
Boat
Boat
Beac
Othf
Shor
SAV:
Sand
Mor
Phot
Wain
1
(Scale: /
11l:0G.4R■■■
V►1
r pier(s)
i length
number
avg distance offshore
max distance offshore-
�►__
RIM
AMM
■■■
■
■■
_
r_1.�
■
■■.■■■■■■NESIR
.■ram
-.
•
cubic yards M
. ME
■■■ ■■ ■■MEMEM!-i Bulldozing_
►
1 ■■_■not sure yes no_■
�
_ not sure yes no■■�EPWAMN
Jam►
■
�■
■�
■■■�■�/
■■®A■■®■■■■■■■■■■
■■�
■■�■■EHs:
will
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
77
kgent'or Applicant Printed [*lame
i
Signature **Please read compliance statement on back of permit"
Application Fee(s) Check #'7
The time period requirement for this
. development is suspended until 12-31-
2010, pursuant to Senate Bill 831. The
Permit Officer's Si re effective date of expira ion for this
I _1 f permitis_
Issuing Date CAPHI auVi1 v4
f47:
Local Plaririingjurisdiction ' 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 Citv 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
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastai Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date
Applicant Name
Mailing Address
QD6
RECEIVED
APR 26 2019
forehead City DCM
7 qZ-)
I certify that I have authorized (agent)I j S to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) A C2 -AQZI` �`�y✓
at (location) I Z- 3- 4o'o 4/Z ��� )�Y
This cerl
Signatur
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.ticcoastalmanagement.net
An Equal opportunity 1 Afiirmwve Action Employer — 50% Recycled 110% Post consumer Paper
AF r. 19., 2010 1:52PM GUY C LEE MOREHEAD CITY AVLO:01 'SZ 'ady aui2
A1)JACF, 'f RIPARIAN PROYERT•Sc OWN—ETt STATEMENT
(FOR A PZER/MDORLVG PILLYGS/BOATLIFT/BOATHOUSE) RECEIVED
I hezeby certify that Iown property adjacent to _ oIZ i SS AIR 2 6 201'
(Name of Property Owner) Morehep
cl C'tl, DCM
propcny located at.., �o� l7�'1 �i't•
(Lot, Block, Road, etc.)
on -, i3s u U r_�U n/ _ , in �- ��-+►1f�G 1� c�� _ - � N-L-
(Waterbody) (Town and/or County)
Applicant's phone #; aSa� 6-71- 130 - Mailing Address:
He has described to me, as shown below, tho development he is proposing at that locution, and, I
have no objcsctioas to his proposal. I understand that a Piet/mooring pilings / boatlift / boathouse
must be s:.t 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.
DESCRUTION AND/Olt DRAWING OF PROPOSYD DEVELOPMENT.
(To be filled in by individual proposing development)
❑r
6
0
a
pr olksp
,F--/
(Information for Property Owner Applying
for Permit)
330 z ow kl pa
Mailing /Address
ity/$taici .1p
_a
Tel Nuai
Signature
F 4
rbP�f/
1p 7 al-
(Riparian Property Owner Information)
79C
Signature
i riat or 'x ype Name
L 91 4�K�V!
Telephone Number
Date
T/T :&d ET:0T 6T-9Z-vo
IZT96E86T6T : fiq juas xe
` ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 0-b zr-- // 's
(.Name of Property Owner)
property located at I tDa P Ak
(Lot, Block, Road, etc.)
APR 2 6 2010
on �jaCt�� S0 C4N , in c- /Je� , N.C.
(WaterbodI (Town and/or County) °r �rnad City ®C
Applicant's phone #: 0.52-5,21- 13 06 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.
V`Ss�i
I,5a
----------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner propos ng development)
i3� 7 �
n 1
0
(Information for Property Owner Applying
for Permit)
3302 9�►1�!
Mailing Address
A15�N )G
City/State/Zip
Telephone Num er
4Sgnature
Datc
, (5� -// t - k
14- �o
(Riparian Property Owner Information)
1%, A
Signature
f 65 d
Print or Type Name
Telephone Number
4-/s--io
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
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tem p 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
tem im acts
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 L] Other [j
Dredge ❑ f=ill ❑ 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 ❑