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Home My WebLink About55787_SHELTON, HUGH & CAROLYN_20100611A 1 & 0 ice. ❑CAMA / ❑ DREDGE & FILL 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 Natu toN, ces �'-�`j and the Coastal Resources Commission in an area of environmental concern pursuanCAC ❑Rulesattached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # ( ) Fax # ( ) Authorized Agent ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Subdivision City ZIP Phone # O t U�. � River Basin `Ot t 1 ��. Adj. Wtr. Body nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: —74, , ) Pier Platf Fing( Groi Bulk Basil Boat Boat Beac Oth( Shor SAV: Sand Mor Phot Wain 'Mow, N ■■■■■■■■■■■■■■■■■■■■■■■■►;M■■■E■■I ' ■■■■■■■■■■■■■®■■■■■■■I�■■■■mI mil■■ . .. - �mr" 'w.Q■■■■■■■■■■■■■ii■■■JVn■'■■Ii ■'■ . ■■■�loll . ■■■■■■■■■■■■■■■■■■■■ten`. ■■IN ONE ■■■■■■■■■■■■■t!�■■■■■�v1■■■6 OLIN' dine Length not sure yes no - .poopNINE tr Attached: no ■■■■■■��■ ..■..M...M% aE,.....�■1 ■■■■■■t...■ ■■ ■■■■■■■■: =r � ■■' ■ : ■■ IIC E= � : 1111001■ ■■■■■■■■■ �■Y■■r� yes A building permit may be required by: Notes/ Special Conditions zrr❑ See ncie on back regarding River Basin rules. J' The time period requirement for this development is suspended until 12-31- 2010, pursuant to Senate Bill 831. The Agent or Applicant Printed Name Permit Officer's Signature effective date of ex iration for this permit is Signature Please read compliance statement on back of permit Issuing Date Expiration Date ApplicationFee(s) Check# Local Planningjurisdiction k6ver 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 [)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/ I-888-4RCOAST 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 NJ— >apclicant:-�-(� Date: 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 im act amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or tem impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Rugs( K CAR 04d 514 Upd s (dame of Property Owner) property located at L.of' b3 33 (Lot, Block, Road; etc.) 7� on T�0aoE -4SDcj*ib in NeWAM 7-CC4AR-IEreal c ; Y� (Waterbody) (Town and/or County) N.C. Applicant's phone #: ZS'Z 2YOICOI Mailing Address: VS HO 1 I!1 LAf-e— 1,-k-wPOP i NC. 7-9$;7to-') He has described to me, as shown below, the development he is proposing at, that location, and, I have no objections to his proposal. --------------------------- AWING OF PROPOSED DEVELOIV--------- , � 11:1 DESCRIPTION AND/OR DRDEVELOP ENT: LENT: -- - (To be filled in by property owner proposing development) 'C30 Gov S o u►an s3, 0 1 1p 1,c7cK� UCt / &-tFT• A i?f-move- Se I/-"& L geo pe s d � EAR k To Isc�ou►� L. PT T �o 4 r�►t.tr Tltf WAY toynl o �ou3 ------------------------- Tt oe� -----------------------------------------------=--------------------------- SE0, 006 ---- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) 33 ! Igo I l �,�,,, � G��✓ Mailing Address Signature N-e-WPoR T zg67 o `S �f��%��✓ fi✓ %� 6 City/State/Zip Print or Type a ZSz - L lu p -- 2-0v g Telephone Number D Signatur Date Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATUMENT I hereby certify that I own property adjacent to Rug A It 6404d 514 F-L:r -J s (Name of Property Owner) property located at Z-o' b 3 (Lot, Block, Road; etc.) on 13ot3v1� �cd,�/j , in (Waterbody) (Town and/or County) /'�; ,vim N.C. Applicant's phone #: 7-! Z Zyc-ZJWI Mailing Address: 33t Ho I I!I LANe— Ntf-WPoR,- nJC 7-M74> He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. SUN 10 2010 ---------------------------------------------- - DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPIVIEN,17,. DC; (To be filled in by property owner proposing development) 'Qo OUT S o uN� G 130g1 A i G CA. tJ A► L— -- t-tFT. A �_ pf-move- Se .*- } L ged pe S to'E R. To ALLOW OF i -To-do .l A .L ?ItF- WAY 00 ""4 o a 10 J --------------- -rl Df� 5fA C� ---------------------------------------- (Information for Property Owner Applying ---- ---- (Riparian Property Owner Information) �— for Permit) Mailing Address N-O-W Po II�? City/State/Zip zsz - z u p - 2-0y S Telephone Number j �(— 3 / 0 Signatur Date Signature Print or Type Name Telephone Number Date C GEN (R) HENRY H. SHELTON 58-1/510 4521 CAROLYN J. SHELTON 331 HOLLY LANE NEWPORT, NC 28570 252-240-2008 p to the )V" f vrdera$ � ---------- ---Y��,lGrrs BANK OF AMERICA ACH R/T 051000017 I:0510000L7I: 00,L21,072693111452L