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Home My WebLink About54162_MCLEAN, HELEN E_20090716❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue []Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Rt.,.es and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Applicant Name 1 Project Location: County Address I .4'r Street Address/ State Road/ Lot #(s) City State ZIP Phone # () Fax # () Subdivision Authorized Agent City ZIP Affected ❑ Cw ❑ EW C7.PTA ❑ ES ❑ PTS Phone # ( ) River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body I gnat /man /unkn) ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ' � '� �' .• . ■�■�■■■■■��■'' ■■�"■■■■■■■■■ ' ■■■■■■■■M■■■■■�■■■■�■■:u�■■■■■e . :. ■■!■i■■i!■i!■i■M■■■ i IWOMMAM 1MEMMMM1M■ ■■■■!1■■■■■■■■■\i ■■■�mol■■I■■■■■■■ ■■H■■fi■■I■■■■■mw_ ■■■■!i■■■■■■■■■■ ■ ■■■■!■1■■p■■■A■■ 1®■misonloomom■own ■■■■■■■■■■■■■■■■ ■■1�■!1■■■■■■■■■um 10111 MEMO IBM mimm,mmmmoffimffi ■■■■■■�■■■■Mi'J ■m■ NN■■J■■■■■■■■ ■■■■■■■■�■■ • • ■■■■■■■■■■ ■ M NONE ME ■■■■■■■■■■■■■■■■■■ �h■■■■mmom o■■ M■■■■■M■■■■M■■■■M■■■®■■■ 1EMMMMMN ■■■■■■■■v■o■�■■ ®■■■m■■■■■■■■■■ Agent or Applicant -Printed ,r Signature Please read compliance statement on back of permit a Permit Officer's Signature Issuing Date Expiration Application Fee(s) Check # 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. (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) 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) 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 AAVJAt-L I KIPAXIAN PROPERTY OWNER STATEMENT (FOR A PIERIffOORING PILINGS,B0 4 TLIFTIB OA THO USE) I hereby certify that I own property adjacent to /4e.l e o E- CeAA, (Name of Property Owner or Applicant) Mailing address if different from location address 410& �Avjy f�j/v� (town, state and zip) An�iv phone numbers you can be rear' �d at-471 property located at (Lot, Block, Road, etc,) on-MPPtO - IG—: CAPOL in N.C. (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 (I5) from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setbackrrequirement. it:lt;al� ----------------- --- - --- ---- ---------------------------- - UESC:RIPTION AtiD/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing �tljrelopment) ` Y- 4�v S .ief- 13 1 71 LCV!5 I r' P5 Print or Type Telephone Number phone numbers you can be reached ai---��aC_L�_' property located at (Lot, Block, Road, etc.) (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 pis/boatiifthoathouse er/mooring piling must be set back a minimum distance of fifteen feet (IS') from mriparian access unless waived by me. y area of do not wish to waive the setback requirenien:. inivials I do wish to waive that setback requirement. ,nc, initia� - ------------------------------ - --- - DESCRIPTION A ivy)/OR DR --&"IIIG OF PROPOSED DEVELOP? IEtiT (T,g be filled in by individual proposing development) 57 t3` ------------ i�*;,aturc �p -----� Mr CD. twt j ioi h a; Olfi i� Depat -ne it of C(1Vlf MroCI II and Naiur al Resources Nlichzei != E:asiey, Governor S. jones, D1ractor William G. Ross jr., Secrei,r,J Dcl ate° O 41 ea n `I- 0 6 D HH V l S L3 L V esr#aiy that haveth4rizP; (agent)(�(�Caa/e �r'V fhb to actor. : aaa- behalf, Ifor the purpose of applying for and obtaining all C Kk Permits necessa-ry #^ a: s¢all or construct (<c OpffNud &Lob p',.s cert.A cai30>a 7S tlu-u (Cate) R & J GROUP P. O. BOX 1885 Morehead City, NC 28557 252-726-1253 II pY� e s �is 1394 66-112/531 s BecerBy /� n /� nllttrn D-111 i no Beck. BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com FOR C- 1 1 f 4 t V► f -`-' °" .� __ --_"_ 11'000013941" I:0531011211:00052976879231" NIP