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47334_WIGGS, BILL_20061016
DCAMA / DREDGE & FILL A GENERAL PERMIT Previou ermit# ❑New ❑Modification El Complete Reissue ❑Partial Reissue Date pr ious 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 ' Q Rules attached. Applicant Name `7� ; `_ jam= Project Location: County Address ; -A i ( t rlk Street Address/ State Road/ Lot #(s) State ZIP Phone # Fax # ( ) Subdivision Authorized Agent +sit ; City ZIP Affected CW ❑ EW ❑ PTA DES ❑ PTS Phone # ( ) _ River Basin AEC s : El OEA ❑ HHF ❑ IH ❑ UBA a N/A Adj. Wtr. Body ElPWS: ElFC: ) (nat /man /unkn� ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length � }� .tic-. '"•II number !' Bulkhead/ Riprap length avg distance offshore max distance offshore :1 ' Basin, channel ' t •� -_.I.:--T Ifs 2.. • r cubic yards t } Boat ramp Boathouse/ Boatlift + � {4 r, Beach Bulldozing I Other Shoreline Length _� SAM not sure yes no 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 i (Scale: ) ..1 ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name OCT 1 � 2006 Per mitOfficer'sSignature Signature "Please read compliance statementon a kof er it** lssuink5kq rerlead City Application Fee(s) Check# Local Planningjurisdiction :.Diration Date 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 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 LOCATION: 13 MONITORING & COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE'S NAME:W ( �' PERMIT# `���3L C. FIELD REP. - nilt j d I EMPIM PHONE: �) I©� �gp�t DATE REPORTEDLY COMPLETE: DATE OF INSPECTION qljolo2 1) Do the measured dimensions of the development differ from those indicated in the permit and workplat? YES/[circle one]. COMMENT: 2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? O [circle one] COMMENT: 3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? Y [circle one]. COMMENT: • �'� 4QAMA / DREDGE & FILL GENER AL PERMIT Previous permit # P v ❑Modification ;JComplete Reissue 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 ules attached. eLocation: Applicant Name _ Project Lo at on: County 0 f{-11Tx r1k' 1— Street Address/ State Rogd/ Lot #(s) I Address i ! City State`. ZIP — ��'� _ ( , G 6_ i Phone # ) Fax # (—) Subdivision """'--•-' �r��1tl;�i (h c.�''� ri! f� I Authorized Agent . cityT ZIP � I Affected �CW VEW A El ES ❑PTS Phone # O �tFj-tl River Basin ❑ OEA ❑ HHF ElIH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. BodyC-111:41V.i �' at man tunkn ❑ PWS: ❑FC: ORW: yes n� PNA yes �o� Crit. Hab. yes / no Closest Maj. Wtr. Body +, It Type of Project/Activity (Scale: �~ Pier (dock) length ___T__. _ -_ __ Pla--- _. gorpier(s) s Fin Fin er Groin length-h�- number Bulkhead/ Riprap length_ avg distance offshore_ max distance offshore Basin. channel cubic yards Boat ramp Boathouse/ Boatlift - �I -- � Beach Bulldozing ---- -- - -T ---- - I j _ Other;��.i.: -- -cl t Shoreline Length SAV: not sure yes o - -- Sandbags: not sure yes pn.)�! Moratorium: n/a Les,i I Photos: no C Waiver Attached: yes (nd J L ----4 I A building permit may be required by: Notes/ Special Conditions I1I ` J / _ i / fa LA A I - Agent or ApplicaAt Printed N#me Signature we read compliance statement n back of permit" q --- ! c' - Yr V ❑ See note on back regarding River Basin rules. li. E 'L 1.S• i Permit Officer's Sign ure 0b I J16,1[)rl Issuin a I Exp'1r4tGn Date .JV10 10l Lo tannin¢ Jurisdiction Royer File Name OCT., 6. 2006 8:07AM FAY, OTOLARYNGOLOGY N0, 402 P. 1 •' i p f -ire' 13 OCT - s zoos Morehead City DCM OCT.. 6. 2006 8:07AM FAY. OTOLARYNGOLOGY�,'� NO, 402 P, 2 �i � 1 , NCDUINAk North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary Date 1 `6-' RF Faawzu Applicant Name %J 1rG-(- 1 � -� MOW head City DCM Mailing Address I certify that I have authorized (agent) �a>^T� 4'r\0 I � to act on my behalf, for the purpose of c applying �4. for and obtaining aIl C(A,MA► Permits necessary to install or construct (activity) g w 4-1q` f. d,-- at (location) i if 3 ere c 7- This certification is valid tbru (date) (� r Y 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 Empioyer— 50% Recycled 1 10% Post Consumer Paper `k 4� OCT., 6.2006 8:07AM FAY. OTOLARYNGOLOGY t9vr= 0 C T - 6 2006 ADJACENT RIPARIAN PROPERTY O 'R jLL T DCM I HERBY CERTIFY THAT I OWN PROPERTY ADJACNET TO _ eLl bj I (�'S (NAME OF PROPERTYYOWNPR) PROPERTY LOCATED AT $ 3 re e Z ArA+_21a_, (LOT, BLOCK!((TOWN RO , ETC.) ON ,i�b ` % /�-� Gf ,IN NC ,NC (WATERBODY) AND/ R COUNTY) HE HAS DESCRIBED TO NW AS SHOWN BELOW, THE DEVELOPMENT HE IS PROPOSING AT THAT LOCATITON AND, I HAVE NO OBJEACTIONS TO HIS S PROPOSAL.. —------------------- —------------------- ---------------------------------------------- ----------- ----- /v DESCRIPTION AND'OR DRAWING OF PROPOSED j� BE FILLED IN BY iNDjVMQAL PROPOSING DFVELOPMENM �+-- -(c ��Fe '�l 1� o } 61j lQ"ls I O q, 40.be pck- c� J 0 4 i signatur Rq S 5 \ print or type name 'fei phone number DATE � 3 006 12 10-/O1� CT.. 6.20061 8:08AM FAY, OTOLARYNGOLOGY FO �P Val• � IVVU I(,. IITl I/l 1, VPv601%„\VV LVM• RP ED 0 C T - 6 2006 Morehead City DCM ADJACENT RIPARLAN PROPERTY OWNER STATEMENT ' T BBRBY CERTIFY THAT I OWN PROPER'-'( AD'ACNBT TO y o (NAME OF YROPwma) PROPERTY LOCATPD AT IF 3 fee Z 1Q) (LOT, BLOCK, RO , �n ON �-L L ,IN -� c� l C (WATERBODY) (TOWN AND/ R.COUN'M ICE HAS DFI,SCEMED TO 11M AS SHOWN BELOW, THE DEV$LOP�IENT HE IS PROPOSM AT TEIAT LOCA.'SIION ANI) , I HAVB NO OBTEACTIONS TOMS S PROPOSAL.. DESCRIPTION AND, OR DRAWING OF PROPOSED �� pE FILLED IN BY L�WIVIDUAI-PItDi'03IldCt p�VSTAPMb'N'� ct c � Aew sock Signature print or typo came TdlVhoxke number DATE_ a 1q 104- D m� y 1955 66-21/530 LARRY G. ARNOLD �D BRANCH T7615 P O Box 2277 NC 285571 ` Morehead City./ p Date6 Flo Pay to the Order of� t WACHOVTA . aaBank, N.A wachovhov'a.. For �:053000 2 L9l:lost r 6 L89'.286��' S