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Home My WebLink About52395_HARDISON, GARY_20080819CAMA/ ❑DREDGE & FILL it; '5 GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue El Partial R su Date previous permit issued As authorized by the State of North Carolina, Department of Environment anzl Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC I]Rules attached. Applicant Name �i �'� j`, Project Location: County Address ; t` Street Address/ State Road/ Lot #(s) City State ZIP Phone # ( ) Fax # Authorized Agent -,[ Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Subdivision City ZIP Phone # ( ) River Basin / Adj. Wtr. Body (— nat man unkn Closest Maj. Wtr. Body ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ EMMIMIMMMMMMMMMMMMNM MINE MIM■■�1■■!■■■■ •-a■■■■■■■■■■■■■■■�■■f■■■■■■■■■■■■■■■■■■■ ■■■■■■ o■&l■�■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ME ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■ ■■■■ mom ■■■■■■■EMMMA■■■■■■■■■■■■■■■ME ■■■■■■■■■■■■fi�u>I��j■■■■■■■®■■■■■■■■■■■ mom ■■■■■■■.■...■...f..f.......,■f►...■i■■■mom - - • Hai■■i■■■■i■■■■■■fi■ii■i■■■■v■■■i■■■■■■i■ ■■i■ ■■■■■■■■�"' All! i�r �+i�l■■■■■■a■■■■%■■■■■■M M Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # PerrrXt_Offycel r><ar f IssuingDate !_ / 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, certifythatthis 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/ 1-888ARCOAST 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 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 AOwA rAON% 'r NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Govemor James H. Gregson, Director William G. Ross Jr., Secretary Date AIN/C/T FiLpplicant Name Mailing Address � 2 NC- I certify that I have authorized (agent) `—� AJ to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to �e install or construct (activity) at (location) X�l�8s This certification is valid thru (date) Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper ADJACENT RDPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PHVVGSBOATLIFTBOATHOUSE) r I hereby certify that I own property adjacent to -o h (-� f 4 1 "d i 's (Name of Property Owner) property located at I I aYs >�e✓ br i �e (1-1 (Lot, Block, Road, etc.) on 1' i rA� is �� 1 , in N.C. (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. I understand that a pier/mooring pilings / boatlift / boathouse must be set 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. J DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) I �4s�5'L '), ace- plt'6�s ture ai PrintP�T I Name Vl 33C0 Telq )`tumber��✓ Date: 7-- g ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORIIVG PILIIVGSIBOATLIFTIBOATHOUSE) r I hereby certify that I own property adjacent to _1Uh(1 f q �6(a &n 's (Name of Property Owner) property located at 1 i e. i7, rife (Lot, Block, Road, etc.) on l rC1 i5 in Ocapahoe , N.C. (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. I understand that a pier/mooring pilings / boatlift / boathouse must be set 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. DESGREMON AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filed in by individual proposing development) I �OUS-t Date: D ^ �Ir-r PrintWTyp` a 1Vame Telephone Number BOBBY CAHOON MARINE CONSTRUCTION AND LAND DEVELOPMENT DBA BOBBY CAHOON CONSTRUCTION, INC. 6003 NEWE RD. GRANTSBORO, NC 28529 PH (252) 249-1617 PAYTOTHECD[ ! YR ORDERER OF . I y�� WACHOVIA BANK, NA BAYBORO, NC 28515 66-21 /530 4 SIP Q - 000 5 6 4 lI' l:0 5 3000 2 L 91: 20000 L 7 68 48 281I' 5643 8 01ba $ led(, DOLLARS B