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Home My WebLink About57977_WATERS, STEVE R_20110608❑CAMA / ❑ DREDGE & FILL ~# 1EN RAL PERMIT �4ew, odificati Com,,I t jjR��ei sue ❑Partial Reissue As authorized by the State of North Carolina, D101" 'ofEnvironment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC f Previous permit # Date previous permit issued Applicant Name_ Pro1iect Location: County Address City Phone # (^)_ Authorized Agent Affected ❑ CW AEC(s): 0 OEA ❑ PWS: ORW: yes / no State ZIP Fax # () ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision ❑ Rules attached. City ZIP Phone # ( } River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body - - - I lii .. • ■ ■il■11l I 1 ■INME 1■■ ■■■■!■1■■ ■■■■ _ 111 ■b1dSly!■■�■li■■■■■■ ■■■■■■■■■ G■■�i'L'i�li'�..�ir1��I1111I1■1■■■■!�■■■■■■■L.■t'1[!iI■■!�!■7■w ■EE ii 1■■■w■■■is./!■■■■ w■■■■■■■■■■■■■!■W■!! ■%■■ 1■ ■�y,■ �1;.!■■■ �w■■■■■■■■■■Ell!■!�"19%t�o EMEWOMM li ! ■■G►T►■ttlir�■■■■■c41■�!■■■■■■■ 0■■�■■■li ,l■■■EIIl1■■■■ ILl't�!!■■■■tl!■■w■I�!■w■NOW ■■■■■rJIL�■1�■■■Ell ■■■■11��!■■�iiiRl■%■■■■l�■!■■■■■ lor-10 GiGi/Wf�■■■Elf/'■■J■t.wa�lJl�■ii■■■■■■I%■■1■■■■ <I■Y�i■�111I+E/i.!�ir�%■EII!'■■ ■!!!1[ylll■■■■w■■li■■Qi■■i ■ � _ .. ■■■■'ailu:ElliiA>!■El'!'l■■■{.■■■■■■■■■■!!! ■ ■ • ■■■■Its..WIREWR�l�•]Ull;y�:i1J�lS.'1■f�5■■■■■■■■■ � mom ■■■EIUP 4lEI`�l'L'�i�1ll'..!?ill' ■KIiff0-AI1i71ltitF?s%isAl2■■141 .■! 'i��r `■Si��l� a ■OFW- A,l�ll!!:�[� �■ +RIII �J!►L�C►SRi�IEI►�I/■ , , �.' ..i� -. ,� ....: ■■■■ ■ MEME ■■■w ■t■■■ ; � 3 der G"E�tillt![::\ONLI12ME■■■MEMO � � MEMO w■■■ESUIN �+. s w � a i • ■■M1.12014■■■1i®M E®�■ � Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** PermitOfficer's Signature i I Issuing Date 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 complywith 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 Citv Headauarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST 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;plicant: . Date: Describe below the HABITAT disturbances for the application. All values sho found in your Habitat code sheet. match the name, and units of measurement Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or ternimpacts) 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 ternimpacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount -Ahf Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ rJ�� redge ❑ 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 ❑ •r?,Z33 ,y?t.'i3r7S 7 ... +ar;�r:.i.�_r_ t, !:,..:a 7 ._.. ....,,t..r..:t N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 6-' _ 1 - 1 1 Name of Property Owner Applying for Permit: T%�lc-:�- Mailing Address: ::IZR / s <_,-4A1J I certify that I have authorized (agent)A j to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) aG n /'T CSC k 11rJ Q -rW 0 -80,PT Lj F75 , at (my property located at) ` l ),5 Q Nb VIEW /'� � 1 d� �(/ 6 jV do 47 i This certification is valid thru (date) U Property Owner Signature Date 1 Jun 01 11 10:41a JD&L Operations 252-523-8729 48 CC55 s.icn 5nur CER.T11=1ED 1JI�►IL: RE U, M RECEIPT R&9WE3"t1 P E►!4!!r.l4" of Cb.ASTAL M4AGE1MENT �IFt�Er=7 RPAP`�`+!'i PRC�PEI?'! ()N Pk NG!' PICl TIONill�'f+►Nci F �3 Addrezu of P'rope t;: L. '',Ot::.` #: � C• � h ? �iyr.. ':IEiillr:� P.Ctf!.�H.?5'. �'�_isi�d� +/�1��YP�S I hereby certify that i own property adjacent to thlL:1 above roterenead property. The individuai appiying for this permit has described to me as shown on the attached drawing the development they are proposing. A deSGr�t aM Of draw' with dimensions must be provided with is lei. N/ _ 1 have no objections t4 this proposal. I bave objections to this proposal. If you,have objections t4 w1latis being proposed, you mustnotffy fhe Divislon of Coastal Management (DCM) irr Writing within 10 days of receipt of ttus notice. Contact wtormatlon for DCM offices is available at www.nccnasfaln+angentenGnetfcontad dcm.htm or by tatting 1-sa&4PCOAST. No resprinse is considered the same ax no eb eatib a if geu have been notif7ed by Certified Mail. WAIVER SECTION I underatand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 15, trom my area of riparian access unless waived by me. (if you wi$h to waive the setback, you ZMAti m the appropriate blank below.) I do wish to waive the 15, setback requirement. I do not wish to waive the 15' setback requirement_ (Prop*rty Owner Irdormation) Sig -nature s PrFri or -1ype ivama iwaang Aaidress CfiPa..i4.iiip Td9; (sane Nu, r ' A pro �7Y�Qe+r 1n c�tllOnj ti 4 :Ci ,rze 'qrf tin' CA' Iype r s:M C�Do Qom, P�. D�1 n C�; .>ts63C'ro TerF,-onaa9 Humber --- — oat= D¢n. CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: �_. f� lJC ZC%l<ti0 Address of Property: (Lot or Street #, Street or Road, City & County) Applicant phone #:1�60- Jlv! - a355 Mailing Address: I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastaimangement.net(contact-dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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 Owner Information) Signature 'Sk ce 1't)aL S Print or Type Name Ui"euj 7)rl v� Mailing Address A)euw,00ri, &Jc (91,51b City/St te/Zip 663-J oq-o.-3,gA6 Telephone Number Date (Riparian Property Owner Inforn�, Signature Print or ype Name Mailin Add ess CitylState4ip Telephone Number Date ✓/ G;XIa� • r r� • Jul 25 11 03:29p JD&L Operations 252-523-8729 P.1 p, - 2 ;74 Eve- RECEIVED AUG 01 2011 DC.M-MHD CITY 30 E RECEIVED AUG 0 1 2011 DCM-MHD CITY 05/31/2011 10:47 FAX 2527286116 CCBS SIGN SHOP xc TX REPORT [aool TRANSMISSION OK TX/RX NO 3979 CONNECTION TEL 12525274314 SUBADDRESS CONNECTION ID ST. TIME 05/31 10:45 USAGE T 01'41 PGS. SENT 3 RESULT OK