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Home My WebLink About57983_HAUSER, BRIAN_201106200CAMA / D DREDGE & FILL (Z- GENERAL PERMIT Previous permit # I]New ❑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 / 1-1 . ? a Applicant Name�t,. r Address "y"IA City �_ h r_ �� State ZIP Phone # (` } 2 �- ` i 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 O Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) .� 0'A Subdivision City -, I; ZIP Phone # O?.-� , River Basin Adj. Wtr. Body rye K f r c&I, k man /unkn) Closest Maj. Wtr. Body ■ ■■■■■■■■■■■■■■■■■■ ■■■■■■Q�'�■■1 ■��■■■■■■■■■■�■■�,r�■■■are■�■�■■■■■ir■��■■■ ■■■■■■■■!%/l�1��. ■■■■■■■1 ■■■■■■iun� ■R ■■■■■■■■S WAWA� ■ _ MMEMMOMME ■ ■ ■ 1/ 'f ■ ■■■■■�■\■■■■ ■■MEMMN■ ■■■■■■■rib,■a■ri■■■■■■■■■■■■■■■■■■■■■■■■■■■� ■ ■■■■■FI'tea/1■■■■■■■■■■■\\■■■\■■■■!■Gi■C M. ■■■■■■■ wry;■■■■■■■■■■■■■■r .:��■■■■■�■■.■■ ■■■■r:,i■ INUME■■■■■ ■mom■■■■■�E■■■■■■■■�■■■�■■■■ • or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** PermitOfficer's Signature f � ko it Issuing Date Expiration Date ApplicationFee(s) Check# Local PlanningJurisdiction 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 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 Applicant: Brian Hauser Date: 6/20/11 Permit #: 57983C 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 0 Fill ❑ Both ❑ Other ❑ 2160 2160 High Ground Dredge ❑ Fill 0 Both ❑ Other ❑ 2100 2100 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 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date Cr Applicant Name Mailing Address 2 c� J , c n _ 71S �5 ',�CENED �uN 12p11 DCM CTIV I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (location) This certification is valid th (d Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastaimanagement.net . An Equal Opportunity 1 AfrmaUve Action Employer — 50% Recycled \ 10% Post Consumer Paper r RECEIVED ADJACENT RIPARIAN PROPERTY OWNER STATEMENT JUN 1 2011 I hereby certify that I own property adjacent to ��iJ l� ,c (l�( (;�' t s DCM-MHDCr1-y (Name of Property Owner) property located at (Lot, Block, Road, etc.) ��on � C�� , in •�/ Ir ��'� `-S LAJ , N.C. (Waterb(o�dy)) (Town and/or County) Applicant's phone #: r l —S� ^ C6 � Mailing Address: lie has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DE (To be filled in by property owner proposin develol D (Information for Property Owner Applying (Rip ian Property Owner Information) for Permit) Mailing Address Signature City/to/Zip Print or Type Name VA �,- - LkC, � � c ��s"��- � K Telephone Number Signature Date Telephone Number Date V�o �e ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �[� n�� co� is (Name of Property Owner) property located at P (Lot, Block, Rbad, tc.) on�� \ (�os, in f (Waterbody) (Town and r County) Applicant's phone #: Mailing Address: N.C. He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. -------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEL (To be filled in by property owner proposing developmen -------------------------------------------------- r--r-- (Information for Property Owner Applying for Permit) Mailing Address - v', � 1 City/ to/Zip I qc-& - I Telephone Number Signature Date 118Q`j d cTTY ----- ----- --------- TM T Plz(-M;t •------- -------------------------------------------- (Riparian Property Owner Information) Signature Print or Type Name T ephone Number Date T EASTERN SHORES MARINEoCONSTRUCTION, INC 8CAPE LOOKOUT a ' 66-301531 HARKERS ISLAND, NC 28531 DATE 006 PAY �,'cC, TO THE ORBER OF $�. s..min _DOLLARS 8 ■••'°°' First Citizens Bank fir tcitizens.com ! "P FOR u'0O L89 Lu' l:0 5 3 LOO 300i:0000 5 24 24999n■ :Y