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Home My WebLink About50699_AUTSY, GENE_20080401' ❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue ❑ Partial Reissue 14LPrevious permit # , 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 1 SA NCAC D Rules attached. Applicant Name h, �,O `J rI � Address City' State Itj (_,,. ZIP ' f., r Phone # ( j Fax # ( ) Authorized Agent Affected El CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA [IHHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) --';(, / 1, i t Subdivision City ZIP Phone # ( ) River Basin i r F- s, Adj. Wtr. Body ' C , r �4 (nat /man /unkn) Closest Maj. Wtr. Body .. ■■■■■■■■■■■■-�■■■!■■■■■■■■■ ■SS■■■MEN ■■■ ' ... . :. •. :.. 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' ■■■■■■■■■■■■■■■■■■■■OIFIFT i >•Jlii■MO■E■EM■■ ■ESM■MMMM�MMMM■M■■r�MiaEM■■MMMMM■■M■ ■ ■■ ■■ wE■MN NOEO■� ■■■ ■■■■■■■M .■iw■.■■■Er��rEMO■M MEN ■E■EM■ww■■SM■■■■M ■■■■■■■■■11■■■■■ ENO ■■!■■■■■■■■■■■■ ■■■■■■MMEfESE■■■■■■■■OM M■ ■■■■■ ■■■■■■■■O■1/■■■m■■®■■■■■ ■■ ■ME ■■■MEMO ■■■ES SOl� O■EI�EM■■M : S■MM:I O■■■■■SEEM MEMO ■S■MP!;O�mom SS■■!E'lr11■■■i■KNIFE MO■E ■■1 OSMOOOOc�Oc�O■�IE/�: :r/O■■�■■�■■i3 wo WE :■. ■■■■■■■■MC :■■ME 111 M �::�■►:■1s■M■■■ MMSMSM■■I1S■E■ I SI�M■■ ■■f■SROMM■MEMMM IN NEW i F&I 0 E ■IoSME■■E■■O■ �I0MI■ME■■EOtt M■MOMOOOMINO ONE ■1Ma 111 OOMEM■■ME MEN MEO■■■■E ■MImM■■M■S■M 0 mom man ION MEMO ME MEN P m ■Not ■■■C■■ ■■ :■■■ :■■■::■■�:■® tool Agent or Applicant Printed Name Sign�ture Please read compliance statement on back of permit Application Fee(s) Check # ~ Permit Offic9r's Signature Issuing Date Expiration Date 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, 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/ 1-888-4RCOAST 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 6*(-e 's (Name of Property Owner) property located at (Lot, Block, Road, etc.) on e �- c5�5 00 r U'%� n z �. 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 jp below.) ! V_ II I"� "�J 97VI-9- AhA I do not wish to waive P fkA MAR �? 2008 I do wish to waive that setback requirement. ------------------------------------------ Q" F DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filed in by individual proposing development) Signature Print or Type Name -3 V Telephone Number Date: JZ�Z� ,;.� � C ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 'i t +— 's (Name of Property Owher) property located at (Lot, BMck, Road, etc.) on �� '' �� -"Zyf--. n 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 =pf riparian access unless waived by me. (If you wish to waive the setback, you must inn lank below.) I do not wish to waive MAR 2 6 008 I do wish to waive that setback requirement. A40r9t7,',,' DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEI (To be filled in by individual proposing development) .J/U C✓ Print or Type Name d2 3 7 Telephone Number Date: � _ J 12 r g 6 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 3 G/J y Applicant Name Mailing Address C? `7 I / i ri M _ City ()(;A6 I certify that I have authorized (agent) / jew ti s to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) CY!'�' J /` �-5 • at (location) JC�71 c-: K 41 aq , 2LL /ii-c ��r�` x)-c This certification is valid th��ru----(,,date) D Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www ricc oastalmanagem rit.net An EqW opportunity 1 Affirmative Action Employer — 50% Recycled 110% Poet Consumer Paper r. DENNIS & SONS MARWE CONSTRUCT sON, LLC 109 SEAHORSE DRIVE 197ti 9 BEAUFORT, NC 28516 OFFICE: 252-504-6329 DA-gE TO THE I. OR $ 004 (.D I L BUT --PRAINCH BANKING & TRUST COMPANY MEMO 'i"00109118 IM531011211: 0005 2 9 L, -a L I" ?III :Z&� K -,i - , K AUTHORIZED SIGNATURE Securtly features Dela'�ztr, tack.