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Home My WebLink About57945_MCMILLAN, JAMES_20110623❑CAMA / ❑ DREDGE & FILL / GENERAL PERMIT Previous permit # C'GNew ❑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 ❑ Rules attached. Applicant Name - Project Location: County Address City State ZIP Phone # O Fax # Authorized Agent Affected ❑ CW I(EW i�PTA El ES ElPTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) / Subdivision City ZIP Phone # River Basin Adj. Wtr. Body f—,`(e'� �(' ,(nat /man /unkn) Closest Maj. Wtr. Body Ale-- - NNEIMMENSE ■■■■■■■■■■■■■■■■■■■■n■■■■ irili��iliiiiilai■I"-i w :i C■=.=■�.■...n........�■�._. ....... ��■��®®��■®��1��■■�■�■■vim■�■�■■ ■■■■■■■■■■■■■■■■■■■#■1�■■■■■■■■■■■■■■■■ Agent or Applicant Printed Name J Signature "Please read compliance statement on back of permit" PermitOfficer's Signature Issuing Date Expiration Date Application Fee(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- l 638 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 She; Applicant: James McMillan Date: June 23, 2011 General Permit #: 57945C 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 OW Dredge ❑ Fill ❑ Both ❑ Other ® 761 761 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.nccoastalmanagement.net revised: 02/03/10 ADJACENT RIPARIAN PROS OWNER STATE nMr I hereby oslif'y that I own preppy adjacent 1 C'� rY1 �_ s I C J "1 I a r) (NaMe of ProWr(y OWRer) property located at t, k L_ A, (IABloch, Road, ems-) (Waterboly) ('own andfor County) Applicant's phone #: -q I9 - ?i5 "iLi',* g Address: l l l a 1/%a Cf. P He has desm-bed to me, as shown below, the development he is proposmg at that location, and, I have no objections to his proposal. DFSCREMON ANDIOR ORA'l G OF ` PROPOSED D +'VOMMEN ": q'abeiabyproffefyrpr, ga ), � �ew I�rf-�v+l,Y► �v b -2' Z- I�r�pc�s�d .# , � 66Lf 2D �f F.It Do v-. e ' Mcm'Iub-h Oopev+y - 111 d JDr PrOperty Owner Applying Jor PermRj Mailing Address 7L CityiStah-Jap Telephone Number Sigmtffe Daiie- Jj&S,Jard+ ProFm (RkWIM Prop" Own" Signelm+c Print or Type Name _ Td Number Daft Ihemhycaffy*aiIown p (.y to � 1aMes M 6 M ,s cite ofPngmty Opener) property located at {LO, Blod4 Read, esp-) on � ! �,�� , inopaf ni N.C. (Waterbody) crows County) Ap~s PMM ftgLl -Ms -1456 MIaMWAMnm fle He bus gybed to no, as dwwa below, the devekpmot be is pgapogigg atthat dam, anal, I have no objeedws iD his phi. jv\c((to (I(0-h (4 fOr PrOperty Owaw ApplyhC for Pem[ft) All) I -ris U City/ ip // Telephame Number f••3*- Pope 4r+y Pro Prsnt or Type Name Telephme, Number Date FqCDENK North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date Name of Property Owner Applying for Permit: C Mailing Address: om I certify that I have authorized (agent) _t� . proo-0 Q ole OtTSI c&16�'lto act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) C1 mt ) at (my property located at) 103 Pam � n . 0 P� e60-0, MC This certification is valid thru (date) eel- Property Owner Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX 252-247-33301 Internet: www.ncGoastaimanagement.net An Equal Opportunity l Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper a.LMIMLM PAY TO THE ORDER OF FOR B PRESCOTT MARINE CONSTRUCTION PO BOX 874 252-249-0149 ORIENTAL, NC 28571 First Citizens '7 Bank 2474 66-30/531 472 DATE s.o�aeyy DOLLARS f_,�-,_,-.-� �_ _ _. -/ 000247Lill' 1:0531003001:00471202049711■ �h