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Home My WebLink About56885_MEDLIN, BELL_20101012❑CAMA / C' DREDGE & FILL GENERAL PERMIT Previous permit# 0•New ❑Modification ❑Complete Reissue ❑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 0 Rules attached. Applicant Name Project Location: County Address City State ZIP - Phone # O Fax # Authorized Agent Affected ❑ CW C EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City. ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger piers) r (Scale: ) — Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other 1 - '— i Shoreline Length SAV: not sure yes no Sandbags: not sure yes n9? Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: ❑ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** Issuing Date Expiration Date Application Fee(s) Check # Local Planningf urisdiction 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 landowners). 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 &IQ L 1%; .51 ,� .,A� �'�,ixv.. 'S`. ie Applicant:' Date: � O OjrD 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 temp 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 temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill Both ❑ Other ❑ O l 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?•3�-�.�v"3 .. �•��:$��3C�3a"��i .. air•,ar=s!r,�cr;�as��j�a��=��:�y2::r�� '3:�i:.��i:+3��'.%°t �56 a•LG) Yi� Moreheace City North Carohna Department of En-vii-ori uentryaild INIJ'a4tGral RESOI!rGgc h �`CN� ent Nlichaei F. cEasley, Governor Charles S. jones, D9rentor William G, Ross Jr., Secret,ry Date Q Applicant dame �� LL m�'� u �- i.aaling i', ddress ��- P �� s� � �► G a Asa � I certify that i have aaatlnoa-izetl (agent) �� I� to ad on My behalf, for tlae paaa-pose cif applying for and obtaining all CAMk Pewits necessary to install or coanstruct (acta if.Y) - at (location) 143 +% D This cer'icatiOn is tlirua (plate) o .w - - - �igxaatu re 1.�--31- I-C!, 9 A ZI 3 OA T Ti 7 4-7, Pro r,--r -Ly lcczce� a[_ pb1z, uj-� al a Blc-ck Road,-jLc—.) on fTPLA0 MQ-4-10� in CY�,'atez-bo'dy) (?�Iact/oc!Loujaty) He has desc--zbe-j to m,,=, a Silo',-n below, the dev--l0Qf!hen1 he is proposLn--, at that location, and, I have no obj�:Lions to his proposal. I under-scand I[hac a pier/uricovercd boat L rust be setback a minimum distance or rllm--n. refit (15') Tom m,,-,)area or riparianacc--ss unlesswalvc-d by me. 1 do not wish to ,y2i v Lh*c se'back reQLIRVnCn1. 711414 1 —do Wish to waive that setback requLrccmerit. u DESCR=(Dil-ND/OR DRA,YLNG OF PROPOSED; DEVELOPMENT: (To be felled j:z by indivccual 4�,pnzelzt) p rop o sin a d10 v e ----------- (.w - 601 P-mic or Tom- i,,ianh it -S314 10/07/2010 14:44 FAX 252 265 0054 Tobacco Rag Processors Ca 001/001 • �'�i RECEIVED JuOc-V Morehead City DCM L)'A t t;z;eGY C� _iy t,�at I awn uiol7� acijar-nc to 1�� i Stla�rrY :1t�'t9°r) pCo i,y at 43 R-ot, 3;tf> , Road, etc.) �,r- ►� on (Wace�hc�dy) (z'oF��mdly Casa . He has de5c-,zbed to me, aS shoe below. the developrperit he is proposing at Chat IccaLon, and, Z h ve� no to his propa-cad. T understand (hat a pier/ Qneovere-� boat 1u= rust be sst back a mirlimum dis=Cr Of rzfte~n,F0_2t (15') from myjarta 01 nP2nan access zuf] e-55 waived by me. not wish to waive [he reauZ&Ine"lt, l I do wish co waive, that setbac'< ;equiremeat. DESCRIP 0 k�-DIOR DRA) V G OF PROPOSED_I DEVELOP'NI,"f 1, (3`a be jWEd in c3v irzdivedual proposi7, dEvel pmsrit) Illfli R i I � v Signature P torT .ya e SAMMIE E. TURNER MARINE CONSTRUCTION ACCT 252-725-3415 P.O. BOX 1885 MOREHEAD CITY, NC 28557 PAY TO THE ORDER OF 5%m-� ** m DATE se ae 4912 66-112/531 e : BRANCH BANKING AND TRUSF m COMPANY 1 -800-BANK BBT BBT.T.com ' FO C l �' �OO 49 1211' i:053 1 1 �121�40005 2 1058406611'