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Home My WebLink About57956_LONG, GENEVIEVE_20110601❑LAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# aNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the St-ite of North Carolina, Department of Environment and Natural Resources 1 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC -7 GOCJ N Rules attached. Applicant Name Pt: a Vuaf,, .: Project Location: County ! r Address' r City_______l wk,,. ? State ZIP Phone # ( ) Fax # ( ) t Authorized Agent EJ CW D EW ❑ PTA Ci ES ❑ PTS Affected AEC(s): ElOEA ElHHF ❑ IH ElUSA ❑ N/A ❑ PWS: ❑FC: ORW: yes /.6o. PNA yes / jidl Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) C� Subdivision City ZIP ' b 5 i Phone # (�42' ) 241- Zkj;i, River Basin Adj. Wtr. Body , T t n � (nat /AaR /unkn) Closest Maj. Wtr. Body AlG'" R — J r • ONE �■■■ s�s�■■■■■:■■■li'■■■1111■■ltl1■11'■■1mit;r_•.,l0■■■■ 41 ME ■■ ■■■■■■ ■t�jll�ti�l■II\4J► ■'[�lt7lit►tf�l�11►�'1/1'. ■■■■hEl�l■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■ ... - ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■tit Agent or Applicant Printed Name i Signature ** Please read compliance statement on back of permit PermitOfficer's Signature Issuing Date Expiration Date Application Fee(s) Check # Local Planning) 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 ❑ 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. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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: Long Permit #: 57956C Date: 6/2/11 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 13 Fill ❑ Both ❑ Other O 169 169 Dredge ❑ Fill O 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 ❑ 252-808-2808 n 1-888-4RCOAST :: www.nccoastalmanagement.net revised:02/03/10 UCMWD ADJACEN RIFAMAN PROPERTY O�� i�ER STATEtiIE�1 MAY 2 4 2011 (FOR s! ' PI1 R^I l.tOORItVG PILI YGSMgdLL- BOr THO USE) r (eerie v , 2 e L, S DCM-MHD CITY I hereby certify) that I own property adjacent to _ 's (Name of Property Owner) property located at 3 96,_,'/Xz,� (� Lot, Block, Road, etc.) on N.C. (Waterb ,•) (T 'vvn and/or County) ,I He has described to me, as shown below, the development he is proposing at chat location, and, I have no oblectioni to his proposal. I understand that a pier/ntooringpilings'boatiifiboathotise must be set back a minilniuni distance of fifteen feet (13) from my area of riparian access unless waived by me. I do not }yish to waive the setback requirement. I d4 wish'to waive that setback requirement. ii - -------------------------....................... r--------------------- -------------- ------------------------- DESMPTION A DIOR DRAWI:\G OF PROPOSED DEVELOPMENT; (To'.Le filled it Lt' iudit�Idcrtt! proposing deti�eloprrterrt) Pie t- Ao —T 0 {� b C— AT J_ f l Print or Type =Name. Telephone Number Date: 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 k' Z— '/r/ Applicant Name Mailing Address Ya I certify that I have authorized (agent) �elto act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (location) --3V This certification is valid thru (date) ('�? / 0 -- / 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 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper LARRY G ARNOLD SR DBA LG ARNOLD DOCKS $ SEAWALLS PH-252-241-2636 2779 MILL CREEK RD LN�E�EWWPORT, NC 28570-60111 2144 66-112/531 0w, $ loe" Backuls BRANCH BANKING AND TRUST COMPANY 1-8pp-BANK B87 BBT.eom :0 310IL2l1:00052957981591►'02l 4 H¢rlantl Clerk¢ :r 0 8.