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Home My WebLink About57094_GILLESPIE, WILLIAM_20110325❑CAMA / ❑ DRIfOGE & FILL GENERAL PERMIT ' v 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 15A NCAC Rules attached. Applicant Name # Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # (�) Fax # Subdivision Authorized Agent ❑ CW ❑ EW ❑ PTA Affected AEC(s): ❑ 0EA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no City ZIP ❑ ES ❑ PTS Phone # O River Basin ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) Crit.Hab. yes / no Closest Maj. Wtr. Body ■�■■♦■■■��■■ ■■■■■■■■■ ■■■■■■■■■■ •• ... M. M .AMMON ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■!i■■■■■■■■ MEN ■■■■■■■■■■■■■MOME ■■■■■■■■■■■�i■■■■■■■■■■■ ■■=:=C:=■■■:�■::■::�::■�:::::::■■::::: ■■■■■■r�■■■�■�■■■��III�■■1■■■■■■■■■■■■■■■ ■MENJUME■ ��■■■%1iNEMOM■■ME IMENINIMEME ■■■■■■■1■v■■■�■■■■■!II■■■11■■■■■■■■■■■7■■■ ■■■■■■n■■■■■i�■■■■■lII�■■11■■■■■■■■■a #�■■■■ MIN oil ■■■■■■■i■■■ii■■■■■\7■lll�■■■1■■■■�rl!■■�■■■■■ ■■■■ ■■ • _■■■■■!1■■■■■■■■■■■■!!t!■i��■■■■■■■■■■■■■■■ ■■■■■�i■■■■■■r■■■rill■ii■ 1■■■■■■■■■■■■■■■ MOMIMM Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** Issuing Date Application Fee(s) Check # Local Planning Jurisdiction Expiration Date 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 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 NC Division, of Coastal Mgt. Habitat Impact Computer Sheet Applicant: William Gillespie Date: March 25, 2011 General Permit #: 57094C 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 N 400 400 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 lea A,— RCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date-3- cA 3- 1 Name of Property Owner Applying for Permit: • � J R 1 e Mailing Address: I certify that I have authorized (agent) B+ ,,C �,� LVIS'truc.l j Lpnj ,,to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) 0 Property Owner Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper 15. MAR. 2011 12 ; 45 AM.EMBASSY ATO TOKYO N0.241 u. 2 AWACENT R PARLAN PROPERTY O"ER STATEMENT (FOR A PIE"RIM00JUNG PLUNG&BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to W i) 1: L. s op (Namc of Property Owner) property located at (D V 3 I l Ck u rn o n ci *J-) r (Lot, Bloek, Road, etc.) on (_) g. SQ. p � i �}-z r in A (Waterbody) (Town and/or County) 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 undwsrand thatapier/mooring pilings/boadifilbomho=e most be set back a minimum distance of fi8een feet (151) from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. L do wish to waive that setback regµirernem DESCRIPTION AND/OR DRAWING 017 PROPOSED IDEVLLOPIV/ENT: (7b be frf'led in by individual proposing development) r r a N � � t J r > �1'JPa]cd p4Ex'sr'"5 a°it�d,IF"f (Applicant Informption) Marling/iAdrrtrr —� r N jlo ClrydSrm llJp S l� • c��3- ld'1� �rlcphane AMmbsr• Dore rtion) S74v>r Sr`tNirzL� (Z Prim &J. 7ype Name P-,(--3 - -;?.z 2- Telephone Number Dote ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PLERIMOOR17VG PIL17VGSBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to G tnti R . �-� ; t es p , e `s (Name of Property Owner) property located at (D q 3 t k� yvt o n oQ I c , (Lot, BIoek, Road, etc.) on t\� -Q. it i \. - r , in \r Q"D 91o-L l pa w\A " w ; • l N.C. (Waterbody) (Town and/or County) T 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/boatlifr/boathouse must be set back a minimum distance of fifteen feet (15� from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) 1. 1 IV I i + {- J (Applicant Information) q 3 Rus ty, sit MailingAddresV �s A' A- IVC ��j1 U City/Stat /Zip. 513-0, /a-V7 Telephone Number (Riparian Property Owner Informati n} s Signature e ! r i6or Type Alame q1q- qSl - 7'�; Telephone Number Date Date BOBBY CAHOON MARINE CONSTRUCTION AND LAND DEVELOPMENT DBA BOBBY CAHOON CONSTRUCTION, INC. 6003 NEUSE RD. GRANTSBORO, NC 28529 PH (252) 249-1617 0 � ^ n ' PAY TO THE I V I V r; ORDER OF a McGi kpe,I&bf,d, WACHOVIA BANK, NA APEX, NC 27502 66-021/530 11200974011' I:O S 3000 2 191: 20000 L 76848 2811' :r 09740 DOLLARS7,