HomeMy WebLinkAbout76092_Ernestine Cox_20200715 RX'5 No. 76092
•. CAMA
/ ❑D DGE & FILL r--B I
' GENERAL PERMIT �1oS / Previous permit# A B,r-1 C D
)C New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ,./ /4
As authorized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC Imo'I A-I • / / Li:-)
( Rules attached.
Applicant Name , ,JE-$r7,-1 F- Project Location: County .5r. s, »7 mac) .
Address --...--:r =A Y 2_ T Street Address/State Road/Lot#(s) . / jp / t
City ;r-47' w,, i; </ State '� r_ ZIP r- -c. ,--�. Ly '� -.;f .-_..- ' .'-z -I _
Phone# (�2) 9-7-s -I?' c E-Mail Subdivision .)/1 1/--, ,i 2 F �' L.L j
Authorized Agent j i3 gi 7- .,--bi 9Z.., r-LS City'--/---e'v1-1v ,1-},-,, (../I ZIP -)'` SS 1'4
Affected ❑CW 29 EW J PTA RES PTS Phone# ( ) River Basin '/9-42- " '7,6✓1 /(C�
AEC(s): ❑OEA ❑HHF E IH ❑UBA ❑N/A Adj.Wtr. BodyIt 14-,..1 -it/14Oi AA � c- nat a unkn)❑ PWS:
Closest Maj.Wtr. Body .'n"1 L i e. ,) i� I ✓t�(‘
ORW: yes / no PNA yes / no
Type of Project/Activity P F�-� >7_ -. . , -_.s>>. !'�-- r- - i l .) r_ Ia L-/1-Jr-rt6`
(Scale: / = )
Pier(dock)length
Fixed Platform(s) \\
Floating Platform(s)
. )
Finger pier(s) >� ''�- i>7 o�,-) (1tO r= /7.4-,"1.-
Groin length
number • ��
Bulkhead/Riprap length)/-, I r
avg distance offshore --Z,' 1
max distance offshore 5-1 ( 1
Basin,channel
cubic yards
i
Boat ramp j I
Boathouse/Boatlift 1 ti
t Acz 1- - t1,-;,'' o 7 1 i3A1,, ,mac
Beach Bulldozing 1
Other . .
1 i !-- I �i '
y
i `. �°'�"� \ -mo o — �—
Shoreline Length / 0
\ \ \ \ ►. \ ,
SAV: not sure-?yes no K... l
Moratorium: n/a yes ,io e(‘
Photos: yes( . d i , .,
Waiver Attached: yes , n�o`'�J 1
A building permit may be required by: i---mot�_�,+-7'-----). . , }'See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions '.4 r-,(4-y )--7 ,,---}y-Y D --4-Ad �.) ,
16 V.....\,� e
c Printe e er
Agenpp Permit Of eer s Printed Name
Ii,
_`•_ � '
JIM-
Si ature "Please r compliance statement on back of permit** ignature ��
' r/ tAK lie'v � '-"- / ---2 . / . I)zv )/• ' -< 2.J
Application Fee(s) Check# Issuing Date Expiration Date
l
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 I)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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648I) or the
Wilmington Regional Office(9 I 0-796-72 1 5)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: 910-395-3964
Fax: 252-264-3723 (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
r
CAMA/ ❑DREDGE & FILL ' c Jl No. 76092
GENERAL PERMIT fi �LDJ Previous permit# A BCD
> Z ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC .
❑Rules attached.
Applicant Name Project Location: County
Address Street Address/State Road/Lot#(s)
City- State ZIP
Phone#( ) E-Mail Subdivision
Authorized Agent _ City ZIP
Affected ❑CW ❑EW [IPTA ElES ❑PTS Phone# ( ) River Basin
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA El N/A Adj.Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no Closest Maj.Wtr. Body
Type of Project/Activity
t (Scale: ;:. , )
F Pier(dock)length
l. Fixed Platform(s)
i Floating Platform(s) f I A
Finger pier(s) '# _ t
Groin length i
number ,-s1 i,s':
Bulkhead/Riprap length • , I
avg distance offshore ... I I
max distance offshore ,
Basin,channel
I •
•
cubic yards -.
Boat ramp
I {
Boathouse/Boatlift
e.. i' • _• - I , H
Beach Bulldozing
Other i
\ I
lEMart:. ;—... --
Shoreline Length •—!/ j I ,
-NiSAY: not sure yes no 1 _..._... ..._. t .
�. I
Moratorium: n/a yes no-fir
4 Photos: yes no'�, �j i
f1 Waiver Attached: yes no `
I I.
A building permit may be required by: _ See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions •
I
,6 ,V....., ," ,
Agenpp Print e PermitOfficer's Printed Name
.pl ✓ r
Sig azure **Please r compliance statement on back of permit** ign tuts �_�.�
Application Fee(s) Check# Issuing Date Expiration Date
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 I)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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office(9 I 0-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: 910-395-3964
Fax: 252-264-3723 (Serves: Brunswick, New Hanover,
(Serves:Camden, Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 4-, ..e... e.e-5z
I J
Mailing Address: � � ✓ Q/Y)a,Q
/(g . 27cy/7
Phone Number: a 5 ? — f��-- ce
Email Address:
- - )\I certify that I have authorized
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
r �
at my property located at 5 1 /i C?,tD
in . 2 ., County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
r
Signature
riaM sLiArC co ` v
Print or Type Name
Title
�j /
o` I 7_,69
Date
This certification is valid through I I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to MA ETT - L 's
(Name of Property Owner)
property located at Jr02 CfrivAL WicCD to;A'till IV .
(Address, Lot, Block, Road, etc.)
on in C%fl'Cc , 8edtOFD, TGN.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
" A L- I have no objection to this proposal.
w - I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
i nature (] Signature*
�lP/1/g.5/ /N L o 71 W HO t 7 ENDd/L-
Printpr Type Name / Print or Type Name
C iuNA/ L7'� 15-0 I pcit. �2
Mag,�iqg Address Mailing Address
(,h e 7.61 l� j (,c /A'7 V t e_L 14- — z c v
City/S p g/ City/State/Zip
a ctkR
Telephone Number/email addre Telep one Number/email address
97i �'A ? /zv
Date Date*
4tL / a
(Revised Aug. 2014)
`Valid for one calendar year after signature*
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 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 wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
( crt4A-voz: ()_ 14Cid•C?"6"-
Signature Signature*
,
eetr
Print or Type Name Print or Type Name
Mailing Address Mailing ldr s
City/State/Zip City/State/Zip
Cad c )..,i/r f() Z987-7
Telephone Number/email address Telephone Number/emg address
ZS2 94f3 82 6,1
Date Date*
ram, it
I (Revised Aug. 2014)
*Valid for one calendar year after signature*
NC Division of Coastal Mgt. Habitat Impact Go puler She
Applicant: --n 7 id - •
Date: "7- !S' 2020
General Permit tt: p 9 2,—
Describe below the HABITAT disturbances for the application. All values should match fie name,and units of measurement
found in your Habitat code sheet.
�
TOTAL Sq. Ft. 1 FINAL Sq. Ft j TOTAL Feet I FINAL Feet
(Applied for. (Anticipatedflnal I (Applied for. iAnticipated final
DISTURB TYPE ! Disturbance total disturbance. Disturbance I disturbance.
Habitat Mame Choose One ncludes any j Excludes ?ry total includes I Excludes any
anticipated restoration l any anticipated j restoration and/or
restoration or ( and/or Temp restoration or ' temp impact
temp impacts) impact am cunt) temp impacts) amount)
! j
!�S fi• I
Dredge❑ Fill❑ Both ❑ Other 9 - - I /�S j .
f?o e•r•-• Dredge❑ Fill p Both ❑ Other ❑ 2 30 �,- 2 34'
4-9
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Dredge❑ Fill n Both E. Other ❑ ( j
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Dredge❑ Fill❑ Both ❑ Other ❑
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Dredge❑ Fill❑ Both ❑ Other ❑
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Dredge i❑ FIIF❑ Both ❑ Other ❑
I I I i
Dredge❑ Fill❑ Both ❑ Other ❑ I
Dredge❑ Fill❑ Both ❑ Other ❑
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Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fitt❑ Both ❑ Other ❑ j
Dredge❑ Fill❑ Both ❑ Other ❑• I j
Dredge❑ Fill❑ Both ❑ Other ❑ ! I j