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Home My WebLink About56918_MARROW, HENRY_20101020❑CAMA /❑'DREDGE &FILL GENERAL PERMIT � Previous permit# E)New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued 3 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 O Rules attached. Applicant Name Address City State ZIP Phone # ( ) Fax # Authorized Agent ❑ Cw ❑ EW ! PTA Affected AEC(s): ❑ OEA ❑ HHF LI IH ❑ PWS: ❑ FC: ORW: yes / no, PNA yes / no ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # O .. .}� " River Basin Adj. Wtr. Body f ' I' l ? !' �' �} (nat /man /unkn) Closest Maj. Wtr. Body • - ..MENEM MOM •1■i9� ■ ■■■ENNEN :■■■■■: ■■■■■■■■■■■■■■■ NINE No i�f�■■■■■■■■■■■■■■■ ■�i�+E■■■■■®IAmardVAIM■ii■ ■■■■■■■■■■■■■Ell■■■o ■■i■Q�li■Ilil■■■IE■�L'a1�►i�i■■ - ME■■INEE■EI■■NE■■■BEFEWIMMiiiiiM gl�N�il■■Ni "■■■IiL�■■lil�il■■■■■1�■►�■t%I1■■■_■_■_■■__■I_�■_� ■!ri!■t�■ NEW -0 ■■■t•ILiill■EliiiN■■1■■■l��NRE■■■I■■■■EI�E■■■1■Ni�'E . M ■■iVll■�i�ilfiil`■■■!i■■EiEYE■■■I�■tli■■!�■■■■■�`! ■■■■IIEE■■!eI!■E71�■Ili■■N■�1��!■719�f1■Ift111I1L11■■■ �■■■11■■■■�I��iiiiii�d■�■ %(��t�t�■■ENIMlMO■■��■■■ MINNINEMERIME ■■E■f 1■E■E■ 1■i■■■EII EEE;■':�n ■[■■■■■!i■■E■NEE - _ I■Ell&IN■■■1■Ir7■■■■EIiE■E!■�■■■1�1■■I�■��Gi■f■E■!1 ■EEII■■■E■I■■■■■EiiEN■ ■E■E■l�!�!�■It■■■■IEEE _ �■ww�>!sw■n■I■E■IiN■ww�w��.��:�■wt--.�_��w_��;mw . ■EEEE■E■I■INNNENEIIEENNNNE!IIINNIN'�...i.J■E■E EE■E■1E■1■■■■■■EII■■NEErII�If1,EINwR1E■■I■■EE - ■E■■■�iNF71■�■■■■■■IiE■!�i■Ellfll�i�ili1117 '�EEEEI�E■■ - I■E■E■■ �dil<!EEEEEItE■it1�i�:.iirlM►�11N�iIl�■■NEf�EEE . ■I■■■■■RI■■■■■■■Eli■■■■■■E'J'J■■LiEi■■■IOW Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ALto0.c2+ Application Fee(s) Check # PermitOfficer's Signature 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (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 . 4?" i i Applicant: 4Ae-i1 Date: j LJ I Ur1l l a ^� j � . l 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 t,emp 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 tem im acts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other 11 �( 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ .<?;a�-3tis:-�� ,. 'j-r��3 �s?G�3.��i a�ru�;*�,v.��:��s�Y�?rnar �,�=ars-� �y=�a�# �•��iwMd: ?;'�'C3;°'i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to EW �(�czo �s (Nam of Property Owner) property located at U q F 1"zon)T 5- (Lot, Block, Road, etc.) on,- n , i Y�'�j Lo < , in (Z� 1 N.C. (Waterbody) (Town and/or County) Applicant's phone #: ��d T Mom; Address: PC) �x �d��2n1 PNEJ ,1 , 24 3'ge 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 (1 S) from niy 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: (To be filled in by individual proposing development) �(-�f �3 ( V 14 4q%-q 46t (Information for Property Owner Applying for Permit) Mailing Address City/State/Zip, Telephone Number Signature Date (Riparian Property -Owner Information) Signature Print or Type Name Telephone Number ate ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOAninBOATHOW) lkezI nCT I hereby certify that I own property adjacent to Is I9 2 (Name of Property Owner) property located at �( (Lot, Bloc Road, etc N.C. on —A�� in (Waterbody) (Town Sad/or County) Applicant's phone #: `� Mailing Address. location, I has described to me, as shown below, the development he is proposing at that loca , a�' He 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.) y 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) cv�lc'-�ak&o (Dm ^ -------------------------------------------- - (Information for Property Owner Applying (Riparian Property Owner Information for Permit) f Signature Mailing Address City/State/Zip Telephone Number Signature Print or Type Name Telephone Number a Date Date OUTER BANKS MARINE CONSTRUCTION, INC 1501 FIRST AVE MOREHEAD CITY, NC 28557 (252)240-2525 FIRST CITIZENS BANK 4162 firstcRizens.com 66-30/531 137 10/18/2010 PAY TO THE ORDER OF * *2Q0.00 Two DOLLARS MEMO v D.E.N.R. 110004 16 2,10 I:0 5 3 100 3001:00 1 3 1 2 18 2 s U A m 0 v N N J LL I V B� �61-yma R-.Ifz -� �p Z I 6 � rmo PaL, e - ii- I FIRST CRIZENS BANK 4193 i firstcitlzens.com 66-30/531 OUTER BANKS MARINE CONSTRUCTION, INC 137 1501 FIRST AVE MOREHEAD CITY, NC 28557 (252) 240-2525 1 1 / 1 /2010 s Ui m c O PAY TO THE y ORDER OF n F N R $ **400.00 0 I Fourf4iindred and 0n/1n0*************** * ****************************** ****** *** ** DOLLARS 1� d D.E.N.R. U C N O J LLi MEMO -J �r I1000 4 L 9 311' I:0 5 3 L00 3001:00 i 3 1 2 L8 2 V/?l1' OUTER BANKS MARINE CONSTRUCTION, INC D.E.N.R. AUTHORIZED SIGNATURE 11/1/2010 4193 First citizens Ann nn