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Home My WebLink About55745_KROUTIL, PEGGY_20100521CAMA / 0 s/2"//-/,D J <e DREDGE &FILL �/}� WF�� GENERAL PERMIT 4 v �at Previous permit# ✓ L-]New ❑Modification ❑Complete 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 I SA NCAC 7H• 11100 ules attached. Applicant Name PerjaQ KC Address v C CiStateAC ZIP Phone # ( tlFax # ( ) Authorized Agent Affected ❑ CW ❑ EW Q PTA NES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes /"no PNA yes /rin y� Crit.Hab. yes / no Type of Project/ Activity Pier (dock) length Platfo Finge Groin Bulkh Basin Boat Boatf Beaci Other Shore SAV: Sandi Mora Photc Waive Project Location: County. �l� Street Address/ State Road/ Lot #(s) Subdivision J� Z City -;i� ne, ZIP Phone # ( ) } River Basin F,. � : j� ne Adj. Wtr. Body !j i�� {t �.. b r (nat /man /unkn) Closest Maj. Wtr. Body N (Scale: I e'ZU r) rm(s) — 3 i - - - - - - r pier(s) length number eail( Riprap length _h avg distance offshore` max distance offshore ,channel �' i cubic yards ramp louse/ Boatlift i Bulldozing !line Length .Z its notsure yes )ags: not sure yes torium: n/a yes )s: yes �rAttached: ves h- n not ! o Inn, ' I I 1 A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on backof permit Application Fee(s) Check # 11.ekr ❑ See note on back regarding River Basin rules. T 7Y e .S12.11(o 1461, 111 Issuing DAte I Expiration Date cwl,i L,., 7111rZI I#A 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, 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST 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 PEGGY L. KROUT'IL 11-07 910-326-5457 1 067 506 WATERSEME CIR. STELLA, NC 28582-9728 Date 56-191530 NC 62 Pay to the VOrder O O Bankof merica ACH RlT053000196 ' �Ll 6 C _ For�� 1: 000 L 9 6i: 2 3 700 5B 5 60 3 5n' L OCI rke 2nerican . Complete items 1, 2, and S. Also complete item 4 if Restricted Delivery is desired. Print your name and address on the reverse so that we can return the card to you. Attach this card to the back of the mailpiece, or on the front if space permits. . Article Addressed to: / A. (.,� TI J`- � ❑ Agent ❑ Addressee B. Received by (Pgnted Name) C. Date of Delivery �' Vi, (n) OC p�j - _� r(� D. Is delivery address different rom item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type f(��^ ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise v KEl Insured Mail ElC.O.D. / 4. Restricted Delivery? (Extra Fee) ❑ Yes Article Number 7009 2250 0003 2257 4583 (Transfer from service lat___�_ ___^ _ Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ; Camp Lejeune, NL Dear Anne and Kevin, 506 Waters Edge Circle Stella, NC 28582 910-326-5457 May 5, 2010 Don and Marianne Herring and I are planning to have a dock built on our property line within the next month or so. I am also having a bulkhead put in to stop the erosion that is happening to my lot. In order to obtain a permit we are required to have the homeowners on both sides of us sign an "Adjacent Riparian Property Owner Statement" that we have to turn in to CAMA. I have enclosed a copy of the Statement for your signature and a return envelope. If you have any questions, please don't hesitate to call. Thanks very much for your help. Sincerely, Peggy L. Kroutil ADJA"CENT RIPARIAN PROPER I' Y U W NEa R J'1 A l ElYMIN t (Bulkheads and Riprap) . - � I hereby certify that I own property adjacent to �eG' X:�D`.(T L_ 's (Name of Property Owner or Applicant) Phone number you can be reached at Mailing address if different from location: Property located at Jff (LotBlock, Road, etc.) on ��1�� (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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) r;2 2-70 ---------------------- ------------------------------------------------------------, sue- -------- Print or Type Name q10,326 �9� (h) ql o 3eggg g"c ) Telephone Number Date: nccoastaimanagement.net/Permits/ADJACENTRIPARIANPROPERTYOWNERSTATEM ENM-.pdf .Z2-U 17-1-1)1 NC Divisio i,of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Kroutil Date: 5/21 /10 Permit #: 55745C Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts)amount FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact Shallow Bottom Dredge ❑ Fill ElBoth ❑ Other ❑ 86 86 Open Water Dredge ❑ Fill 1] Both ❑ Other ❑ 86 86 Shoreline Dredge ❑ Fill O Both ❑ Other ❑ 55 55 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ revised: 02/03/10