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Home My WebLink About54655_LEE, ALBERT_20090925�' -- 11 ' — - I . � pm. I . 1W, �' �n A// JCAMA / ❑ DREDGE & FILL 5s51 GENERAL PERMIT rev' us permit# ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue ate 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 ❑ Rules attached. Applicant Name )'y j _ti. t ; { Project Location: County Address t_. C Street Address/ State Road/ Lot #(s) City-A,t. ° State 1 ZIP Phone # ( ) t �1 t Fax # O Subdivision Authorized Agent Y I ` 'i` City ZIP ElCW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin Affected AEC(s): ❑ J OEA HHF ❑ IH ElUBA El N/A Adj. Wtr. Body (nat /man /unkn) El PWS: El FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier Platf Fing Groi Bulk Basir Boat Boat Beac Othr Shor SAV, Sand Mor Phot Wain (Scale:11JTj ) ■�mm ■■■■■■■®■■■■■■■� '7 IIINEMMNE ■■■■�+��■ IN ■�■�■■■■■■■■■■■■■■■ �mm�ommm ■■■■■■■length ■■ number avg distance offshore max distance offshore �C. �st■■ ■■ ■■■■■■■■■■■■■■■ '.........■...® ■:■■■.'a■■■■■■■■■■■■: ..............■ ,_ .. cubic yards ramp ■■■■■ ■■■■■■■■■■■■■■■■■■■►�■rr�■�.rs■ C.■.... ....■■..■.■■.®...®....��.►.� ■■■■!l�►1�—MiJ■■■■■■■■■■■�f11�IL�II►�ii�■■■ii'�►��■ Bulldozing■■■■■►►mill■■■■■■■■■■■■■�■■�■■■■■■■■■■■ ■::■■■■ ■■■■Q:�!�■■�■■■:■■■■■�■■■�■� .....■....■■..�......■......■■■■■■■. ■■■■dine ■fi■...■...■■...■■ ............... Length no ■■■■■■r�w■wwr■■■■■■■■■■®■■■■■■■■■■■■■■ not sure yes lags: not sure yes no ' yes no —&,r2r�tp,d- — ... ■■■■■ 71�■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■.��■■.....■...■.....�........' ■■■■■rs: d■1■■■■■■■■■■■■■®■■■■■ ■■■■■■■■ MEM A building permit may be required by: i _:� , ❑ See note on back regarding River Basin rules. r l 1 tip; Notes/ Special Conditions 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 %t 1 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, certifythat this 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 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/ 1-888ARCOAST 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 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director william G. Ross Jr., Secretary Date .� • Z <i 09 Name of Property Owner AnnlvinEr for Permit: Mailing Address: 22Z �� 1 C • `ZCI51 Z 0 Zr JAI I certify that I have authorized (agent) �� /�dJ--,j"� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) 4 OJ fH-A "'�� G� iJ This certification is valid thxu (date) Properiy Owner Signature Date 400 Commerce Avenue, Morbbead City, Nortp Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: wv4w.nccoastalmanagement.net An Equal opportunity1 Affirmative Action Employer — 50% Recycled 110% Post consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILIIVGSBOATnnLIFTBO�A,pTHOUSE) I hereby certify that I own property adjacent to is (Name of Property Owner) property located at Ox�, - - ' L4 0 n (Lot, Block, Road, etc.) on C , in , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 25'224-2 97 10 Mailing Address: 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 / t oatlift / boathouse must be set back a minimum distance of fifteen feet (15') from my area: -of rip4rian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) c ,• ,` I do not wish to waive I do wish to waive that setback requirement. "�--- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) S I;�p o ---��-�.------------------------------- (Information for Property Owner Applying (Riparian Property Owner -Information) for Permit) % 222 Re,wo & Mailing Address Signature City/State/Zip 2 1S 12 2S2 2. L(') qi ") 10 Telephone Number Print or Type Name Telephone Number Signature Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILVVGSBOATUFTBO�ATHOUSE) I hereby certify that I own property adjacent to �i-Qnq 7p0 is (Name of Property Owner) property located at `f' `^ L400 Qt7z'L`ti (Lot, Block, Road, etc.) on , in , N.C. (Waterbody) (Town and/or County) Applicant's phone #: �22`P� 97 10 Mailing Address: 22-Z 20vy 0 Vk' 1 v�- JJ C. 2t-5/ 2 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 appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: -x�, (To be filled in by individual: roposing development) I (Information for Property Owner Applying for Permit) 2 2-2- 'R,,-, o (),- , L� Mailing Address City/State/Zip 7 -1S ► 2 2S-Z 2 4 7 q 7) O Telephone Number Signature Date 0 (Riparian Property Owner Information ��' vy/r � • ��1 S re Print or Type Name 110-�- Telephone Number Date MUD BUCKET DREDGING INC 507 HEDRICK BLVD MOREHEAD CITY, NC 28557-3045 DATE C- 1A 3957 66-112/531 PAY 7� TO THE ORDER OF s v� F- Faaiuraa DOLLARS BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BST.com j D FOR �. eES O s ,•,. & - — 11000003957110 1:05310 1 12 11:0005 293 2 L83411I'