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Home My WebLink About59711_FAGAN, BRIAN_20120112`'C1 CAMA / O DREDGE & FILL GENERAL PERMIT LINew ❑Modification ❑Complete Reissue El Partial Reissue 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 Previous permit # Date previous permit issued ❑ Rules attached. Applicant Name ` rn Project Location: County Address �' i "t(� . r,�, 16r. 6 r . Street Address/ State Road/ Lot #(s) City3 -�"hf c �C 7 4 State ZIP 2- ' j L' s` U Q, Dr. Phone # (Z SZ) ' �76 -2 � jt Fax # (�g) Subdivision Authorized Agent - ;r%ASo^ V3V.IIQrr 1, I ZIP ❑ Cw q EW ElPTA Z ES ❑ PTS Phone # (' ') "` tl River Basin 11t 6)", Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A• AEC(s): Adj. Wtr. Body r- r; p r Ilk (nat /man /unkn) ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body "`err, u a i9 ■■_ �!■ ■■■■■■R!■■■■®■■■ MCS■■■■■■■V1Va No . . . • "=■■■■ii■■ii■■��■�■■■■�■■■■■�■■ • �......��■■ ■■■H■ ■ 1■■M ■/ ■■■■i.�■■ ■�►.■■■■iB ■■s ■■ is 11�■■■i 21 INME a■�■i` I■■■■EN-CSM ■ ■l/!■1•a■■■d■■■ ■■ �,-�i■■■■■■■■■■■■W'7■■MEN ■■ RENEWSI I�' ■■MENEI 11■■■■■ ■■®■■■■■! 11■■ IE ■vA�■■■■ ■■■■■■1110■ ■�■■■■ 1:q■■■a■ ■■EM. Ulm 11 ■■■[;i1■■■■N■M■■■■■ ■■ ■■■ all:4rl r■■■■■■■■®■■S9■■■■ ■■ ■■ SEW Nii M■■■■■■■■■■■■►A■■■■ ■■ �R��■■■iils�■®■■■■0■■NE■N■■■■fir■�■Mimi, NEI or Applicant Printed Name Signature "Please read compliance statement on back of permit Permit Officer's Signature Issuing Date Expiration Date Application Fee(s) Check# 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, certifythat 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 4 0 BRINSON CONSTRUCTION 252-241-2551 252-354-7408 7308 CANAL DR. EMERALD ISLE, NC 28594 Pay to the Order of = 13662 66-30/531 342 > Date a Dollars I:�:'•°° First Citizens / Bank firstciozens.com For 1:0531003001:00 45 230 .366 2 �4844��' � ATLA. N+CDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date i z- 1S- / i Name of Property Owner Applying for Permit: Mailing Address: RF�FIVED 414e rn lot ,t�� lUG �& s5� ,IqN I 0 2 a12 DcM M�.c1rs. I certify that I have authorized (agent) R41 A1S/p --Z v� loa'.5 to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 1,30 " j2;,Q r at (my property located at) 7�3 10 Caf a -I UQ, , E�/ne-ra 1 G 1�5k I VC. 5) This certification is valid thru (date) Property Owner Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: % ,9/,<� �ty 6, A /V Address of Property: 4,1-erwZ1 Z�-eA� Ci ea- rf-Y-e� (Lot or Street #, Street or Road, City & County) Applicant phone #: -,2 22 —670 22 �1y Mailing Address: Su wI -<-- I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing. with dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastaimangement.neticontact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 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.) I do wish to waive the 15' setback requirement. V I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature ►' l �l l�l a ct 11 Print or Type Name /3/y(4Ala tDr Mailing Address , t'1 e,,rq 11 .`S/� c' , ;z g r/¢ City/State/Zip P-s"L- 670 Telephone Number r Information) .51 CT r P,:f Al W 00 I 7 Y', Mailing Address Wcae;' j L eai,�1. 02 977 City/State& —� 6l9- A /I Telephone Number -7 DEC I l Date Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: a Ytl / /--� G Address of Property: 73112 6 qiu ct% Pr 15i1,e y-qd d/e;/1%G C. a s�f ��- (Lot or Street #, Street or Road, City & County) Applicant phone #: ,2 S-2- G 76 - ,C !2 9 W Mailing Address: `> /LI e- I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development 7 e proposing. A description or drawing, with dimensions, must be provided with this letter. V I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been noted by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 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.) I do wish to waive the 15' setback requirement. �' '✓ I do not wish to waive the 15' setback requirement. (Property Owner Information) C; .. c= Signature aAll Print or Type Name 73 /o C��a r Mailing Address /C tj -e Y-Y l c :a/C NL �59� City/StatelZlp ,2s72- 670 --Z2 9,6' Telephone Number 0Z <- Date (Ri rian Property Owner Information) Signature G , FRPNK IS Print or Type Name %D 8 C4ivQiPr Mailing Address City/State/Zip s2--14(-z5- Telephone Number