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Home My WebLink About59701_FAHY, ED_20111228❑LAMA / DREDGE & FILL GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ElPartial 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 1 SA NCAC i) Rules attached. Applicant Name r ';i Project Location: County Address 4' c" r _ s' �`� of °4 , _� Street Address/ State Road/ Lot #(s) City - -- ---- State ZIP r` , --- Phone # Fax # Subdivision t �'' Authorized Agent J S City ZIP ~" r ❑ CW `�j EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin Affected ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body (nat /man /unkn) * PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platt Fing Groin Bulk Basil Boat Boat Beac Oth( Shor SAV. Sand Mor; Phot Wain (Scale: ) o rm(s) — er pier(s) --__-_ length --- �, - number_ i lead/ Riprap lengtht— I avg distance offshore max distance offshore— iI r 01-- , channel I � cubic yards C,f , ramp louse/ Boatlift ft y1 1 ---- - i Bulldozing - --- -.-- = - r - - -- I dine Length not sure yes (no gags: not sure yes no torium: n/a yes no :)s: yes no _ er Attached- vec i no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ❑ See note on back regarding River Basin rules. Permit Officer's Signature -_ Issuing Date Expirat n Date Application Fee(s) Check # Local Planning jurisdiction Rover file Name A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ❑ See note on back regarding River Basin rules. Permit Officer's Signature -_ Issuing Date Expirat n Date Application Fee(s) Check # 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 252-808-28081 1-888ARCOAST 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 i&'��►,& Aft = N CDENR North ('4, rolina [►epartment of Environment ind Natural >=esources Division of Coastal Manat, ement Bevetiy Eaves Perdue,, Govat nor James 11. Gregson, Direr :.or f)ee Freeman, Secretary Date Name �"F'{`l Applicant N _.� ._ Mailing Address y I certify that f have ,tuthori zed (agent) . �:� �,_ to act on nn behalf, for the 1pur11 Ise of a 3plying for trod obtaining CAMA Permits necessary to install or const-ruel activit!,) 0 C3 at (location) i � � � — 7/1177 ,�"4 t it (dat --'�_This certification i!— � Signature �,,� �-- ----- 400 Cc mmerce Ave it te, Morehead CH. ,i , North Caraiin,-i 28557 Phor,E!: 251-808.2EL81FAX: 252•247-33301Intern?t: wwwmccoa.3talmanagement.net An 4: n at oppor u iity t Affirmative Action Employer — 50% ,:cycled 110% Past ;onsumer Paper y t�- ', �' � � r.a�aaa uuuJJJ 0 • � • • , i �ov Go( -)SIC earth feet' 400 meters 100