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Home My WebLink About61045_TALTON, JIM_20120829OCAMA / ❑ DREDGE & FILL 0� R GENEAL PERMIT ❑New ❑Modification 1-'Complete Reissue ❑Partial Reissue 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 y 014 No. 61045 Previous permit # Date previous permit issued Applicant Name ' 1 i Project Location: County Add ; d Il S Add / S R All # ress �, City —� . \ '""'_ p State t ZIP _•, f Phone # , nt j f� ax # (�) i, Authorized Agent Affected -1 CW I EW ❑ PTA ❑ ES ElPTS AEC(s): ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A C PWS: E FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no treet ress tate oa of (s) Subdivision ❑ Rules City_ ZIP - Phone # () << River Basin Adj. Wtr. Body-- _-_ (nat /man /unkn) Closest Mal. Wtr. Body - Type of Project/ Activity (Scale: ) Pier (dock) length Platfo Finger Groin Bulkh I Basin, Boat r Boath Beach Other Shore] SAV: Sandb Morat Photo Waive rm(s) number, ead/ — -- ier(s) length Riprap length vg distance offshore nax distance offshore I i I I -- _ _= channel ubic yards_ amp ruse/ Boatlift ---;I -- -- � - - - -(-- .I— II— --.—I --•-- 11 T Bulldozing � lT ine Length ( not sure yes no — ' — ags: not sure yes no orium: n/a yes no s: yes no r Attached: no es Y +� r. -iL � I `' f 1, A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # See note on back regarding River Basin -'rules. Permit Officer's Signature Issuing Date Expiration Date 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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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) Applicant: Date: `i-' Describe below the HABITAT disturbances for the application. All values should match the name, and units o 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 to p 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 f ❑ El Fill Both ❑ Other ��D 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 ❑ Fili ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ::; ,7 G�'si il�nu �t.'�."', ... ��L�i ,3 .�•r»'r��.r �v��:�) .. '.tTV':H..t,'Y: i-..:J:a'e."'..t,..7.'S.] ... .': t...,,ni. �_!'1.:,..� r._.-: a.; .n_�.. i^) f..'.�i�i? MUD BUCKET DREDGING INC 507 HEDRICK BLVD MOREHEAD CITY, NC 28557-3045 Date 12— 5943 66-112/531 g� n Pay to the I i/ !'-� I —Z0 Order of Doffars BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com it FORTH 1'-- Ii'00005943n' re0531011211:0005293218341n' 77. N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date q' 17 - I Z Name of Property Owner Applying for Perin it: --T � If) 11 v 4 Mailing Address: � �10 Q o►�e. ri? S �a nl� 1��Gv9, I certify that I have authorized (agent) uQ , r '�¢a�t;t (�,r� . to act on my behalf, for the purpose of applying for and obtaining all CA -MA Permits necessary to install or construct (activity) j , j 75,,"7 z.,C,. at (my property located at) This certification is valid thru (date) Prep,krty Owner Signature Date gUra-17-2012 09:45P FROM: TO:12527266079 P.1 YJip/.L(IZ011. q#:lt 1.Di/Lbbgib J..�.iiiY rr G1 AD.►Ac91NIr t 2AE�t� R&O2. Yr - EFRJjAj� I hereby, certify that l own property ad,acerit to rLxrna � I 's l property Ine tad at � [Name of Pr�4perty Owner) (Address, L , Block,+ RO w retc.) tom__ , N•C. (1e^+aterbody) (Cityfl---own- and/or County) The applicant has described to me, as shown below, ct* dGvOiopment proposed at the above locatipn. yc9Y_ _ i have no objecton to this aroposai. i have obije tions tc) thi j props*sl. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill In description below or aftaeh a site drawing) 0 A1�l�3 4k �2(' I orderst nd that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimim distance of 15' from my area of riparian Access unless waived by me. (If you Irish to waive the setback, you Must Initial the appropriate blank below-) -,., I de wish to waive the 15' ssetback rquirement. t do not wish to Waive the 15' s®tback requirement, Pro rtyr er Irtf�lmstion) (A pt Pr�arty C3�++nsr llfiorm r.) or Tva& Nona ftffing Address C M:, 0,2'E-Tlo � TeiepWne Number q-I-) iZ bade tn�EL LS o b ®bl+►Y-16 Print oe T pA Name . L3 aK 107 1-A Maiiw1 ddress Ciry/5tale2ipI / 'f. b 11y- Tslaphone Numtrer� — Date e� c;', 7 M(o C.0)ij (Pavlssd 611 Wo I Zj ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 2 ICI ^^ 'f (Name of Property Owner) property located at }t� LA �� c �� /J (Address, L.t�,t, Block, Roadl, etc,) —� on �- in ��/lhC�c h N.C. (WaterLody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. x 1) P)_ I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 0 G WAIVER SECTION I underst nd that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 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 wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Ow r Information) (Adjacent Property Owner Information) Si atu a Sibnature L Y►v 1 Q 4 +. �l Sib l der✓ �j � JL M fi � 1�i M n g ki F lien Print or Typ Name Print or Type Name Mailing Address Mailing Address IJ C-w-p��J H C NVe Zg�S 7 City/State ip '� `A Ct0 $ City/State2ip 1 S- ` 't 2,+5 - -Z 50 ( — I S�'� Telephone Number Telephone Number Date Date (Revised 6118/2012)