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Home My WebLink About55376_PARKER, TODD_20100415❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New ❑Modification ❑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 aRules attached. Applicant Name t j t-,—� Project Location: County Address City r'' i �._' State ZIP Phone # - X- Fax # Authorized Agent sue'; k�— � i; j - j_ ❑ CW ❑ EW [IPTA ❑ ES r ElPTS Affected AEC(s): ElOEA ElHHF ElIH ❑ UBA ElN/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger pien Groin length y` number — Bulkhead/ Ripraplength'_ avg distance offshore max distance offshore { Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes no Street Address/ State Road/ Lot #(s) Subdivision City ZIP i Phone # (_ )� 'k�` ` Q River Basin Adj. Wtr. Body f tt nat .man unkn Closest Maj. Wtr. Body (Scale: _ ) Sandbags: not sure yes no Moratorium: n/a yes Photos: yes( nno l Waiver Attached: ( j es 1 no A building permit may required by: ❑ See note on back regarding River Basin rules. Notes/ Special Conditions if . 'E Y. Agent or Applicant Printed Name Signature. Please read compliance statement on back of permit r Application Fee(s) Check # Permit Officer's Signature The time period requirement for this development is suspended until 12-31- 2010, pursuant to Senate Bill 831. The effective date expiration for this permit is G/ Issuing Date Expirayion Date Local Plan ningJurisdiction Rover File Name VA 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 howto complywith 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/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 9 19-733-1495 (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 Date:Aloclican qli ID Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact _ temp impacts impact amount) temp impacts amount Dredge ❑ Fill oth ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Drcdgo ❑ Fill[] Both ❑ Other ❑ Dredge ❑ Fill ❑ Dolh ❑ Other ❑ Drudge' F-I Gill ❑ Doll) [] Olher I] Dredge ❑ Fill ❑ Doth ❑ 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 ❑ Bogue Banks Marine Construction, Inc. 111 D Turners Dairy Rd Morehead City, NC 28557 (252) 247-2248 PAY TO THE OYMER OF _ NA- WACHOVIA BANK, NA 66-021/530 cA) _..m A��f� US,�IWAY-SJc'r ! `TT & RL"F'Wi ce.. 7255 I -ro $ 1700 fi 6, � �37 55 3V/ 9 11800 7 2 5 511' t:O 5 3000 2 19i: 20000 2►.8 3 140 21" NCO North Carolina Department of Environment and Natural Resources Division of Coastal ManagementMichael F. Easley, Goverrlvr Charles S..lone>s, Director wilham G. Ross .k., o*cretary Date �� Applicant Name id 1 1 oa ZQ�Q Mailing Address 17 (e cm%j I eertit , that I have authorized (agent) 0Si£K to act on my behalf, for the purpose of applying for and obtaining all CANIA Permits necessary to install or construct (activity) ; JJAP yv 44( at (location) 62W 4,z /A✓ This certification is valid thru (date /- ad 1 Signature � .ice 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Intemet: WWW.11cwastalmanagement.net 4� Fnnpl rinnnrhinifii! Affi—tiva AMinn FmnlnVPr-Fin% Racvrbxt1 1110/ Pnst (ngsiimrar Parr ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to is (Name of Property Owner) property located at / N. ONAve 1 I(..j (Lot, Block, Roads etc.) on6 S6ffcS5 Cq-NA-� k ,in WPaIr N.C. (Waterbody) (Town and/or County) 014 r) Applicant's phone #: 01 f�rf'Oda �! Mailing Address: 7t,% 1 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. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. ----------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) / i:xt N (Information for Property Owner Applying for Permit) / 24 � •''� /�✓ Mailing Address g ,., poly (l) -C - City/State/Zip �- ).o q- oo� Telephone Number Signature Date (Riparian Property Owner Information) Signature Print r Type Name }5 - d5 ^)q Telephone Number I 11 I do 10 -- Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILXNGS/BOA I /BO,G%1E) I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at 1 7(.o QA� f d (Lot, Block, Road, etc.) on 541 ho is C A�j � � , in (Waterbody) Applicant's phone #:d aq- g -DDaCa (ve p Ik-) N.C. (Town and/orPoun `FD R Mailing Address: 3 I hS£ w py�� c- A85 2D —v4f 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. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive T,Q I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) 17 (e Mailing Ad ess &-), Iv., City/State/Zip _e25 �- a Sir - Cx Telephone umb S ignatur. e Date, (Riparian Property Owner Information) Signature Also,.) Print or Type Name qiu- gas- 0e &6 Telephone Nurnber Date We appreciate the opportunity to bid this project. We have been in the Marine Construction business for 15 years and are fully licensed and insured. Documents available upon request. t' 40, dP�cF��F4 All work to be completed in a professional manner according to standard practices. pm Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, 20;td will be An extra charge over and above this estimate. All agreements contingent upon strikes, accidents or delays beyond our dc'(Ivol. Owner to carry fire, tornado, hurricane and other necessary property damage insurance. Our employees are covered by wAer's compensation insurance. Proposed By: Date: Acceptance: The above prices, specifications and conditions are satisfactory and are accepted. You are authorized to perform the work specified. Accepted By: Date: