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Home My WebLink About57984_WILLETT, E. C._201106100/ 0- I(-) -Ii r�v� TICAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# �-]Nevv ' ❑Modification ❑Complete Reissue ❑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 # ( ) Fax # ( ) Authorized Agent € , ❑ CW ❑ EW ❑ PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # <"-l`<( River Basin Adj. Wtr. Body t - (nat /man /unkn) Closest Maj. Wtr. Body - ■■■■■■�� NN r'��r�ilior �.�.�ti7r�tilll�■�■■■�■■■■is■■■■■®■ - - ME ME .. EMENEffinma ■ate■■■tom �■ �■�■u■■■■tl�l!■■■■■■■■■■■■�■■■■ ■■■■,■■■■i1■L�■Yil7■■■■■ ■i1�!■■■■■■■■.■■■■■■■■ ■�i■■l1■■■■\�►1■■■■■■■■■ ■fail■■■■■■■■■■■■■■■■■ Cam■■mil ■■■�\�■■■■■■■i�{�i■■�■■■■■■�■■�■■■■■ ■■■■■■■\■■■!�■■■ii■rile ■■■■■■■■■■r�!!■■■■\ L!\■■■■■■■■■■■■■■■■ kNOMMOON \■■■■■■■KMMQE■■■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # Permit Officer's Signature Issuing Date Local Planning Jurisdiction Expiration Date 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 landowners). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis project is consistentwith 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 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/ 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 0-� cIG NC Division of Coastal Mgt. Habitat Impact Computer Shoot Applicant: EG Willett Date: 6/14/11 Permit #: 57984C 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 Shallow Bottom Dredge O Fill ❑ Both ❑ Other ❑ 16200 16200 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 ❑ 52- 0 « 0 - °t« -I OAST - __www.nc Bast lman emgxt,rxgt r°evlsed:0 /0 /°10 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front If space permits. 1. Article Addressed to: k" A. Signahl A. r h ❑ Agent Addressee B. Received by (Printed Name) C a D ivery i7 'off Lti �<< � D. Is delivery address dlfferentfromiteIm 1? ❑ Yes If YES, enter delivery address ow: ❑ No CX� N if 3. Service Type Mail ❑ Express Mail '/4;1-Certified ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7 0 0 7 3020 0001 9681 8431 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M UNITED STATES POC * print your name, address, and ZIP+4in' this box° omm000`onxmma, f( r ADJACENT RIPARIAN PROPERTY OWNER STATEMENTJUN cE� _ ' 1 1 2�11 I hereby certify that I own property adjacent to W I 's (Name of Property property located at � \p 1� N� \ " r \' (Lot, Block, Road, etc.) on C �`l , in , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: v He has described to me, as shown below, the development he is proposing at that Iocation, and, I have no objections to his proposal. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: —�JTo be filled in by property owner proposing development) kz— MCA �b \30� SIPS ---------------------------------------------------------------------------------=--------------------------------- (Information for Property Owner Applying for Permit) Mailing Address ity/State/Zip Telephone Number Signature Date (Riparian Property Owner Information) Signature Print or Type Name Telephone Number Date r RECg�E� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT JUN I 1 z011 I hereby certify that I own property adjacent to � , c , t `� 18C1q (Name of Property Owner) �r cir, property located at (Lot, Block, Road, etc.) on _ , in (- t (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: 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) �qs� e � ��, (Information for Property Owner Applying for Permit) Mailing Address ` -L u f� � l , C �'�`l 4 City/State/Zip I Telephone Number Signature Date tb13o� s\�Qs fX l ------------------- (Riparian Property Owner Information) tc! -iF0 r— E Signature ��Prin�tor Type Name Telephone Number Date RECEIVED MAY 17 2011 DCM-MHD CITY r I XA '�r�qr �1b��1ScR ' is aaa�. a f �'$. �. •y� .. EASTERN SHORES MARINE CONSTRUCTION, INC 198 CAPE LOOKOUT DR. HARKERS ISLAND, NC 28531 DATE L -- 6 — ':�I!U �, 66-30/531 006 OOs First Citizens Bank firstcitiz s.com _ FOR 11200 188 7n' 1:0 S 3 LOD 3DDt:0000 S 2t, 24999ii' :r