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Home My WebLink About57059_LANIER, JARED_20101223❑ CAMA /, ❑ DREDGE & FILL GENERAL PERMIT ❑New ❑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 15A NCAC Applicant Name` Address City Phone # O_ Authorized Agent Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS: ORW: yes / no i _ State ZIP ; Fax # ( ) VFW E� PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Previous permit # Date previous permit issued Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP J. Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. 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NONE Agent Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check# Permit Officer's Signature f� Issuing Date Expiration Date 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 MAWJApplicant: (Cur�^ Date- 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 tem p 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 ternimpacts)amount FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact Dredge ❑ Fill ❑ Both ❑ Other aC22 'q') q redge ❑ Fill ❑ Both ❑ Other r 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ a2• Gi3 ?w .. t •<3.3� ,Y"COAST ., "I. —A ,- .41 1,'s r RECEIVEC DEC 13 2010 MoroDCM North Cai-oilr�a. Depar Ment of Environment and N;,tLtra4 Resources Divlsio�j fog Coastal Mamas ent 1-1 1 g Jongs nin"for William G, Ross Jr., Secrei iry Michael F. Easiey, Governor aY UZ • Y " Date /2 -2' Io Applicant date BPS ec,� Mailing Address `>C7 I certify that t have authorized (agent).;(� k3r-86 to act On xn-� behalf, for the purpose oa applying for and obtaining all CAMA. Permits necessary to install ®a construct Cacti-it'i t., at (location) This cen`.A�catno y al:�rl Si(7nature Ci 00 "'VYD C�- (dad) a •a'� - 10 # UL5a''5 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to-3AZEb L-AHITt- -'s (Name of Property Owner) property located at bb MR6-f-tJS 13 -'-1 (Lot, Block, Road, etc.) on 0-b6 1E in C:e%FE C-A'Izl' i � _ �A(4T 7— , N.C. (Waterbody) (Town and/or oun Applicant's phoneMailing Address: :�4 so" tu-z- !J C- 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 property owner proposing development) try 13.1 �i �, L1e s Q�-- is------------------------- -------------------------------------------- s�i----------------- - ---- A-formation for Property Owner Applying (Riparian Property ro erty Owner Inf/ornation) for Permit) Mailing Address City/State/Zip Telephone Number I 4 G 0 -3:K -,.j p2, Signature B�-,�^, ; Print hr Type Name Telephone N ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 5W*EE) LJg1J) E re- is (Name of Property Owner) property located at Ib (Lot, Block, Road, etc. q on f;L-,�6 tAC— 5'6 0 PC) , in ?E- Cam — AL'-7 N-C. (Waterbbody) (Town, and/or. ) Applicant's phone �l 10 :55F WxMailing Address: J �� - ��sy 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 DRAWI OSED DEVELOPMENT: (To be ;fled in by perry owner prop ` ing elopment) 13 `� r 13 .T3`p ` s U� /'7` - - - --------------------- ( formation for Property Owner Applying for Permit) Mailing Address City/State/Zip Telephone Number Signature Date 15� c- ------------------------------- (Riparian Property Ow ;�a t'f or Type Name �( (Q-&C/S� Telephone Number Date SAMMIE E. TURNER MARINE CONSTRUCTION ACCT 252-725-3415 P.O. BOX 1885 MOREHEAD CITY, NC 28557 PAY TO THE E01- ORDER OF 4965 66-112/531 � fig , `� DATE I DOLLARS Foaluret oaaus on Back. BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com 7-a � �- 7 FOR s-)* 4,n-- -- -- -- ---- w 11 1:053 101 l2 d11:0005 2 i1058406611°