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Home My WebLink About56850_MILLER, TOM_20101005❑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 Resources and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # (`} Fax # () Subdivision Authorized Agent •'41J, ❑ Cw ❑ EW ❑ PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑FC: ORW: yes / no PNA yes / no City // ZIP [I ES ❑ PTS Phone # `iver Basin ❑USA ❑N/A ( i� Adj. Wtr. Body ?f P,( ' ' gnat /man /unkn) Crit.Hab. yes / no Closest Maj. Wtr. Body • ■gt7r��L.-.tT�MEN MONERM0.01111 �■�q��iiil��ggq�q��qqq��qq��qq��l�� - •� • • • - : _ � :. - • •• - �� ■IME��f�■■■■■■■■■■■■■■■■■■■■■■■■!�■■■■�■■■ �i■�iqq■�i�qgggqiqqiqqqiqq■qiiqiqi��iiic��i qNibgNq■■q®ggqqqqq■qBq■�■l��Ni�� ■� j■IVINgWM■N■q■gq■�gq■q■�qq�I� �q�ggi�q ■q■■fi■■■ ■■■■■h�■■■■!7q■!■■ii■■■r11N■■■■■■■i■■■■■■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # PermitO�fficer's Sign ture it1 IssuingDa a IExpiration 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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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: 919-73 3- 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 • (�� VVV Applicant: Date: qiq� 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 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 ❑ —temp � 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 ❑ .,r. v. ssl _r� tis z ": 2# � airs : t 2"021,401' RcEim SE .4 2010 Morehead City ®CM (FCJF Atom: F'R/(',i!i � G' �F FD � (in T f;?�� --t �'y'.s BB p per,�i" ii 4 u =rj Proper-_- 1CC2tCd at 1 O }� :-A pc'- l (Lot, D(c-ck, Road, etc.) on J!JWI fT) c-iZ��k ' n 6 � G (Waterbody) (Tom and/orl County) He has desc--ib,--i to Me, ac shown below:, the develop.1ent he is proposing at that lc�:ation, and, I have no objections to his propo�. I understand That a pier/uncovered boat lir rust be set back a minimum distance of riIT r"mot (15') from my area or riparian acc;ss unless waived by me. I do not wish Co waive th'e seiback requirement. I do wish CO waive that setback reouLrement. DESCR=oLN A-N-D/OR DRAWL-NG OF PRO POSED DEVELOP?PENT: (To befilled in bV IndZviddaL71 mm�n,i.,. nee,,.. /1...--, . I G a e j 4 S Prim or RECEIVED Morehead City DCM liT q��v '-• _ - _ _ _ •.t,: i i ' _ :. .Sa -� �' f; 1J �'� " j4`y 5__ .. . !./ y, --1 (-I� (1`' O p, A PIEIk/ pi C b —77P F-D B 0 1 1 p o T � ct.. c_ i__ Cc• n; a i propet'4' Iccated ac Fvo g S�,qJ. C I V C.C." Q (L-ot, Bloc.-, Road, etc.) on _T� �1� �L� {� in ' C, ( aterbody) QO-T n and/orlcounty) He has described to ne, a< sho,-;l belo r , the develop.r�ent he, is proposins at that location, and, I have no objections to his proposal. I understand ghat a pier/uncovered boat lir must be set back a minimum distance or (I5') from my waived by me. jare�a or'riparian acc;;s unies; 1 d0 ti0t W1Sil t0 W'a1Y'e the setback ie^LiI'e,71eIIt. I do wish to waive that setback requireement. DESCRIP'I'IOi�; .A-ND/OR DRA't',Tti G OF PROPOSED DFYEL^ (TO be filled in by indivia�ua1 proposing devel�pmeniJ V � l I� h I t C'��.s�r� G ► �c�E �D fTZ. �nzttre print or Tyix Nai North 'CO-ohria Depar meat off Environment y r ai1d �`�2tul-al Resources Division ofl ivlichae! F. Eas!r.y: Governor Chadds S..hones, Director William G. Ross Jr., Secret,ry Date Ot C) Applicant Name Mailing Address _C p 1 OA i LLG'o 6 I?ZTO-bj FLL J � certify that t have auutihorized (agent) pn6p" ` ` behalf, for the purpose cif applying for and obtaining all CANNA Permits necessary to �O �� O� install ®a' construct (acta��-its) ---- at (location) Pv—kS'o0 C,t-g'C L�C— -.--, This cer eification is tlan u (date) 'SA ynaatu r SAMMIE E. TURNER MARINE CONSTRUCTION ACCT 252-725-3415 P.O. BOX 1885 MOREHEAD CITY, NC 28557 PAY TO THEG� ORDER OF 4854 66-112/531 DATE �a DOLLARS 8 `°°'°'°° o.uu. m e•°x BRANCH BANKING AND TRUST COMPANY 1-800-BANK BST SBT.com. FOR II■0000l,854um i:053 10 11 21i:0005 21058406Pml"