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Home My WebLink About58145_THOMPSON, COTTY_20110714❑ CAMA / ❑ DREDGE & FILL EN ERAL PERMIT Previous permit # ❑New ElModification ❑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 3 ❑ Rules attached. Applicant Name_ ) Project Location: County Address City Phone # ( )_ Authorized Agent Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State Fax # (_) ZIP ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City zip Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body �r Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** PermitOfficer s Signature' Issuing at Expiration Date Application Fee(s) Check # Local Planning Jurisdiction Rover File Name Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** PermitOfficer s Signature' Issuing at Expiration Date Application Fee(s) Check # Local Planning Jurisdiction 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 27699-1638 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/ I-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 SAMMIE E. TURNER 5205 MARINE CONSTRUCTION ACCT 55-112/531 252-725-3415 P.O. BOX 1885 1 r MOREHEAD Cl FY, NC 28557 DATE _ PA TO THE i f $vn0o ORDER OF T/- � %c� J) DOLLARS Back. BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com r �r `•— V `l�J�' ` � 1.^-'\" - �P '• FOR y � 1140000 5 20 5,l' 0:0 -------------...-------...____-------..__-._..___---------- 5 3 10 1 1 2 Li:000 5 2 10 58 40 6 C3"3 1H :.::.,i� Ar� JUN 2 7 2011 DCM-MHD erfy North Carollina Department of Environment and Natural Resources visiojj Coastal Man2gamwemt Michael F. Easlr:y, Gouernor Ghay-iles S. Tones, Director Wiliam G. Ross Jr., Secret jr/ Date Z 19 - xpp icant Name �� y -t'41�h Sar4 M,giiing Ace dress CITY 8 C, ��5? (agent) ( ) ! — YV � to act On lwy � Certify ttaat I bay"-a�tli�oa'izec;t Bekaa o�' the aa�aposc Cie applying lox' and obtaining all CA. Permits necessarY tO stall or eoBstruct (acovity) at (location) This cea•eification as 7valid fiiaraa (date) l a' 31-1 Signature ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to. QS-T( O►r(U°SNk) (Name of Property Owner) s 2' property located at 5) as H oLc` L4�rk--Ji (Lot, Block, Road, etc.) on SZ)bOY>✓ , in M,31�C t r `/ " , N.C. (Waterbody) (Town and/or County) Applicant's phone # �r �� _��2 Mailing Address: J5 Las 5 i-_n cLi- cftU6 02KA—Z C, L-ry k �- He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) 15�Ll;�11�G f K>CA�- -------------------------------- ------------. (In r ti-o--n for Property Owner Applying for Permit) Mailing Address City/State/Zip Telephone Number Signature Date ----------------------=-------------------------¢s - (Riparian Property Owner Informatib T - Signature Print or Type Name Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT `4, I hereby certify that I own property adjacent to. CG-M`4 TtkC Y109U4 s (Name of Property Owner) property located at 'sl�s doLL`q 1-At4F (Lot, Block, Road, etc.) on F�66 lE '&&61 b , in N ORF-44 Ali c- frY C-A ET" , N.C. (Waterbody) (Town and/or County) r— Applicant's phone #: Mailing Address:--%��-�-`� Lt-) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) l A-- - - ---------)-----I------- (In rmation for Property Owner Applying for Permit) Mailing Address City/State/Zip Telephone Number Signature Date 61 4 1S`t" .--------------------------------------------- #--- (Riparian Property Owner Information) Signature Print or Type Name Telephone Number Date Applicant: 1 �, V Date: Describe below the HABITAT disturbances for the application found in your Habitat code sheet. All values should match the name, and units of measurement Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. C:stur'bance 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 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ��2-;3v13-?3;,, �. �•.3 ? a:r�",UAsi :: +,�r;3ra.r.:�cr_:.�:_r � ,..�.y�.