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Home My WebLink About59617_GOODWIN, EMMETT_20120412,V ❑LAMA / ❑DREDGE &FILL j2�� GENERAL 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 I SA NCAC ❑ Rules attached. Applicant Name City Phone # O_ Authorized Agent Affected EJ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no _ State ZIP Fax # ( ) ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH I] UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # O River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ■■■■■�■■■■■■■■■■■■■ ■■■■■ram—��_ ►�_ ��■■ ..• . . . sari — - ■w■■�iwwww■■■■■■ww■■■■Ipwrw■■■■ ww■■■ �I ■ ��l�l�il�l0 7eME ■■.■"O■■rrEIAMM'ii Eli Mal f■ ■■■■■■■■■■■■■■ 'I■■■■rIMIM �■■■ ■■■■ �■■ ■ON�■■■■■■■■■■�■ b�■■■Elr■l�Uli/�■ ■■■® ■A■■■■■■■G�E!■11�Z�■■■■■w ■■■w�■■■■■■■w■■■w ■+ &r�ww■�■■■w■■■■■ ■■�K■■■■®■■■®Isis �!■ 9w+`Mwo■■■■■■In :... ■■■■■■■■■■��®■■■KS i9■r1■■■s■m■■:l�rt�■■■■■■ ■■■■®■■ mom ■w■■■■�ilr■■ w■■■i■■i�1��1�I�1i■■■■■ ■■■■■ .. ■■■.■■■■■■■■■■■■,■..■ ■■■■.■■■■■■■ ■■i!s■■■■■�'�Isomi■MOM■■i■■■■■'Ain■■w■■■�i�■■ ■■■!�■■■��+■tit■■■■■■■■ ■■�■■■■■■■lam■■ ■■■ ■■■■I��il�iww■■■�■■■■■■■■■■[Etll�■■■■■■■■■ ■■■■!■■■■■■■■■■■■■■■■■■■'I9■■■■■■■■■■ ■C■■��■:�■■■ W:■■■■::■■::■■A SOME■:.0 Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit f e S' nat r m/ �k Issuing t E i tion D te' 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, certifythatthis 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 252-808-2808/ 1-888-4RCOAST 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 TURNER MARINE CONSTRUCTION P.O. BOX 1885 MOREHEAD CITY, NC 28557 1067 J 66-1121531 DATE f d A PA TO THE ORDER OF DOLLARS BRANCH BANKING AND TRUST COMPANY i 1-800-BANK BBT BBT.C= FOR u'0000 10 6 7ii' i:0 5 3 L0 1 L 2 Li:000 5 10 3 1 L 30 L, 2113 „r 5 Applicant:tmn Date: a Describe below the HABITAT disturbances for the application. found in your Habitat code sheet. All values sh uldHatchthee, and units of measurement Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total .. any anticipated restoration or terpp 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 tem im acts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other L Dredge ❑ Fill ❑ Both El 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 Cl Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ a i ... Baru•: r.rrcc__a� ti �..,.:aha�-��.�r:•:,:�xs.n:��t •r:..,a.:.n.-i. r �.1,+xi.�;� f 6 North Caroh.na Depa mein of Erivironment and 11,,yaturai Resources Division (DI Coast -al Management Michael F. E-as1ey, Governor Ghades S, Tones, Dir,,,ctor William G. Ross Jr., Secret,ry Date f /— / S • (� — A'pplieaiat Naine IR!lailaaag Address P .a t! Icertify that I lea— e authorized (ageing) t .$$ to act on axis- belaal , aaa the aixxpose c'a appi-ying for and obtaining all CAMA Permits necessary tO g , install or construct (ar-ti"At-y) at (location) PD,t t� � -._.. This cei to ca#ices is L a l rl tlai-u (dat:e) �ayixat�a^e A)VACENT RIPARIAN PI""ZOPER T Y OWNER STATEMENT I hereby certify that I own property adjh.cent to. �+�� Q �� (�� s (Name of Property Owner)�. I (.o Po �, Dl�r. propert}� located at �. p (Lot, IRlocl(, Road, etc.) 0 Oil 1 �u fond- --- , 1114 (Ae _,.� c- rJQ�aCIn , N.c,. (Waterbody)_ (Town and/or County) Applicant's phone #: Q lq-gU •;s71 Mailing Address: o21 (-e P6!4 Iri VI- Pr+t&�c. kAaINC. 2gsia 11e has described tom(,-, as sb.own below, the development he is proposing at that location, and, I have .no objections to his proposal. 'DESCRUTION AND/OIZ I)RANVlNG OF PROPOSED DE ELOPMENT;CEI ED (To befilled in by proper•t}, owner proposing development) DEC 19 2011 DCNI-Wib CITY �3 ---------------------------------- T---------------- ------------ -------------------------- (Wormation for Property Owner Applying (Riparian Property Owner Information) for Permit) a Rokl� br; vt- ,! , Mailing Address Signature City/State/Zip alq--4aa -a!5?1 Telephone Number Signature Date Print or Type Narne Telephone Number Date ✓V) \5 OU Received Time Nov,16. 1:18PM ADJACENT RIPARIAN PPLOPERTY OWNIER STATEMENT I hereby certify that I own property adjacent to. ✓n►'til� C'1DOjI0 (/'l s (Name of Px•opex•(y Owner) property located at d�� POh � br� L (Lot, lock, [load, etc.) on I 00 , in /'TTI�i/I ` ,L 4J� 1�. C. (Waterbody) (Town and/or County) Applicant's phone #: q la -q-72 -; 5 ►Mailing Address: a ae PO4 'Dr)-V e He has described to mc, as shown below, thei development lie is proposing at that location. a.nd, I have no objections to his proposal. :L v-Ail(E ^1't'}� ► S $£'r'�P►GI� -------------------------..---_-----------------------..,..----------------------------------------------------- EWrD DESCRUTZON AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by propei•tp, owrmer proposing development) 19 2011 (.Wormation for Property Owner Applying for Perrnit) Alt, P0n4 -by-,IV 1. Mailing Address i J -------- -----------------------------------------------` (Riparian Property Owner Znformatioa) T ✓Q/1,P/�Qr K� �Q u� Signature _ iio'"c b W, N C a 8S 'Tc,tisa K. Ltwi5 City/State/Zip Print or Type Name Telephone Number Sign ature Date 2 0 -Sol Telephone Number �t i,s l►� Dace L; Received Time Nov, 16. 1:18PN