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Home My WebLink About56317_SAULS, ROBERT_20100810. .1CAMA / Li DREDGE & FILL `�� fi�g° 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 ❑ Rules attached. Applicant Name } Project Location: County Address _ Street Address/ State Road/ Lot #(s) CityState ZIP Phone # (�) Fax # ( } Subdivision Authorized Agent City ZIP Affected [ICw ❑ EW El PTA Li ES ❑ PTS Phone # O f River Basin ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A 11 AEC(s): ❑ PWS: El FC: Adj. Wtr. Body gnat /man /unkn) ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body .. � ... - : M. ■.�■■■■■■:■■■■■� �: IMMEEM no M NEI ��®��■■■■■®■!ems■■�■:�■��■■■■■■■■ ■■■ ■\Iri■■■�i®■■■11�i■■■■■■\■\ter■■■■■■■■ ■■■■■!■■!�■■R■■■■■■■■■■■■■■■■■■■■■■■■ ■■�'t»I,Ilion ■1111J■ ■■■ ■■■■■■■■ ■ NNUM 1 \lo■■■■■■r■■■■1n. ■■■■■■■■■■■■■■ ■■rVV'w ■ ■■■■■■■■■■■4 ■!' ��1;■■■■■■■■■■■■■ ...........�.�........�E. ..========------ ONE ■■■■■■■■■■■■■■■wMMM■■■■■■■■■■M Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Permit Officer's Signature _ Issuing Date Expiration Date Application Fee(s)'��w�iJ Check .#, ' Local PlanningJurisdidion 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (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 �pplicant:�Q Dare: Describe below the HABITAT disturbances for the application. found in your Habitat code sheet. 4 1 q4,-9 All values should match the name, an its of measurement 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 impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or teT_p impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill CR Both ❑ Other ❑PC 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ N RECEIVED ADJACENT RIPARIAN -PROPERTY OAOWNER STATEMENT TI AUG 5 2olo (FOR A PIER�IOORIN Q IY►orehead Clfy pCM adjacent I hereby certify that I owadt n property J (Name of Property Owner) property located at (Lot,llock,Road, etc.) ►�� _ a; V ' �r�1 , N.C. on , in (Waterbody) — (Town and/or County) Applicant's phone #: Mailing Address: 244 , 9W He has described to me, as shown below, the development he is proposing s � that tl location, /and, se have no objections to his proposal. I understand that apier/moorin yea of ri aria: access unless must be set back a minimum distance of fifteen feet (I T) from my P waived by me- (If you wish to waive the setback, you must initial the appropriate blank below.) �Ob. 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) , Y (Information for Property Owner Applying for Permit) 2-44 V t71C-3 BLL)0 Mailing Addres CIA - City/State/Zip Telephone Number Signature Date (Riparian Property Owner Information) ,Signature ( (r / 1 i'1/i lD 7 — print or Type Name Telephone Number Date "'Aug. 5. 2 010�1 8 : 3 9 AM):ax "l" i im grimes is i_cssjl No. 1591 P. 2/2 �DJn'JS OU ��T (>'OAlfEW?V1O�GpjjjNGOATLI TW IME) DECEIVE[) y [ ktereby ctrtily that ]own property adjacent to� -y — BUG 5 (Mine otPt'uperty t7wnet) 2010 i �] Moreheocf Cif ®C4 property located at ,.�-- — .— --- -- (Lot, lock,l2oad, etc.) fUric _ "�k! =�ts` (�Vatr�rboa;y) ('lotion and/or- County) INIALLoo Address: . — Applicant's p}1n11e #: _ - ` _ r{tL '''{" He hus described to M -, as op albl unc�tand �h o a U er/moont lie isr proposing pilings / boadilt I boathouse brave no objectlo»s to Ivs propUa inust be set buck a minimum distance�ok IrEem fet;t (ou m stuom n fal Chef tr>pavian mcc blanlle waived by wc. (1t you wjsb to 1yuiv tile set>Jacic, y belo ) Y a a not wish to wtirve _ T!% wistl to waive that sccback ze uiCemeul. � prSCRIP�'lO�tAND/OR)DRA.WING UFa'IZgPUSF%U AI;YLLOp�IEN'i: , n bY individual pi'oposirtg develvi),neftO OO, r- ----�--- --- ---et t > ()�vnex Applying- - (Riparian Pr. operLy Owner I:ufnru1atiotl) (Imforinstti.on for Prop 3 for Permit) � --� LA� PLYD MailiJtg 11.dclres!t - ..��VCam'?►._ _ _ t os Type N2o1e City/State-aip .r+ _.`.. elcpholle Numb-r — — — — —. We .Signature Uatc" ..:,.. '�.; :.'..:�iiCS::r.:c1~'.�6ffiiec�„'"�.•'SWF:>�Y:- ' ..-i,;.�3Ji�'�sw.::s�.�':;3+:tar�ascrnuo.�o:mv�.,sar.�++sr-.r.:,un.�cw•..p Q .,�•.. FIRST CITIZENS BANK 4080 - firstcitizens.com 66-3M31 OUTER BANKS MARINE CONSTRUCTION, INC 137 1501 FIRST AVE MOREHEAD CITY, NC 28557 (252) 240-2525 9/5/2010 m PAY TO THE ORDER OF D EN R I **200.00 v 0 Two Hundred 2nd 00/1��************************�x************************************* DOLLARS D.E.N.R. N d� LL MEMO II'0040800 I:0 5 3 L00 30011:00 313 L 2 LF�211 2 711' :h AUTHORIZED SIGNATURE ,t. FIRST CITIZENS BANK firstcitizens.com OUTER BANKS MARINE CONSTRUCTION, INC 1501 FIRST AVE MOREHEAD CITY, NC 28557 (252) 240-2525 PAY TO THE �• ORDER OF --rk�� MEMO 56 S` 7 11200 L. I0411' i:0 5 3 100 3001:00 L 3 L 2 Li 4104 66-30/531 137 U m V C $ '2 DD m 0 _ DOLLARS [�