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Home My WebLink About59779_WHITE, STEVE_20120307r � ❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# ❑New ❑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 t ❑ Rules attached. Applicant Name 'Vt" '-'f � r t i Project Location: County Address Street Address/ State Road/ Lot #(s) City_ .... ----r ,+'1 State t ZIP Phone # (_ ) 7 Fax # O Subdivision Authorized Agent 4 _/1`At f City ZIP I� ❑ CW ElEW ❑ PTA DES ❑ PTS Phone # ( ) River Basin c/ Z �'� c.4 � Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): El PWS: ❑FC: Adj. Wtr. Body (nat /man /unkn) ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body .- . . ��:ru■■■■■■■■■■W.s��rS.iu■■■■■■■■■■■■■■ - _ �� CCo■iii■viiiiiiiii■�i■ ■piiiC■�i■■CCCi �n ■�C■�CCC�■■Cm■C■�■■C■CBCC� A■ ■ MEN A■■■■■■■■■N■■■■■■■■®■■■■ MMMME MWX NMNONE INE NUUM!�r ■►OM■■C■��■■■■■■■■■INN ■a MOONEY OEM WVA� WrAMEMOOMEMEME �■�■■■■ ■■■■■■A■�■n■®■■■■■■■■roc■■■■ .... i �Ll�C��■O��IYC��[�J■�■��O�C��■�■C��■� ':CCCCC:C.CCC Er CC.:CC aC.:aCC■.'�C�1 MINE MINE Agent or Applicant Printed Name PermitOfficer's Signature Signature ** Please read compliance statement on back of permit ** Issuing Date Application Fee(s) Check # Local PlanningJurisdiction 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 landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythat 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 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. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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 BLUE WATER MARINE CONSTRUCTION INC. P O BOX 93 MOREHEAD CITY, NC 28557-0093 PAY TO THE ORDER OF �l W N o /oo 7191 66-112/531 DATE I$ �DO. °/o-a F. I DOLLARS BRANCH BANKING AND TRUST COMPANY 1-800-BANKBBT BBT.com 1 FOR � �i � �-2�`yt i ,Q o0000 7 19 1n' 1:0 5 3 10 1 1 2 0:000 5 2 14986 59 2n' :r N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 2'/3` / 2 RECEIVED Name of Property Owner Applying for Permit: MAR p 12012 DCM-MHD CITY Mailing Address: Oo 13.oY' 39I7 tdiisoH 1v.c. 278?S— I certify that I have authorized (agent) 121ue— Wats.- W-*--%Ne- 6-5f to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to rd' 7-r+e,y� S f� install or construct (activity) Repphcc 4266finq 49-112.AC-d /c at (my property located at) 2 02 Aa y it ee 1414N�qj c Ac H N. C This certification is valid thru (date) 6 - 3 O — /Z Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT f�al4 Pd1q- I hereby certify that I own property adjacent to ey e ��'- 's (Name of Property Owner) property located at o100L /Sacf/� ��Qkf� i • /�/� (Lot, Block, Road, eta:.) on 180-�ue_ �SouM4 , in �%+Nfl� 44 6-,ICve� N.C. (Waterbody) (Town and/or County) Applicant's phone #: �2Sa--?87-Mailing Address: A) 6",x 3 8i17 G9iISw iy•C. 2767r 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: p �. (To be fallen in by property ommer propo�sing development) RECEIVED r ►`� �'`�e MAR 0 12012 BCM-MHD CIT" /e e�p la- c— t s tt/vq �u 112 J c �Vk 190 'Ar•Oy- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) I 0 a.',( 3 317 Mailing Address Signature (A)i L50N /9.6. 2 7 Vf City/State/Zip a S-1 - a"- J-Z S-6 Telephone Number D f -k— 2 -13- Signature Date 4:Nw0a 61a,g Print or Type Name q/7- Z91 - 3Y6-r-- Telephone Number � -i3-ice Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to JS Cuc_ (NAr14t'- I (Name of Property Owner) property located at 20a 84 uie") A)d- (Lot, Block, road, ete.) on �oque .SOL4N ln , in A/Om -r- �a�`7 , N.C. (Waterbody) (Town and/or County) Applicant's phone #: asa" �89• S6SG 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 oivner.proposing development) : �A MAR 0 12912 DCM-MffD CITY �Icwl R��iQ« �yCiStinq �o�I K�ItgcQ PV---------------------------------------------------------------------------------- vpnp 1 yo A iOprb (Information for Property Owner Applying for Permit) Po ts,-� 3t/ 7 Mailing Address V'15orl /r.c. 27a-yS- City/State/Zip 2Sa- A79- S_65-& Telephone Number -z�a� -Y Je-- Signature Date C 14.A1� (Riparian Property Owner Information) Signature A46^ic-le, i4{a^/ Print or Type Name 2sa - a3S- 7261 Telephone Number Date /` C>P •