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Home My WebLink About58164_HODGE, DEMPSEY_20110719❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# ONew ❑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 Project Location: County - Address Street Address/ State Road/ Lot #(s) City State ZIP t Phone # O Fax # (` )- Authorized Agent Affected CW ❑ EW ❑ PTA ] ES ❑ PTS AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A El PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift� Beach Bulldozing Other Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no i Photos: yes , no Waiver Attached: yes �o A building permit may be required by: Notes/ Special Conditions Subdivision CityZIP / Phone # (_) River Basin Adj. Wtr. Body (nat /man /unkn} Closest Maj. Win Body Agent or Applicant Printed Name Permit Officer's Signature - (Scale: }� ) Signature '* Please read compliance statement on back of permit I Issuing Date Application Fee(s) Check # Local Planning Jurisdiction Expiration Date 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 landowners). 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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 ate_ ��...._....., ... ..... .... ,.� 4503 c-^ 1 FIRST CITIZENS BANK ' 66.30l531 137 OUTER BANKS MARINE CONSTRUCTION, INC 7/19/2011 1501 FIRST AVE x MOREHEAD CITY, NC 28557 m t 240-2525 **200.00 of PAY TO THE D E.N.R. ORDER OF DOLLARS Two Hundred an D.E.N.R. m R 6 LL MEMO THORIZED SIGNATURE o u■004 50 p■ I:0 5 3 L00 3001:00 13 2 18 2 L ■ :r 0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ('OR A PLERIMOORING PHXVGSIB0ATL'FT1B0ATH0US.E) I hereby certify that I own properly adjacent to rn5 's (Nam of pro ertp Owner) properly located at S-� (Lock, Road, etc.) on U� q Applicant's phone #• 'm�"1� ' N-c- (Waierbody) (Town and/or County) t l l Mailing Address: 2.tCq 2..�-1 [ — 90(cJS 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 I boatlift / boathouse must be set backa minimum 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 DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) RECEIVED JUL 0 8 2011 DCM-MHD CITY (Information for Property Owner Applying for Permit) Mailing Address 1,- City/State/Zip CTR_ 2C)l A- �s Telephone Number `` %,, t-% 1 7 7,014 Signature Date (Riparian Property Owner information) Ar!�� Sign Print or Type Name Ci Telephone Number Date t M4 L c c ADJACENT RIPARLAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PLGIIYGSIBOATLIFT1BOAT.SOUSE) I hereby certify that I own property adjacent to S �s (Nam . of ProiVeirty Owner) property located at V c7-? (Lot, lock, Road, etc.) on�- __-, in �b�'�b , N-C- (Waierbody) (Town and/or County) -!!S - Applicant's phone #- 9 l -n IC)0� Mailing Address• 2-1 � aQ t— 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 pierlmooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15`} from my area of riparian access unless waived by rue. (If you wish to waive the setback, you mast initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) RECEIVED ,JUL o S 2011 DCM-MHD CITY (Information for Property Owner Applying for Permit) Mailing Address City/StawZip Te lep�hone Numbe t �1- ? I Signature Date (Riparian Property Owner Information) Signature Print or Type Name 252- 7Z.� - q �-?',C1 Telephone Number Date 11* 1� V4 Ll\ a/ <pe�y� I 4-;z)tE�s c NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James N. Gregson, Director Dee Freeman, Secretary Applicant Name Mailing Address I certify that I have authorized (agent) i a M G LLL)l to act on lily behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or cot at (location) This certification is valid thru (date) Signature. �,,A _,/l/ ), 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement,net . An Equal opportunity i Affirmative Action Employer - 50% Recycled i t b% Post Consumer Paper Appllccnt; l 0d'-e: DQ 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 t?,,mp impacts FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp im act amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or tem impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount 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 Cl Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both (:1 Other ❑ 'a5, 2-:i.02 Rini)-.^; ,.- ,1•'v.58,- ,'+'1„.0 A'S T ,. %i r,,) r .? f . -.n cr-,-, s', al.m,,Y.7-n... .'?r:...: .i_Y:4f r.isz.:l�:: ��..1, 1'; i�f�'.Zi�.IA