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Home My WebLink About57107_HENLEY, TOM_20110207❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# ❑New ❑Modification El Complete Reissue El Partial Reissue (k--� 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 0 Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone# () Fax # () Subdivision Authorized Agent City ZIP Affected CW [IEW ❑ PTA ES G PTS Phone # O River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH _ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ME ME • - �Aea&iii■■■■■■ ■■■MEN ■MEN ■■■■■■i■■■i■ ■I�■■■�/■■■■■■■■■■■■■■■■■■■tit■■■■i■■■■■■ ■■■■■Nii■■■■■■■■■■■■■®■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■®■■■■■■■■■■■■■■ ■■■■■■ii■■ii®iii■■■ii■■■■■■ii■■■■■■■ iiiii!!■■a1a•■■■■■n/iiDi■iiiiiii0��1i ■■■■■■iii.■■■■■■■ii■■■■■■■■■■■■■■�! ■■■■■■■■■■■■Rl■i/J■l•��■�!!�ii[�lli■■■iiiily Nii■.iii,ii■■Sri/i■lt�lilliiiii■■■ ��,'• � ••� +'� iiit....i.�ii_■S _�5�3_'si��. - - - ■■■■■■ii■iii■■N■■■■■�I■■■it!'i�ll�■i■ ■■■■■■■■MMEN Gi■Rilii■■�IIA!■■■■■■irJ■■■■i■ - ■■■■■■■■tlii■■i■iiiifili■ill■iii ■■■■■ ' "`iii■ii�ll�ili■■ iii■■■■i■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # PermitOfficer's Signature Issuing Date Expiration Date 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, 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 complywith 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: Date: 91 T 1 � 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 emp im acts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount i Dredge ❑ FilA 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ -t;G,3 •?tea': .. '� � � � � ��,a:. ,..a. f^� �:�i .t,e �.� -�3 �,..K�- �.UA� i ., �ar•.arar. cr_=��-, .:�._., ....,,;r,,. _n;.�°t 32 CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM /O Name of individual applying for the permit: A4 Address of property: Z0 � Alleee17 ZKX—/ L.' 14Wc (Lot or street#, street of road) Mailing address: SHAt F (city & County) « ty) 7) 6 _ a ?�? s� Phone number you can be reached at ( [/a)W -yxL I hereby certify the I own property adjacent to the above referenced property. The Individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing. A description or drawing, with dimensions, should be provided whit this letter. e L VV"�I have no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. No response is considered the same as no objection if you have been notified by Certified Mail. Waiver.Section I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags must be set back a minimum distance of 15' From my area of riprap access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) C W I do wish to waive the 15' setback requirement I_do not wish to waive the 15" setback requirements Signature Date eAl2L �C ,?&l er- Print Name WSJ 7 - G Telephone number with area code 1 rEIGH BONDED WAREHOUSE, INC. WAREHOUSING'= • .T_ ISTIUBUTION OFFICES 826 Church Street: Morrisville, NC 27.5W) &Mail: January 31 20l 1 Cama Represenative MAILING ADDRESS PO Box ") Morrisville, NC 27560 ITLEPHONE:"— FACSIMILE: To Whore It May Concern: Tone. and Kay Het-ey located at 102 Forest Knoll Drive have our permission to build a seawall on their lot. We have no objections . 1, Alton Smith, am the adjacent proper owner, and they have our permission, Many,Wanks, and if aqy questions please call. n►lton Smith Cc: Tom fax 252-726-0747 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 2— °7 8= // Applicant Name /0 w Ite-N, Mailing Address ZE) Z A.'t, /q. c , 2 fl S-/ z I certify that I have authorized (agent) /glue Gt%afs+,`to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) /Ju//LhGa.1 /� az at (location) 16 Z `o� e-3 -�" //% // This certification is valid thru (Hate) Signature 6 - o -// 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper BLUE WATER MARINE CONSTRoUC�T�ION INC. MOREHEAD CITY, NC 28557-0093 PAY TO THE [ / C � rN� ORDER OF /� BRANCH BANKING AND TRUST COMPANY 1-800-BANK BST BBT.com FORIIo�G ` f%v00 F. 3116 .053L01 L211:00052L L,98659211