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HomeMy WebLinkAbout51181_CHAMPION, GAITHER_200806121,7 [I CAMA / 1-1 DREDGE & FILL GENFRAL PERMIT Previous permit # ;0 DNew El Modification ElComplete Reissue DPartial 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 Applicant Name i Project Location: County_ Address Street Address/ State Road/ Lot #(s) City_ State zip - Phone # O Fax # Subdivision 7 Rules attached. Authorized Agent City r ZIP El Cw ❑ EW [J PTA F1 ES D PTS Phone# O River Basin Affected [:] OEA AEC(s): El HHF L1 1H L1 U BA El N/A Adj. Wtr. Body F-7 5� � (nat /man /unkn) EJ PWS: E) FC: Closest Maj. Wtr. Body ORW: yes / no PNA yes / no Crit.Hab. yes no Mi. SENN MEN 0 NE MEMENEEMENEEME■MEN S" EEM, Agent or Applicant Printed Name Permit Officer's Sigp-tur?—, Sign t r Please read compliance - statement on back of permit Issuing Date Application Fee(s) Check # Local PlanningJuriscliction Expiration Date - �IO��1��09 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 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/ 1-888ARCOAST 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 A'r Y.:.�h.I NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date d �r Applicant Name e Ir r • I' 0 Mailing Address 662 b f I certify that I have authorized (agent).BO6 act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) r' t D Ca Le— at(location) Grrctn+s bow( Kc. This certification is valid thru (date) 616 ., Al I/ Signature aksa; , C 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity1 Aifirmative Action Employer— 50°% Recycled 110% Post Consumer Paper MAIL,,,, RECEIPT (Domestic.,O-ERTIFIED r n Postage '— $ -- u-1 Certified Fee 0 Return Receipt Fee Postmark Hare (Endorsement Required) 0 Restricted Delivery Fee (Endorsement Required) RJ fU Total Postage & Fees $, 9 C3 Sent To N 0 Street, Apt. No.; PO Box No. ` � h- -A -------- Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. Print your name and address on the reverse so that we can return the card to you. Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: IAnj�y rf�f jlm ❑ Ant ZLrd�Addressee B. ec ved by (Printed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes �� vyivery address w: ❑ No Service Type ❑ Certified Mail ❑ Register Return Receipt for Merchandise Ir ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes Article Nun 7007 0220 0004 5540 3856 (Transfer fn_ — S Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of individual applying for the permit: Cho MrA�r. Address of property: —ILL �n rl (Lot or street#, street of road) f I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. 64--� I have no objections to this proposal If you have objections to what is being roposed, ease write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. No response is considered the same as no objection if you have been notified by Certified Mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags 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 i S ignature Date Print Name Telephone number with area code BOBBY CAHOON MARINE CONSTRUCTION AND LAND DEVELOPMENT DBA BOBBY CAHOON CONSTRUCTION, INC. 6003 NEUSE RD. GRANTSBORO, NC 28529 PH (252) 249-1617 2 PAY TO THE ORDER OF M M v a Cs MEMO. 9 WACHOVIA BANK, NA BAYBORO, NC 28515 66-21 /530 11500 5 3 701" 1:0 5 3000 2 L 91: 20000 L 7 68 48 2811' 5370 LLARS 8