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Home My WebLink About57081_KAUFFMAN, JAMES_20110119a- 2y i/1J,6 �3 3 --. ❑ OAMA / ❑ DREDGE & FILL s GENERAL PERMIT 'tcr Previous permit# ❑New ❑Modification ❑Complete Reissue El Partial Reissue '7 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 Phone # O_ Authorized Agent Affected ED CW AEC(s): ❑ OEA ❑ PWS: ORW: yes /no _ State ZIP Fax # ( ) ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / fi) Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) k eb t _ Subdivision ° City , )'-'e ZIP 6S'4 Phone # ( �) � 5' i`) i? River Basin V h 'To Adj. Wtr. Body G-340{ C rak nat man unkn Closest Maj. Wtr. Body %Al ■■■■■■!'�■■■■■■!!i■■l11�■■■■■■ i■■i■■■31i■■■i■■■i��■■■ii��l■i■■i■■illy■ f !I■■■■�■Its!■ ;�' . ■■■■■■NN:_::MMI: MINES ■MEN ■■■■■■■■■® ■..■..■�JI■■■■■■■■■■ 111■■■!=�.■.�■■.■■■■■■■ . - . . ■■■■■■■■■■■■■■ ■■■111■■■■■■■iii■■■■�■■■■■ ii■i■i■i■■■ii■�i■■ 111■i■i■■■■■lei■ii�.,ii■■ ■■■■■■■0■■■■■■■■■!! 1■■■■■i■■■1�■■i■■■i■■■■ ......■....■■..■■111■■■■■■■■■■■■■■■■■■■■ �1�1i■...■.■!.■ii■■ 1! li■■■■■■■.....■■■■■■. ■■■■■■■E■■■■Q®■■■■111■■■i■i■■■■1■■■■■■■■■� ■®■■iii■■i■■■■■■III■■■■■■■■■■1■■■■■■■�lRR7 �R8■rii/■i■■■r�i�■■� II lii\■■■■■�!1■■iiI■■Ii \i`i'i sJ■■■1llII��,■i■�■ II Iri�1i�■�i■� ■■i■I.i�i%Ili ■■ram%!■■�ilr,�an�■�� N I■■111�■ri��N■■�fli+s/.�■■■ - - i■■■®■■��■■■fifl�®!!1■i■■iii®ii1"1A■■■■li■i■■i■■ )r Applicant Printed Name Signature Please read compliance statement on back of permit ** J( 6=n t� Permit Officer's Signature J I t ��►a IssuinjDatell Expiration Date Application Fee(s) Check # Local Planningf urisdiction 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 Ll Other: E. 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 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: James Kauffman Date: 1 /19/11 Permit #: 57081 C 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 Open Water Dredge El Fill ❑ Both ❑ Other ❑x 738 738 Low Marsh Dredge ❑ Fill � Both ❑ Other El 60 60 High Marsh Dredge ElFill ElBoth ❑ Other (XI 30 30 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 Jan.07.2011 10:37 PM PAGE. 1/ 3 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Pprdue. Governor James H. Gregson, Director Bee Freeman, speretary Date % % ! Applicant Name f5 A4-gFf?%A Mailing Address RT. t{ B11/d5U``.// .26753.-.. . l certify that I have authorized (agent) ti',� , 11IF= FK� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) f I_E.�' at (location) This certification is valicl thru (date) Sigualurr 4 — - -- . 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www nccoastalmanagement-net An Fqua! Opportunity', Aflirmaiive Action Employer - 51"°h Recycled l 10% I'osl Consumer 0 Jan.07.2011 10:37 PM PAGE. 2/ 3 AII)J•AAt'ENT RIPARIAI`' PROPERTY OWNER STATE I hereb;i certi `y that 1 own property adjacent to r F� . �y S flame of Property (Owner) pmpertylocsded,[t.. P (Lt It, Bfoe lc, Road, ere.) % — nil IA (Mla 'h4 _ , N.C_ (F.Iwo and r Col[nfy) Applicant's phone #: 3°�.��6 Mailing Add AQ'r, V, Ile has described to me, as shown below, the development T is proposing at that location, and, I have no object ions t -- his proposal. __-------------------------------- _ - ___ _ USCRHITIt)N AND/OR DRAWING OF PRO i'OSED DEVELOPMENT: o hefdled in by property 1)wnerprope ring development) u i --------------- A It-P)YI 'ilnformsi ion ft�r Pro Perty Owner Applying (Riparian Iroperly Owner Information) for Permit) Mailing Address -- - City/State/Zipy7_�Y-11- _claj�' 71a!� C- Telephone Nunn[ cr Sign turn tiip,tiature Print or Type Nsmc Telephone Number Dnsr Jan.07.2011 10:38 PM PAGE. 3/ 3 Y ADJACENT RIPAR_W' PR0l3 F;RTY 0 W_XtR STATEMENT 1 hereby certi y that I own property adjacent to `U4L .11 r/ffiN— 's 1 "Jame of Property Owner) Property loc(lted at .— % , L%- (1-4 4, Block, Road, a tc.)Oil— _�r., Materbody) — - — ....—. — — •— N.('. (Ti.1wn and/or (:(aunty) Applicant's phone t:� S .-' s— .-% Mailing Add ess: ISY q �,rzc r 1v IV. lie has described to ute, as shown below, the development.: a is propositt� at that location, and,1 have: no objec� ions t , his proposal. ------------------------------------------------------------- ----- -- -- DFS('RII'?,'InN AND/OR DRA WING OF PRO ►.'USED DEVELOPMENT: - r. b be filled in by property owner prop(iring development) lvR� 't:leyi' ----------------------KA F0 /N) po Pr (information fii,r Property (.honer Applyi ng (Riparian "roper ly Owner Information) tier Permit) Mailings Addresc (,'ity/State/Zip 1 Tciephone Numhcr Sr6n dire _ \ jl,.J7at1' Signaturc Print or Type Name Telephone Nnmher --./.L_ Difin �),y- I � %j Q-, \�o INTRACOASTAL MARINE CONSTRUCTION 3515 WHITE DR. MOREHEAD CITY, NC 28557 PaY to the Order oF--, 2514 66-112/531 Date i s�aa FeaYJl6� BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com FOR_ L IM 1100000 251L.11' I:053 l0l l2 ll:000519834994311' .r