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Home My WebLink About51806_WARREN, CHARLES_20071108-7 16 Ll CAMA / ❑ DREDGE & FILL 6 GENERAL PERMIT Previous permit # LJ New El 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. Applicant Name_ Address City Phone # Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax # ❑ EW ❑ PTA ❑ ES ❑ HHF ❑ lH ❑ UBP ❑ FC: PNA yes / no ❑ PTS ❑ N/A Crit.Hab. yes / no Project Location: County_ Street Address/ State Road/ Lot #(s) Subdivision City Phone # (—)— Adj. Wtr. Body ClosestMaj. Wtr. Body — ZIP River Basin kn M. M. - ■■■■■iliitl■EEtJ■■■■ ME■■SI MENEM MENEM MOMMEEN MENEM M MEM MENNEN ME MUMME OEM Ei■ii■i■i■�■iw�Rr �"A�ia■■■ii��nr�ii��■��i MEMO ME Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # 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 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: YNeuse 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/ I-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 Adjacent Riparian Property Owner Statement Adjacent Riparian Property Owner Statement Page 1 of 1 (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to Gk1 e 5 t'V101A1?C'4 is _//- }game of Property ow� r property located at G � �" 9� , �i'�Pf %�d�� /, Lot, block, road, etc. on Sib► 9 (e% in 'e lip 3 , NC Waterbody 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. V I do not wish to waive the setback requirement. I do wish to waive the setback requirement. Description and/or Drawing of Proposed Development (To be filled in by the individual proposing development P164 few-om y � WdtA t',, JA 'Aft- C 1"iVe �"2VV •AC 51FA�JC�u4jP &Y-vs, /11-� 4-0� Si ure .00--� yo-S-Y-J Print or type name �'��.%.-? i? Telephone number 1,5//4 1 'al Date r /fees http://www.innerbanks.biz/arpos.htm 10/05/2007 M 436 PAGE 23 I � r eq �A `ram• 14 ,Ak s S SCP, 'Ae ro JWS" Maw CAM .r.d r►i.r.,.r„Y.s I s y R K O •a �. 501 tom AOM -xiw Ar +r owl~ Sala i" SW Mark It Lee Charles 1--Warren Atijacent mparian rroperiy owner �aatemeni Adjacent Riparian Property Owner Statement rage 1 or i (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to L�.919� (,�fl��r�✓ is Name of PropertyOwner property located at Z 0 ff r"w J Lot, block, road, etc. / on Sl�'1rt4 6/3elelf ,in A419 .r ,NC Waterbody Town and/or county He has described to me, as shown below, the development he is proposing at that location and I have no7ns to his o not wish to waive the setback requirement. I do wish to waive the setback requirement. Description and/or Drawing of Proposed Development (To be fil d in by the individual roposing develo ent) r Sign e Print or type name Telephone number / 0 A 7 Date htti)://www.innerbanks.biz/art)os.htm 10/05/2007 OM 436 PAGE 23 r �404 t ' s 40 t �ree� slime D► A?]f� Ji { 4vA^niiw w'w , Z2 J/a�1li�erwr't�rr� ,,�pNtop r _h `y ��cc ybkybf � it 4fA A6VAVai cam �G&q 8wrwtvw iw E e C cc . arai dr iraNNA-0{s� ' o LL _lI'gr6w�wr��oJ�i►�Ywrc ip Z O ev c d rArwgwM 1?K iow I MOM -ate Abb rW.Lmer se.lc i^ - SW Mark 1t Lee Charles amen 10/31/2007 18:48 6107563177 WARREN BLDRS 1v'a1-4UUi Ui:Ua rAs 2527451U01 UNITED COUNTRY PAGE 01 U 002 AKA"f2'*A KDRO North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Eas!ey, Govennor James H. Gregoon, Director William G. Fkcse'f„ SeaatBry Date —. /0/0 Lo 7 — Applicant Name Mailing Address r I certify that I have authorized (agent) �o -IAe ql to act on any bebaif, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)` ' 4 •elz , at {location► top 9l0 OA'e441 ��f,✓¢/�!'.� II certii•,eatiou is �thru (date) _. _ �� 31— 07 Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28W `, FAX: 252-247-3330 \ Internet: www.nccoastaimanagement.net An Equal Qpporun4y \ Aff fffi*1lvo Action Employer - 50% Racydsd\ 10Re Post Ccntumer Papcv CHARLES C _ WA SERENA RREN 1325 HAWK A REN 5 AR RD PH. 610-756 3548 KEM rON, P com munit g—�nks -- So 4091, 1751 60-1041/313 CF OATS -`n DOLLARS