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Home My WebLink About59735_RAYMOND, MAT C_20120222�05-—__; �CAMA / ❑ DREDGE & FILL S97135(2,, 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 ❑ Rules attached. Applicant Name----.,— t( Project Location: County Address. ti _ Street Address/ State Road/ Lot #(s) City StateZIP_ r Phone # () Fax # ( ) Subdivision Authorized Agent 1 City / ZIP Affected ❑ CW ❑ EW [I PTA El ES ElPTS Phone # River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body B■■■■■■■M■■■■■Eli■■■■■■■■■■■11■■I�i■■■■0 • ... 0■■E■EM■ ■■■IY■■■■■■■■L91�lShc�■IIr1■■■■ ■■El5M■■E■E MEMO ■E■■■E■■■ ■■■IY■■■■■■■■■■■■■■®■■■■■ ■■■■ E� �C � �®� M a tin ONE MINE M■■ M■■ �!■■M®rl1!■■■'il■■■�r�i■■■M ■■O■ zO NEE■: 11M■■■M■ ■EM ►MNE. ii■■�I�!■�■N■r .. r��fi��I��ME�®■�W■■EN M■EMMEMi��ME1M111111 iiiE■E■■ .� . ■E :ill■■ ■■■■■■■■■EO■E Agent or Applicant Printed Name PermitOfficer's Signature Signature ** Please read compliance statement on back of permit ** Issuing Date Expiration Date Application Fee(s) Check # Local Planningf urisdiction 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 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/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 SHORELINE PIERS & BOAT LIFTS, INC. 1402 DBA SHORELINE MARINE CONSTRUCTION 580 PEARSON CIR 252-393-7934 % / NEWPORT, NC 28570 DATE ^ L 66-30 3'3 TO THE PAY /VC��L, r� ORDER OF / N � $ apo. D O L L 8 First Citizens Bank FOR ----- n #183902o---e u'00L ,020 i:053L00300i:003t,L23 Applicant: Date: Describe below the HABITAT disturbances for the application. found in your Habitat code sheet. I All values should rnaich the Warn ,and units of measurement Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoralion or ternimpacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp m act amount) TOTAL Feet (Applied fo(. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ bredge ❑ Fill ❑ BDlh ❑ 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 ❑ 4_).-:i.r35•.:...,..r:. .. 1 -v. Z-, t,UA':>> :: t+nv"t.nCr_:?.tt:'t'.::zrr4�} .._.;.-...:,..t, <`.')'h,'liI CERTIFIED MAIL_ • RETURN RECEIPT REQUESTED DIVISION OF COASTAL_ MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: f Y ' CJ � C ' �& I', ?,Vl _,`�7 Address of Property: I C? R `/� C,Cl(�' 61, 6' `" (Lot or Street #,-ttreet or Road, City & County) Applicant phone#: �� c� ! Mailing Address: I hereby certify that 1 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. 1` 1 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.nccoastalmangement.neticontact_dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no otrjection 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. �1- i do not wish to waive the 15' setback requirement. (Property Owner Information) Signature J Mo -� C. , tit U'-�' 0( Print or Type Name / G p Malting Address r CitylStetelZip 7 )�-2- C/lvr Telephone Number Z- Date (Riparian Property Owner information) 07 Signature Print or Type Name Mailing Address City/Stntel7ip Telephone Number Date f 9� C I N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 1-- i Name of Property Owner Applying for Permit: Mailing Address: �� ems• l Ce.� ,. 1v�... �.�� v �' RECEIVED FEB 032W DCM-MHD CITY I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA. Permits necessary to install or construct (activity) !�� oGr t � (�; 17 at (my property located at) l o _(_ Dtze -- e6-1 k/x A A& This certification is valid thru (date) Property 2' - /- / Z, 0 Date i i i } 1 IDMSION QF COASTAL MANAGEMENT 6!MACENT RIPAPiAm PR PERTY Q NOTIFICATION I CERTIFIED MAIL - RETUKm RECEIPT REQUESTED I h meby certify fflat I Own property adjacent to 421! 4, ✓ter-�!, r,1 S (MOMe bf Property Owner) property located at �� !mot �'_. f.:h ' �� (Addr+ess, l,,ot, g�k, Road, etc.) °rt---�=+<€ �' C _ c� in LLB E �- (waterbody) , N.C- (CttyrTown and/or Codnty) P�eni's Name a-�a,r �uws+ MaftV Address: L r S i,- S. Ageffs phone yY:R3 He/She has described to me as shown tteiow the merit helshe is propowng at That Iacatson, and I have no objections to fhe pnVosa}- DESCRIP ION ANDIOR DRAWING OF PROPOSED DEVELOPMENT � — (Individual praposing devefoproent must f/ll in descrrpfion below or attach a site drawing) -71�c { &.nl 1w-1 EV, o 4/e ', . the i,4xr "��,t : 1 C, 44 old, ffyou /a" o6jecns to +rho fs ' - MCM In sing wittths 10 a��JP++opos�d, }rcxrnxss�t►�otiry use urYisicsrs of cl�oassa! A?a�Eage,►larrt +s of rw�t�t of dg,node_ Contact Ii►forrnrr�foC DCM ofl%es !s 4av%mfabAa at wwsr! evCo�4 dcm.h&n or cs!!�' ase is oQnsi�oleled the seriie s3S no oi► - if hav � 1-R'CaAST. No been 1sotffmd by CerMed AraiL (Property Owner Infoan otr) -- Prrnt or 7-ype Name p l08 4v, e7 M301fig Address Ci1y/�tata�lip ' (Riparian Pro"Owne Information) RECEIVED Anbii or Type Nan, Marling CA5,,W,a�e%ZiprICITY �j % -3 73 7erephono Number Dato DIVISION T _ ....,- . Rv- 1 umr4 NtUtIFT REQUESTED I hereby certify that I own property adjacent to MCI � � �� .�r�:�j � / 's ~� -7 {N;me of Property Owner) Property looted at i tj�:st .13 (Address, Lot, Block, Road, etc.) on PC41 bP e, A A � in ' , ,[„ � �` 1. --t r .0 7i (Waterbody) , N.C. (CRY/Town and/or County) Agent's Name #: lea Mailing Address; ,rl , r � • rs Agent's phone #: - 1- '1i lJ�� p -------i--- Z" -`S5 "Ira He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual Proposing development must fill in description below or attach a site drawing) to ti � G a-," dry oe4k4""e.{' 11-le, IF you have objections to whatls ben 9 Proposed, you muss notify the Dt}risio (DCM) In wrftinU within 10 days of receipt of this notice Contact infiprm available at www..nccoastelmaAgemeni:nedcont8cf d=.htm or by calif n!- onse is considered the some as no ob ection ff u have been nofirled (Property Owner info kele? 414 Signature - Print or Type Name (G Ca1feC . Mailing Address -- Ciiy/StatelZip -- -- i q (o Telephone (Number (l�trl Dates of Coastal Management ffon for DCM offlces is I 1-888-4RCOAST. No Y Cortified Mail. (Riparian Property Owner Information) Signature FEB 0 3 2012 not or Type Name a Mailing Address. 'L/�'I CifylState/Zip 91 ` Telephone Number ate