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
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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
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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
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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
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■ 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:
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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
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■ 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
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— ❑ Addressee
B. Received by (Printed N ) C. Dat of D livery
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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
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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
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