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Home My WebLink About49023_SMITH, NORME_20070703❑CAMA / ❑ DREDGE & FILL r. GENERAL PERMIT Pi ❑New ❑Modification ❑Complete Reissue El Partial Reissue As authorized by the State of North Carolina, Department of Environment and Natural Re /ources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC e. Applicant Name ! '�� ^ !�^ I Project Location: Cot Address Street Address/ State City State /V ZIP Phone # ( ) Fax # (__) Subdivision } Authorized Agent City `r '✓ ZIP Affected ElCW ❑ EW ❑ PTA ❑ ES ElPTS Phone # ( ) River Basin l� ' �T i :/► �+ ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body f (nat. /man /unkn) ❑ PWS: ❑ FC: ' ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body r pus permit 4 previous permit issued Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards r" Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length I) 0 0 SAV: not sure yes nol — Sandbags: not sure yes no' Moratorium: n/a yes no Photos: yes `no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Lot #(s) (Scale: ) ❑ See note on back regarding River Basin rules. PermitOfficePs Signature - ) Issuing / to Expiration Date i Application Fee(s) Check # Local Planningf urisdiction 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, certifythat 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 NIONITOP.E"�;G & COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE' S NAME: PERMIT # L < G LOCATION: pC ( o �- FIELD REP. • PHONE: �f o� DATE REPORTEDLY COMPLETE: DATE OF INSPECTION l 1) Do the measured dimensions of the development differ from those indicated in the permit and workplat? YESAO[circle one]. COMMENT: 2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? YES/NO [circle one] COMMENT: 3) FUTURE MWTORING & ENFORCEMENT ACTION needed? t�s 0 [circle one]. COMMENT: '94- )0, Is further investigation or enforcement action '/4 4 05/22/2007 , 23:38 2522232105 4 912522473330 1 N0.089 D02 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: Address of Property: c t..r (Lot or Str�081raet or Road, City &County} 1 hereby certify that I own property adjacent to the above referenced .property. The individual applying for this permit has d.sscribed to me as shown on the attached drawing the developrrient they are proposing. A description or'drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. if you hava objections to what Is being proposed, please ' write the Division of Coastal Management, 400 Commerce A venue, Morehead City, NC, 28557 or call (252) 808 2808 within 10 days of receipt of this notice. No response is considered the saute as no objection If you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, 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. Ido not wish, to waive the 15' setback requirement• S Z3 o 7 to r_ Print Na e r 2_1 zZ 3 f Telephone Number With Area Code SicpgiRtU re Ji May 24 07,04:3`3p Kaye Zumbrunnen 919-1364-8944 p.2 +May. 24. 2001 4:12PM F �� Y. L/L RI I� �y JUN..0 8 2007 I;11111he1_1&)C I i'C L •RETURN RFan taT R DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/ WAIVER FORM Name of Individual applying for Permit: 16 n�- Address of.Pioperty: (47, L, C- (Lot or Street #, Street Qr Road, City & County) I hereby certify that 1 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 providedwiththis letter. 1 have no objections to this proposal. If you have obiections to what Is being proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252) 808-2808 withln 10 days of receipt of this notice. No' response is considered the same as no objection if ybu have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, 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.) 1 do wish to waive the 1 ' 5 setback requirement. do not wish to waive the 15' setback requirement. Print Name `' 1°1— 93c `N,4 Telephone Number With Area Code JUN 0 8 200I�� Morerye$cy Clty pCM CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit:( Address of.Property: . !� (Lot or Str9t #, Street or Road, City & County) I hereby certify that I own property adjacent to the above referenced property, 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 I tier, I have no objections to this proposal. If you have objections 'to. what is being proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252) 808-2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand ih4it a pier, dock, mooring pilings, breakwater, boat house, llft,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 belovV.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Sigau re / Date C.r�,vy C rint Na e ^� Telephone Number With Area Code T0a 7EVON 69s9eo3=Ts E- SOTZZZZZSE B7:20 2,BBZi90i90 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (I{ OR A PIERIMOORING PILINGSIBOATLIFT/BOAT IIOUSE), I hereby certify that I own property adjacent to (Name of Property Owner or Applicant) Mailing address if different from location addres (town, state and zip) phone numbers you c 's property located at (Lot, Block, Road, etc.) Morehead City DCM on , 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. I do not wish to waive the setback requirement. initials I do wish to waive that setback requirement. initials ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individuq4royosing development) ------------------------ -- - -- - - -- " 1 `------------ - �- ----- -- ar:-,,- Signature --- A '/D 0- n�+ '�' ��,i� Print or Type Name (t-a -"Da ass 3� Telephone Number CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203. Applicant Name Address Citv Project Location (County, State Road, Water Body, etc.) Type and Dimensions of Project The proposed project to be located and constructed as described above is hereby certified as exempt from the CAMA permit re- quirement pursuant to 15 NCAC 7K .0203. This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining any other State, Federal, or Local authorization. State Phone Number -S Zip L 9° , �.Z4 This certification of exemption from requiring a CAMA permit is valid for 90 days from the date of issuance. Following expiration, a re-examination of the project and project site may be necessary to continue this certification. I SKETCH (SCALE: ) I Any person who proceeds with a development without the con- sent of a CAMA official under the mistaken assumption that the development is exempted, will be in violation of the CAMA if there is a subsequent determination that a permit was required for the development. The applicant certifies by signing this exemption that (1) the ap- plicant has read and will abide by the conditions of this exemp- tion, and (2) a written statement has been obtained from adjacent landowners certifying that they have no objections to the proposed work. Applicant's signature CAMA Official's signature Issuing date Expiration date Attachment: 15 North Carolina Administrative Code 7K .0203