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Home My WebLink About54668_NORRIS, LESLIE_20091008D CAMA El DREDGE & FILL 541;68 GENERAL PERMIT Previous permit # E New ElModification ElComplete Reissue E]Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natur /Reurces and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Applicant Name I !I "J o\ "'- I , [I] Rules attached. Project Location: County Address Street Address/ State Road/ Lot #(s) k City -------- State ZIP Phonefl' Fax # Authorized Agent Affected F-1 CW [I EW El PTA E3 ES [-] PTS AEC(s): El OEA LJ HHIF El IH D UBA C N/A Ll PWS: LJ FC: ORW: yes / no PNA yes / no Crit.Hab. yes I no Subdivision "- i City ZIP Phone # River Basin Adj. Wtr. Body c-LnAatman /unkn Closest Maj. Wtr. Body — ■■moms NIN o ■ o1 mmmNow 111111111M M1 M MEMNON 0 0 No M■■ ■ MOMME IMMEMEMEMEMOMME ■No ■ ®■..7..r�.MEMMMEMOMMOMMIMEN■0 MINNIE■ME 0 ME■. ■.■■..■■■ Nil■ MEWEEMOMMEN■ ■E0 M■N■■M■::��■:�'■■■■■: ■ ONE ME .■..l..t�. �:..........®....®........ 0 - ■■ ■.,.■.��.■.■ IMIUMMIMMOM ■■■■■■■■■ . ®■ ■■.. ■�.►■■ IMMMEMOMMOMEN .. ME MMME—■■M■■■::■■■■■C M ■■■■■ :E EMEWN 0 EMMOMMIM Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officers Signature Issuing Date Expiration Date Local'Plannin4jurisaiction 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 Fax: 252-247-3330 Location: 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Raleigh, NC 27604 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 M-M N I 011'jn.goiina Depart of En-viron-ment and Natturpi PaPources go, Manal.glz D Iv ision i g-ment Michael F. Easley, Governor chay-les S. Jon -as, Director William G. Ross Jr., Secretary Date Z> bc7-' - n UU 2009 Applicant ;Manua Morehead City DCM Mailing Address C to at ognY I certify Lhat I have autborized (agent) behalf, for the purpose o-c applying for and obtainina all CAA Permits necessary to a k -LI. install or constructL (a&vity . . ) S' at (location) L b—C 73 This cert Al Sianature —ADJW EN RI ALA iA1 .E RPERT MNER MTENMI'T (FOR rl_ PrERIMOORIhTG PI.LIATGSIIBOA TLIFTIROA THO USE) i hereby certify that I own property adjacent to _LVS&/� (Name of Property owner or Applicant) Flailing address if different from location address / bb 5 Z.,A W YJ P�kz 5 (town, state and zip) "Ab9EHEft C E j MC 23- -" 7 phone numbers you can be reached at a% � 1 0.) 1 " I--,' . property located at &U F (Lot, Block, Road, etc.) on �' � �� _,in � " L- C /..; ' s) . N.C. s,Vr (waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. itials I ego wish to waive that setback requirement. initials ------------------------------------------------------------------------------------------------------------------- DESC1IPTION ANTD/®R DIi! WE\TG OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) --------------------- P� ------------------------ - ---- -- --- `-- - ---- ------------- .S igV-1re A Print or Type ?� �1l g � 9 6 elephone Numbe ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERMOORING PILINGSIB OA TLIF TIB OA THO USE) i 1 hereby certify that I own property adjacent toS�-�� 's (Name of Property Owner or Applicant) Mail-Ing address if different from location address_ � vat L�� S•tb?:Z: �9, (town, state and zip) NDQ- l -t) i i �1 C s�j vim. phone numbers you can be reached at.6z� property located at L �� (Lot, Block, Road, etc.) on P`a tz l �� I N.C. (Waterbody) (Tow and/or (;aunty) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless waived by me. I '.J not wish to, -,valve the setback requirement. initials - I do wish to waive that setback requirement. initials ------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) c LJ - ------------- ---- - ------ ---- ----- �--- Si- lure Print or Type Name Xk, �&r57as .2 Telephone Number R & J GROUP P. O. Box 1888NC 28557 Morehead 2 7-1253 cDFH K `0 9 Kt i�nte s a-l-Boo-BANKBIST T BBTToomMPANY FOR 11•0000145611' 1:053 10 112 11:0005 2976879 23��' 1456 66-112/531 eSacuOly 1 Do 9eck.