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Home My WebLink About58860_HAWLEY, POLLY_20110923❑ICAMA / ❑ DREDGE & FALL . GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued t 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 C ity--- ---- _---.. --- -- State ZIP Phone#(- —)_ 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 Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. 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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 BLUE WATER MARINE 7086 CONSTRUCTION INC. P O BOX 93 66-1121531 MOREHEAD CITY, NC 28557-0093 `` c DATE PAY TO THE ORDER OF_,N G s $OO. O/per DOLLARS o.iane oe BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT 867.com �� L e 14 e,,C, V - (o "' j FOR Ao 1100000708611' 1:053 10 L L 2 L1:0005 2 L498659 21I■ 1t yy� APB'-13-2011 09:13 Fr•om:Cr-N f1HL)CTY To:97265079 Page:1'1 ADJACENT MI'ARIAN PROPERTY OWNER STATENTENT (iOR A PE1':RllMOORING Pry I-?VGSIBOATLIFTIBO.4TIIOUSE) l herehy CGtiC.ily that I ov 11 prapftrty adj &:c r,f toi,ll+ �;i[�. _..... s !(�I1tuie of �rdptrty >ti1►er) property toi a.! edjat 44) U C r,.�:A-) trLA ar, - (Lot, Blot k, Road, etc.) on _JccJS �fGz ir,eu��ov`1L Ce�.�rf�Y�f , N.C. `O_ aterbody(Town and/or County) Applicant's phone th 2-4,l_-_g3 z Mailing Address: Z? 3 .7 t- lic• leas describcc to 1.tne, its sho;�vn be'u,w, the d ;velopmeni l:e is proposing m that jo,,7at?on, and, l have ?tn o1:>,jec.ligr�s tri hi:, l>rc,ppstsl J .ulder5iit,1 tt,<:t a pie; /mc,t>r?i, pili!1}?s i i3c>.itlj ft I boa.tltou5e nu,s?. be set /,act' a. i,ij.trinn:n) ,ilstaurc of fifteen f,.x:c (15') from my area o.f ripari :n i+cer-.ss lloloss vai�cd by me. (if you wisl3 to waive the setback, you must initial the appropriate blank below.) 1 i 7ki S IS % _ I do n, of wish ;o waive I two MCA- NzS5C5 ash .o ' wary sei tbet back rcquirernent. --- --- -... -- -- - - -- .:..._.......---- -- . ----- ry c-� 12ECEIV>~n DESC PTION AND/OR DRAWI YC� OF PROPOSED i&4 V LOP 1 J!. N: ilea (To be: filled in by individual pr osin development) f1zIle 4 DCM-MHD MY SC- i�4 Ce (Information f�r Property Owner Applying for Permit) 1 1+613 pod- lvlaahnr AddrHi �l JJ � --t CityiStateMp Tvtephone Nu,.*ber Signature I ! Datc (Riparian Property Owner Information) n � _ Si ;nature hClr Not or Type Name Telephone Number Date I William W. Hawley give permission to Polly S. Hawley to develop the adjacent property this dated July 14, 2 011. RECEIVED JUL 2 2 2011 DCM-MHD CITY NCDEN't North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary Date S - 31' // Applicant Name W yHly &ac•J Mailing Address `-1 1 -3 '3 - I certify that I have authorized (agent) /glue waft^ N*,A,,e to act on my behalf, for the purpose of applyingg� for and obtaining all CAMA Permits necessary to install or construct (activityIle e,, at (location) This certification is valid thru (da e) % 2 - 3 f- i Signature i RECEIi� egg RECEIVED ppwr JUL 4 7 2011 DCM-MHD CITY 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastaimanagQment.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper ,nnplicant: (� 1 Date: Describe below the HABITAT disturbances for the application All values should matctr he name, and units of measurement luunu un you; (lau1LaL L:uue sneeL. It — Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or ternimpacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impaqt amount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or !—.emp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill Both ❑ Other ❑ Q-1(4 17 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 Cl Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ . Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ .a 5)2-•3✓8-21-1 0^* ,. Ia 'iv'±COAST ,. h1r.17X.flcrnL,.z�:i,;:fit:;:r'ls�:_..�ar: .._��.+.:.. r,�s.f .,_.al-::,�..1. 1!'):•(5 :;''.1,%