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Home My WebLink About47297_THOMASON, BARBARA_200610020CAMA / 1:1 DREDGE & FILL GENERAL PERMIT DNew ❑Modification ❑Complete Reissue ❑Partial Reissue 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 I SA NCAC Previous permit # Date previous permit sue / Applicant Name C'V Project Location: County Address r) .- City Phone # Authorized Agent Affected ❑ Cw AEC(s): ❑ IDEA ❑ PwS ORW: yes / no Street Address/ State Road/ Lot #(s) / . State A ZIP r ❑ EW .p-PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit. Hab. yes / nc Type of Project/ Activity Pier (dock) length Platform(s)(j rx Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length C-1 SAV: not sure yes inoj Sandbags: not sure yes I' Moratorium: n/a yes UP Photos: yes Waiver Attached: yes I na A building permit may be required by: Notes/ Special Conditions Subdivision City ZIP 6Phone # ( ) River Basin Adj. Wtr. Body ;, nr ( �.a_<.� • .;,at a unkn Closest Maj. Wtr. Body— f , `` (Scale: I ) ❑ See note on back regarding River Basin rules. IRA Nii-� / Agent or Applicant Printed Name Permit Officer's Signature Signature "Please read compliance sta r iJC)CM Issuing Date EApiratfon Date ApplicationFee(s) Check# Local PlanningJurisdiction 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 consistentwith 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 Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 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) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 06/29/05 N09/04/2006 15:20 3364729530 THOMASVILLE CHEV IC4 PAGE 03 ADJACENT RUpApIAN pROPERTX OWNS S"T,ATF.doMVr (FOR A PIWVNCOVNRBD JPOA T 1JF7) I hey ccrtity ?hat I own pr+aperty trdj&Mt to �1 Qum dr �woer} pray kK*W at�, c°� 1..�� (La, Block, Raved, etc.) fer '� t' r . *in 4af .- / � � - , N.C. (Watwbody) (Town and/or Covocl►) He has dacribed w me. as Oown bdow, the ckv*Pt Wt he is FVP0ft at that location sW, I hour no objections to his propnsal. I unflarstUW tbo a pierfwmvemd bats lift most be set back a minimum distance of fiftm fax (15') fmm my W= of nipariatt Mms onksa waived by rne. I do wish w waive the sabf & nQuinlwnt. I Ig wish to waivo the adbeck MuirefrMt. DRSCRWnON A,NDIOR DItAWiNG OF PROPOSED DEVELOPMENT': (To be ftW ix by fisdii" P►niv i I We � l� a3 l5714- Pl L- L k Print or Type Name �L Tdcowne Number Date: —44L--- \j 04/2006 15:20 3364729530 THOMASVILLE CHEV PAGE 02 I 1W:1 pnol—ty lOoWd at_ w has &wrww m me, as t1lwo blow, me dirt be is pvpat dW bcatiany snd, I hRv+e rib objut cw to W 1 .p lVil . bast iuE mutt be yet beck a saiWmi,a! &IMMoffifillibec (IS'� lbap q!y a� of dnba waived by me. I sites wnh to wad des ndo* ieq Sep 2 2 I AR wish to waive.dw tadock mq dr Mt. 4forehe- DZSCRD7WN ANDMU MAWM OF PIt+O . o- 2 4/z Zi Tdapeooe T1umDu qS;?S - (!f Lb (9 -�: o9�L� 10/09/2006 08:45 3364729530 THOMASVILLE CHEV PAGE 02 MCN R North Carolina Department of E Vronmerlt and Natural Resources Dlvislon of Coastal Management Micha@1 f, E«asloy. Goverlti0r Charles S. Jones, Director wi llar, G. Hoes Jr- Secretarf Date lb 5 it to _._ .. Applicant Name Meiling Address f � 4 WA I certify that I have autharized (agent) '�1545 W569— — to act on any behalf, for the purpose of applying for and obtaining all CAM.A Permits necerssM to install or construct (acthrity) _ .r at (location) a �a nary c- .._ «�- This cetrtiilcstian is valid thrm (date) _-- /,2r- U e!:� .511. ►4 &r —T% l C -4441 400 Gornmerce Avenue, Wrehead City, North Carolina 285E ?hcne: 252-808-28081 PAX: 252-247-;,VO \ lnWret; WWW,n=astAlmanageTent,^et An Equal Cppra-tunity i A"rive Aden Employer -- 60% R@ yCl&d 110% Past Coo wnw P4*r J�a 7A5-3'�/:�- 'I HE FRONT OF THE DOCUMENT HAS A MICRO -PRINT AMOUNT BOX AND THERMOCHROMIC. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. 75'S3 ISSUING AGENT 919 1 MoneyGnwmm Money Orders • G�BUGI/ fOI' UXB�LS� INTERNATIONAL MONEY ORDER — V PAY. ONLY THIS AMOUNT V _F PAY TO THE � A ORDER I 1 PAGAR A LA ORDEN DE: -- -- _77 IMPORT NT - S E BACK BEFORE CASHING CD 1JA /-wry PURCHASER, SIGNER FOR DRAWER / COMPRADOR, FIRMA DEL LIBRADOR v , PURCHASER, BY SIGNING YOU AGREE TO THE SERVICE CHARGE AND OT R TERMS ON THE REVERSE 9 i I 00 c m m ,�- mar* - - _ MONEY ORDER: ADDRESS / GIFT CERTIFICA RECIPIENT ,'i -r Payable Through ISSUERIDRAWER: n4 WF National Bank MONEYGRAM PAYMENT SYSTEMS, INC. TO AUTHEJIpCATE.:Rt}B.LiRGLE„ South Central - - PARA:AUTENTICAR_AE®TfiEGAR_EL-GIRGULO^ Farlhault, MN 1:0919005331:489 6 L 25042611' 90