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Home My WebLink About57963_GOODWIN, EMMETT JR_20110525❑CAMA / ❑ DREDGE & FILL ` - GENE"L 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 15A NCAC ❑ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City Phone # ( )_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State Fax # ( ) ZIP ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ��■f�l�i��.1�� MMINNfil■■■■■■■■■■■■■■ i0.2■1■■■■■■■■■■■■■■■■■■■■■■■■■■■■I�■■1��1■ I�"iir�.i■I ��I i�i'■■ SEES ■ �■ ■■■■■■■■■M■■■ - ME O:■■■■■ ■■NONE MEN EEE■E■EEEEEEE■■■■■■■■ ■■N■:■■■■SEEN■■1MMMMMMMMNMJMMM=MMMMMM ■ ■■■''Iwo■■■■■■■■■■Gl■■■■■■■■■■■■■l1l!!!l�►■■■■■■ ■ IEEE■!!■■■■■■!i►�!!.■■■■■■■I■i■®■■■■■■■■ ■!■�9i1■0■LRt�li _ ��i,■� alp■�■1■I■■�f■■®Y�I®■�1■■f�■■■■■■■■■■■ • i■■E■■■■■■■■■■�►��■■■■■■■ww�■■■■■■■■■■■■ -■■■■�!�'■illii■■■■■!i■�iilR■�ii■t!i■'i�7.■■�i►�ii ■■�■■■■YS■■■■■■■■■■■■■■■■■ I7■■■■■ Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** Application Fee(s) Issuing Date 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 ❑ 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 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 252-808-2808/ 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 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 tamn imnnrte) 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 Qv�� Dredge ❑ Fill ❑ Both ❑ Other l 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 ❑ "32•?G.3 'aa . .. - .3mi-r;9 t X3 >i an.:v'v.ncr_ x !s .� ._ _,rms *.ns�f ra --t. ^.7%tzai•aix Wednmcdny, May 251 2011 10:59 AM Tim Grimca (252) 247•8332 rrutj• 11-%XWd 15: i y f rom: DCM MHDCTY To:yP47Efii? Pueecl/1 p.02 T NCDENR 1 North Carolina Department of Environment and Natural Resources 1IAY r Divlslon of Coastal Management 2 s zQ11 Michael h, Laney, Govomor James li. Gro9gon, D;roetor WNNam G. Roar Jr., Se toE&y 1. Name of Fropprty Owner Applying for Permit: 1Kxiling Addrell: pot4 Lbr- I cerUty that I have anthortzed (ag(!nt) ' V 1� to act on my behalf, for the purpose of applying for and obtaining all C.A,M.A Permits nccassary to install or construct (activity) t.3 b GJ at (my property located At) Thiel eertificgtiOn iS valid that (dateTlz _ O15 " I -3— ZP l l Property Owner Signature Date 400 Commerce Avenue, Mom -head Clty, None Garonne =7 Phone: 252.808.28081 FAX; 252.247.33301 Intenrel. www.ncs0e5t21management.net An Eq41 pppwtuniiy 1 AffIMISNYS Mien EmMoygr- 504i Recyried 110% pn%l Consume Paay 4 Lo+ Y, z Fzko GEN Y- 12.0 RECEIVED MAY 2 3 2011 — DCM-MHD CITY - ADJACT.NT RXPARXAN PROPERTY OWNER STATEMMNT (PO.$ A FIERIMOOEING PLLINQVBOATLIFT/BOATHSOUSE) I hereby certify that I own property adjarAmt WEE Yf E�-h � �1 's (Name of Property Owner) property located at -1 l0 1>013D JJL-1V-7i; (Lot, Block, Road, etc.) on l �C�► �5� , i1a G am. �C ' , N.C. (Waterbody) (Town and/or County) C` Applicant's phone #: � Mailing Addressl� He has descri-bed to me, as shown below, the development he is proposing at that location, and, I b'S L+ae, have no objections to his proposal. I urxderstand that a pierhnooring pilings / boatlift / boathouse must be set back a minim= distance of fifteen fret (15') from my area of riparian access unles F , �,4s , 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 requuemeut. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To die fzlled in by iruUi durarl proposzng developmeno (Information for Property. Owner Applying for permit) Manmg ass cityistatelzip qn-r t `w- : 2B19 Telephone Number Signature Date (Riparian Property Owner Information) L££9LYLd9Z JN " SVU jd4,dflww(3 d4ullu 04UWFI*ul away ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORIIVG PILINGSIBOATZIFT/BOATHOUSE) I hereby certify that I own property adjacent toCC- (Name of Property Owner)�� 's �Y23 ? o O/j property located at �p �Ia c-4% (Lot, BIock, Road, etc.) Q lk in. N.C. (Waterbody) (Town and/or County) Applicant's phone #: " t Pt Mailing AddressZ� la (`----s'-, 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 setback a minimum distance of fUteen 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 1-1 • I do wish to waive -that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled m by individual proposing development) (information for Property Owner Applying for Permit) Mailing Address GJ City/State/Zip �- Te hone Number Signature Date (Riparian Property Owner Information) J�a 04 w V-') Signature erPSa �• �e wis Print or Type Name C) I Telephone Number [: