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HomeMy WebLinkAbout57040_SULLIVAN, TERRANCE_20110125❑ CAM^ / ❑ DREDGE & FILL � e bdGENERAL PERMIT Previous permit# l:]New ❑Modification ❑Complete Reissue El Partial Reissue A 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 Applicant Name Project Location: County Address City State ZIP Phone # (.) Fax # Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision ❑ Rules attached. City ZIP Phone # O River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ■■ ■■■■■■ r■ ■O■''■■■■■■■■!M■■■■■■■■■■■ ■■■■■■C■:■:■N no E�■■E■■INNE■■■■:;A■■ ■■■■■■■■■!1■■■1Iwwwwn■w■Li ■u■■■■■■■■■ ■■■■.NEE ■rr■t�r■■OM■■■■M■i■■■■■■■■■■■■■■■ MEMME E :■■ :■:■■EN■::::C■::'■■■■■■■■: ............■�.■..■..■■■■■■!■...�■■■. ■ ■■■■■■■■■■■■ ■■■■■■■■■■■■■■Iw■■■ ■■■■ ■■Oriir■■■■■■■■■■■■i■■■■■■!�!■!■'®■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■R■■■■■■■■■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature t/ r Issuing Date ti Expiration Date Local Planning Jurisdiction 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 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Terrance Sullivan Date: January 25, 2011 General Permit #: 57040C 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 nt) 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 SB Dredge ❑ Fill ❑ Both ❑ Other ® 250 250 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 ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date J Name of Property Owner Applying for Permit: 7)- "L L---- ( V Mailing Address: O g- /-r,) C/4 by t) 06 0f+2° , n}L- a701e I certify that I have authorized (agent) /60-eb (-c �S i to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) ` -P6�- A-T at (my property located at) CYlt-OA �4WC- & � C P,,qPPoa? This certification is valid thru (date) ` o `( Oy, Owner Signature S' 01 Q ate 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper Z'zo' A UNITED OStAL 86ME' 0 Sender: Please print your name, address, and ZIP+4 in this box' Bobby Cahoon Construction, Inc. 6003 Neuse Road Grantsboro, NC 28529 I;*\,-"\"\" -A IWA I.A II I I I I IA I 11� U I N ■ 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. Art cle Addressed to: �ctni,z,! PS, berf, 13 c) c) LA-) ; ct'C"pe,I 144 11, >ti ads r'7 �0 Agent S-A'ddressee by (Panted Name) C. Date of Delivery D. Is delivery address different from item 1 ? ❑ Yes it YES, enter delivery address below: 0 No 3. Service Type Certified Mail ❑ Express Mail 0 Registered ❑ Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4, Restricted Delivery? (Extra Fee) 0 Yes 2. ArticleNumt 7007 1490 I uul 5445 3200 (Transfer fron t02595.02•M-t540 PS Form 3811, February 2004 Domestic Return Receipt S�)Ilv(A a- ■ 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 can the front if space permits. r 1. Article Addressed to: Pc6-r;c;a. C. Mcirri S 3 to 9 Cc�r cx 1 % r\ o- La h-e- S-e.wmora r N c a 3y 3 A. 7Signaturee� � X0 Agent — ❑ Addressee B. Received by (Printed N ) C. Dat of D livery zl �1 D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type bq Certified Mail 0 Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) 11 Yes 2. Art1cle.Nurr 7007 1490 0001 5445 3224 (Transfer frc - -, PS Form 3811, February 2004 Domestic Return Receipt 102595-42-M.1540 UNITED STATES •P:oST4,S .R1(1C 5 , ; i , 'First-CAaSa Mall WeesPaid • Sender: Please print your name, address,'and ZIP+4 In this bolt • Bobby Cahoon Construction, Inc. 6003 Neuse Road Grantsboro, NC 28529 iiiiit►£iI££1£iii£ Lai 1i£ iih iJ££i££ ti£i! i f£Iti£III t!i£ , H -,/� fK l v vY- n 6-MoaoL-W Cer�L e-M /00"I kOA -SU w UP,,f `Pko5CcT- //J/) h'D I IwY- I ±M .•• Ilu'.{-112 5 111 Vl-1 IN I1affa[1 Il91111LIM . i2 Is tS4+iLLIVAN TEIRIRENCE D ET UX Iturimm ry V 11'"1-III ��� ��•l I is"1.I nd Pamlico County,NC Parcel Number: H094-119 Deed Book: 257 NC PIN: 6476821332 Deed Page: 200 _ Owner Name: SULLIVAN TERRENCE D ET UX Plat: "i rf Owner Name2: SULLIVAN MARGUERITE J Deed Acres: 0 PROPERTY MAP Owner Address: 108 LOCKWOOD DR E Land Value: 82215 Owner City: CARY Building Value: 98417 N Disclaimer: Owner State: NC Value: 180632 .� The data provided on this map are prepared for the inventory of real property found within Owner Zip: 27518 Sale Date: 122000 Pamlico County, NC and are compiled from recorded plats, deeds, and other public records P far aand data true tiThills search data l pro nfyr appraisal, al paurveysonly or for ndshouldnot oning riflcatie substituted Situs Address: 474 CHINA GROVE RD Sale Price: 122000 One Inch = 195 Feet Legal Desc: OFF 1302 ON RIVER MARINE CONSTROBT pN CAH AND OON DBA BOBBY CAHOON CONSTRUCTION, INC.APEX, N BANK, NA 6003 NEUSE RD. - NC 27502 9364 GRANTSBORO, NC 28529 sso2lisao u PH (252) 249-1617 PAY TO THE ORDER OF NCDENR 112412011 Two Hundred and 00/100`***•*****************#***.****x*******�*.**.**x**��*#*** $ "" 200.00 NCDENR 400 Commerce Avenue DOLLARS 8 Z Morehead City, NC 28557 n a N MFMO Sullivan 57%, ��'009364��■ ':053000 2 1q1: 20 OOO l �68�,8 26u■