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Home My WebLink About54346_MACKETHAN, CRAWFORD_20090803r 11 CAMA / ❑ DREDGE & FILL 4. 1 4 6C GENERAL PERMIT Previous permit # EINew [-]Modification ❑Complete Reissue El 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 15A NCAC ll__L'- f] Rules attached. Applicant Name C, TrAyila ;�GCiAc, Project Location: County Address Pc} ex 7) i s `7� Street Address/ State Road/ Lot #(s) City State { ZIP Phone # () Fax # (_) Subdivision Authorized Agent i_ Cc 1; c. t� City \ t �; r ^ - ZIP z '' Affected ❑ Cw ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # River Basin �. ❑ OEA ElHHF ❑ IH ❑ UBA El N/A AEC(s): Adj. Wtr. Bod i (nat /man /unkn� ❑ PWS: ❑FC: Closest Maj. Wtr. Body got-`w,C) ORW: yes / no PNA yes / no Crit.Hab. yes / no r� >I ME ■■■w 10R..■. t[!■■■ !�■■MMUM■■ ■►I■sir■ logo �1W.&MINOMEN w�■ .■m 1/■�l■■■■ ■■■t!-111 �H■PAU. UM Als•!!■� ■■■r1■■■■ ■W■■■ ■ .._WE 0 Elk illsom 0011101111MOMMOMMENIMEN OWN —Ole NONE ■■■■ ■■■.!■ ■■[+.■■..■■.•..■■■■.... ■■Il■■��rli[1■[!■ ■■■L1■■��■®1■■■!!■■■\■■■■ I. A i■■■�.■ r■; ■■■■►'■■.■■■IUME ■■■■■■ le ANNEMEMEN ■ �.■■,r■■a�:■s!■ idle-- �V�i� ►-■■■■■■■■■■■■ ..■MERE ■■■■■■■�ii■■r��■■■■�!_ ■■■■■■■■■Am ■■■s■_w.■•_■■�■■■■■■■■■■■ ON ■■�■■■■m■■■■■■■■■■!■■R'�� Agent.or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature IssuingDale 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 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. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 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 WNW North -Carolina Depadment ofErivirorimerit and Natural Resources Division: of. Coastai Management Michael F. Easley, Govemor Jag1@g H. GC e930n, Director William G. Ross Jr., Secretary Date - APPlicant N e 2 Mailing Address _ {� I certify that I have authorized (agent) to act on my behalf, for the purpose of aPPlying for and obtaining all CAMA Permits necessary to install or construct (activity) v at (location) This certification is valid thru (date) - P D Signature _ (�:7 12 AD,T-4 CEi 'T RIFARTA` PROPERTY ONVI ER STATEMENT (FORA TLIFTIBOA MOUSE) I hereby certify that I own property adjacent to (Lame of Property 0-wner) property located at 12 (Lot, Block, Road, etc.) on , ins-' �,�12 N.C. (Water ody) ! (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 pierlmooring pilings'baatiiRboathottse must be set back a minimum distance of fifteen feet (i 5') from my area of riparian access unless waived by me. . 4- I d, o not wish to waive the setback requirement. I do wish to Avaive that setback requirement. ----------------------_ 1: ----------------------------- ---------------------- DESCRIPTION' ANDIOR DRAWING OF PROPOSED DEVEL.OPMELT: (To be filled M by iud bidual proposing development) Sign,�tre Print or Type Name J Q 1 Telephone Number s '7� 5 ALR( Date: a Boa C r � ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER^lOOR rVG PIL r N GSIBOA TLIFT/BOA THO r1SE I hereby certify that I own property adjacent to a- �// t„�_is (Namfof Property 0-wner) property located at / 3 414 /11 (Lot, Block, Road, etc.) — on � (�Vlterboy) in " Z� v ��i� i,�,�` __, N.C. (Town and/or County) He has described to me, as shown below, the developnient he is proposing at that location, and, I have no objections to his proposal. I understand that 1 pier/mooringpiling;`boatit:& boathouse must be set back a minimum distance of fifteen feet (i5') from my area of riparian acres, unless waived by me. i do not wish to waive the setback requirement. I do «vish to waive that setback requirement. - ----------------------------------------------------- DESCRIPTIONAAND/OR DRAWING OFPROPOSED eeDEVELOPMENT, (To befilled M Ll- indil,idtral pr po tl, T v � �Y `W,TA sflcl tee Signature -�� Print or Type Name TrIcphoneN'umber Date: __ . � LARRYGARNOLD GR D8ALGARNOLD DOCKS &SEAWALLS PH, 252-726-3018 2779 MILL CREEK RD wswpnnrwouuom'vo11 l"o"r o ~= 1401 66-112/531 ~7 -- � n/6/y � BRANCH BANKiNG AND TRUST COMPANY ' NP ''�`^ .=~�