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Home My WebLink About57183_GENEREUX, MARK_201106231:1 CAMA / 0 DREDGE & FILL GENERAL PERMIT Previous permit # ONew ElModification 0 Complete Reissue E]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 D Rules attached. A lirnnt Name pr-;at I ) PP tY Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # Fax #(—) Subdivision Authorized Agent City 0QZ ZIP 0 CW DEW D PTA DES D PTS Phone # River Basin V Affected 0 OEA AEC(s): 0 HHF 0 IH D USA D NIA Adj. Wtr. Body- 4man /unkn) D PWS: D FC: ORW: yes / no PNA yes no Crit.Hab. yes no Closest Maj. Wtr. Body MEN E NOMENNOOMEN NOMONOMMON ON NONE 9MOOMMONEEMENEENNE� I'MEW 00EM 1300 MENNOMENIMEN NEEMONEENNEENEEN ONION 00 .O■iOO�i■■O■■■■■�l■n■■a/■ENO■O■NMOO■■NNO A Agent 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 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 consistentwith 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 08109/06 NC Division of Coastal Mgt. Habitat Impact Computer Shee<: Applicant: Mark Genereux Date: June 23, 2011 General Permit #: 57183C 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 ow Dredge ❑ Fill ❑ Both ❑ Other ® 391 391 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 ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOA//jjT��LI FTBOATHOUSE) I hereby certify that I own property adjacent to M"I 616AWU� is (Name of Property Owner) property located at I f't � ilf V4 6a-rj N (- -zj <<01 //�� (Lot, Block, Road, etc.) on �1 l�N6J `2WIJ &ZIc J04 J , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 26z"3�( - � Mailing Address: ((D �1.�71 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 (I5') 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 not wish to waive I do wish to waive that setback requirement. ---------------------------------------------------------------------------------------------------------- DESCRIPTION .AND/OR DRAWING OF PROPOSED DEVELOPMENT: 4opment) (Information for Property Owner Applying for Permit) H 0 A-u.04 *b& Mailing Address NZW kX4 W& Zg �;Z City/State/Zip 2,57" I - gb Telephone N ber F A AAA�4A Signature Date Pyzapo -o -etp- i-I Pr ----------------------------------- (Riparian Prope Owner Inform 'on) Signature • Print or Type Name Telephone Number A -15-ZI Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to MP41 6-16NC IJT 'S (Name of Property Owner) property located at (� nLLCri —OV' N6V4 661 " N(, W&� , (Lot, Block, Road, etc.) in N6J `(zW-r' &UcOaj , N.C. (Waterbody) (Town and/or County) Applicant's phone #: ZSZ"3�� ` Mailing Address: I 10 -bf` Ntw rat;- 28S"b� 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 (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 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) (Information for Property Owner Applying for Permit) 110 Arum art. Mailing Address NSW Anw ►�� i�28�bZ Signature Date ,e��l.-W Da4 A441A (Riparian Property Owner Information) ZJ4;?4zzR— Signature Print or Type Name Telephone Number Date go, ---J& — — , "'m I - — - . - TR PRESCOTT MARINE CONSTRUCTION LLC o4-o8 828 545 ALLIGATOR LOOP RD 252-745-7135 MERRITT, NC 28556 66.30/531 471 LJ Date 0 c),0 c, - ` Dollars First Citizens Bank �'� <. 12 For 1:0 5 3 100 3001:00 4 7 L 20 L 9 4 6 l+' 008 8 1 Pay to the Order of_