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Home My WebLink About57172_GUTHRIE, WILLIAM_20110316C!CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # EJNew ❑Modification ❑Complete Reissue El 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 Address City State ZIP Phone # O Fax # Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no, Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ('S7)>(? River Basin ''/ )! C;:^. Adj. Wtr. Body (nat /� an n) Closest Maj. Wtr. Body --------------- ■■■■■■■■■■■■■■■■■\i!Il NOWA■■■■■■■■■1iNirriYllANVOIN ■■■■■■■■■■■■■■■■\'A■:i-%■■■■■■■■!M\SSIMWAIN ri■■l ■■ii��......�.r.��ll: frGl�i�iii�i■■■■■■■■■■■■■■■■ ■■! i!!a■■!.■r■■I.s,■,i■■■■■■■■■■■■■■■■■■■■■■■■ ■::►■■■■O``�:■■■■■■■■n■■■■■■■■ :■■■■■ idf■■■■■■■■■■■■■■■■■11■■■■■■■■■■■■■■■■ ■■i■f.■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MEMO ■i �■►��==�� _��c=mac= _�� ■■w■■■■ ■Ii■MOON ■■■■■■■■■■■\■■■M■■■■A■\■ ■ER. L Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Permit Officer's Signature 1 Issuing Date Expiration Date Application Fee(s) Check # Local Planning Jurisdiction Rover File Name w 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 252-808-2808/ 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 mpNC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: William Guthrie Date: 3/21 /11 Permit #: 57172C 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 Shallow Bottom Dredge ❑ Fill ❑ Both ❑ Other Z 169 169 Open Water Dredge ❑ Fill ❑ Both ❑ Other O 169 169 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.nccoastalmanagement.net revised: 02/03/10 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATL.IFTBOATHOUSE) RECEIVED I hereby certify that I own property adjacent to R 14 2011 (Name of Property Owner) property located at I q s (Lot, :k, Road, etc.) DCM-MHDCITY ony e,5f23a q , in Ca Y,4 ly 1''I- � 6itn T N , N.C. (Waterb dy) (Town and/or County) Applicant's phone #: l p S33 Mailing Address: � " � ' 6i(3 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 min.iznurn 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. DESCR PTION AND/OR DRAWIh PA7 z i� (To be filled in by indivia 4. 1.oa p0e.r-- r ------------------------------------------- (Information for Property Owner Applying for Permit) Mailing Address City/State/Zip Telephone Signature Date ----------------- ---------- ------------------ )F PROPOSF D DEVELOPMENT: proppqsingllev lopnzent) w �a r !K p vtip -- -----------�G _--,P11 N�f70 (Riparian Property Owner Information) C—Vgnature Print7or Type Name Telephone Number 3 9-/l Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT RBCEIVBD (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) MAR 14 2011 I hereby certify that I own property adjacent to J 1'i ' � _ A Lt, fit ' (Name of Property Owner) DCM-1GWCnT property located at , b y-/ 1)- (Lot, Block, Road, retc.) on 90.. , in 7'1f' Y '2 cc n , N.C. (Waterb dy) (Town and/or County) Applicant's phone #: A5a--M- ?109-Mailing Address: ? e, BDA 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 / boatlift / boathouse must be set back a mininnzm 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. �'f, 1r N � DESCRIPTION AND/OR DRAWING O -----------------�--------------------------- � �lK 'F PROPOSED DEVELOPMENT: ' I (Ja Q G� -rVW filled in by individual roposing d velopment) yvd —�- -� A -- n- -- - ln--O- e' _--------------... -------------------- --------- ------------ (Information for Property Owner Applying for Permit) QSvy �t Mailing A dre s ��a�k+e+�s 4/(T City/State/Zip g ` g� 9 --S a--,�� AeIvA (Riparian Property Owner Information) c ^Signature Print or Type Name Tele)ho e Number Telephone Number S W a Date ------------------------------------------------� i------------ 4 - lr m R WILLIAM A. OR BETSY E. GUTHRIE NCDL 2155093 Phone (252) 838-1838 Cell(252) 342-6845 PO Box31 195 Bayview Drive Harkers Island, NC 28531-0031 MWACHOvrA Wachwla Bank, a dlvislon of Wells Fargo Bank, NA For Y-1 ¢ I `71 %2 C 3068 1r/ 66-21 /530 BRANCH 77513 ate i:053000 2 191: L054635 248460I'm 3066 $�i��0� Dollars � , ��•>�