HomeMy WebLinkAbout59713_DAVIS, CAROLYN_20121108OPV
❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Previous permit #
❑New []Modification ❑Complete Reissue El Partial Reissue 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.
�.' f { ,.,
Applicant Name .� 1 r 1 r j
Project Location: County
Address , _ ., I f r e i �i,i" i
Street Address/ State Road/ Lot #(s)
7-1 -r
City StateIP
Phone # O. Fax # O
Subdivision
Authorized Agent (
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # O River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
❑ PWs: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
it
Platform(s) e
1R-1NI WTI
Finger pier(s)
Groin length
number t
Bulkhead/ Riprap length. L_ 1,T"_
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
_
+
I
�
I
I�
I
w
Beach Bulldozing
Other -
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
i
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
P
i
_
--
/
f
❑ See note
on back regarding
River
Basin rules.
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit's .
Application Fee(s) Check #
f'
Permit Officer's Signature
Issuing Date Expiration Date`
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 [)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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(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
Aopllcant:
Date:
l
l
Describe below the HABITAT disturbances for the application
found in your Habitat code sheet.
All values should match �ie—fname, and units of measurement
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tem 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
Dredge El Fill Both [I Other El
Aq
���
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
.4::).�"S�ti J.''w: v':: a. i'•h.'� Iri .. AIR l: s.. ..- . ........I . :�. /`. �)�!`M"-AA
'V �t}• .t,Ua�� +ariTar.n:.r_,-�.�s�e:li�i�]-;.:,Ii _. `•:f._ii:��} ::1..
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to G-L6 1�16:r4L/4 4PAAl-f 's
(Name of Property Owner)
property located at /78C,6:p'� /QblAl7 8G k,P
(Address, Lot, Block, Road, etc.)
on/r✓IR. 6a4.S-r4L Lv,4IeW&AY.in Cg:pA9 A61,,V agz:) N.C.
(Waterbody)
Agent's Name #: 4,44 T
Agent's phone #:Z S�z - 71 - 1394
(City/Town and/or County)
Mailing Address: po- ,egx SZ aV0 City-1NC
Z8-<23
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR' DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
11v- 1,46
RECEIVED
SCE
JAN 12 2012
DCM-MAD CITY
if you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastalmangement.nedcontact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
Sign
1` iVCC6 4
Print or Type Name
-o - Fo „x Sz - -
Mailing Address
r
City/State2ip
z,5z- G"71
Telephone Number
Date
(Riparia Property Own nformation)
nature
Print or Type Name
4-7Q �- Sco6441y C .
;v;aiiing Address
A/c
City/State2ip
p1J-6OR -7674-
Telephone Number
,'lo/ati/�
Date
'A&7ALI- - 5 -,a /.j L RI/o R/1 p
DAf WA, S,/g 57YO45 a ).:
EX/57/AIG- sL--A 4 a,,
178 CEDAR POINT BLVD
fyt--
ED
201Z
CITY
s
!V
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
c,9Ro c yt/ 1,74v/5- y a /-)G
I hereby certify that I own property adjacent to % AM2ccLA f�DA" M S s
(Name of Property Owner)
property located at _ / T$ C 6-0,42 Relyi 9C VP r
(Waterbody)
Agent's Name #:
Agent's phone #:
(Address, Lot, Block, Road, etc.)
(City/Town and/or County)
Mailing Address:
He/She has described to me as shown below the development he/she is proposing at that location,
and i have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRiPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
ll/ Y�-WI ZL AJ C
R/,41' - /?,9/0 6/l/ 6V9 %(�JZ
.SLUG !3�
LF�'/S%/,/�PECEIVED
S r~/gLG
5C-E
JAN 12 2012
DCM-NIHD CITY
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 90 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangement.net/contact_dcm.htm or by calling 9-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information)
Signature
41V C-4 LEA 4,OAzu s
Print or Type Name
R<3 - Sax 5-2-
Mailing Address
City/State2ip T
.2.527/-l3SG
Telephone Number
16A, d- A,
Date
(Riparian Property, ner Information)
1-4 1: i 1 A
L
1�1, .V-o �- 9,
Print or type
�36ao �'a�s� cdv,4T'
11 :1rng riddress
/ZZ /i ��2s- VIL c ?S
City/State/Zip
76¢- - p¢T-s3z-5--
Telephone Number
o �ti1 I
Date
D,c( WA—,f &:,R Sl,pE c F
EX! S 7/.c/G- 4 s I i
178 CEDAR POINT BLVD
ho z
?CEIVED
12 2012
.MHD CITY
N
t31
Robert M Adams 9�31�
An D. Adfana `-="
0BoX 52 117 McCoy St. 252-638-2909 BRANCH 77600
Cove City, NC 28523
mate
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WACHOVIA
Wachovia Bank, a division of Wells Fargo Bank, N.A.
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1:0530002191:1044711026309ii' 9315
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