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Home My WebLink About56027_SMITH, DALE_20100622� .. .., ?3�: ,.�-. _ ::, < .. xc• - -fir � ;'�., �: ,'�" ❑LAMA / ❑ DREDGE & FILL � GENERAL PERMIT j"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 f-1 Rules attached. Applicant Name., Address q City 'r L�.'f �-�� State lly,,,j =ZIP ' Phone # O 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 Type of Project/ Activity Pier (dock) length Platf Fing Groin Bulkl Baslr Boat Boat Beac Othf Shor SAV: Sand Mor Phot Wai\ Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP > Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body (Scale: ) orm(s) ram.'- er pier(s) length � � - - �i �r- �-- --'•- �-�- � - - � � -}-- _ ,! _i I �i I number - -- read/ Riprap length avg distance offshore max distance offshore i I i ,channel _ _- `... I i cubic yards ramp louse/ Boatlift h Bulldozin7-k -- -7r In -- -I - - Fd_ - -- --- -- -; - - -�-- - - - I aline Length ( i not sure yes no gags: not sure yes no _ I l i _— itorium: n/ a yes no F -- - - as_ yes no _ -- erAttached: ves no - -- I --- - A building permit may be required by: Notes/ Special Conditions !" Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ❑ See note on back regarding River Basin rules. �< )_ } r 411'�214 1.,,; he time period requirement for this development is suspended until 12-31- PermitOfficer's Signature 2010, pursuant to Senate Bill 831. The effective dateofexpiration for this Issuing Date permit is ` Application Fee(s) Check # Local Planning)urisdiction Rover File Name A building permit may be required by: Notes/ Special Conditions !" Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ❑ See note on back regarding River Basin rules. �< )_ } r 411'�214 1.,,; he time period requirement for this development is suspended until 12-31- PermitOfficer's Signature 2010, pursuant to Senate Bill 831. The effective dateofexpiration for this Issuing Date permit is ` Application Fee(s) Check # Local Planning)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/ 1-888-4RCOAST 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 Applicant: Date: S 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 impact amount) 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 CUD Dredge ❑ Fill ❑ Both ❑ Others �— 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 ❑ :ii. .! 2;% 2010-0�- 1'. 13:13 SPAWORKS 252-726-3954 » 19195739187 P 1/1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT RECEIVED (FOR A P1EWMOORING pIL1tVGSIBOATLIFTJBOATHOUSE) 1s , N � 6 2010 scent to -- I hereby certify that I own property ad! "I (Name of Property Owner) Morchrod City DCM property located at (Lot, Block, Road, etc.) , �ces� , N.C. on o}n andlor County) (Waterbody) . l..D "As Applicant's phone #: �"z �+ja�� vlatling Address: NG 2ef He has described to me, As shown below, the development he is prOpOSing at dhat 10060; mdr � have no objections to his proposal. I understand that a pier/mooring pilings l boatlift 1 boathouse must be set back a minimum distance of fifteen feet M') 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 not wish to waive I do wish to waive that setback requirement. -------------------------------------------------- --------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: i (To be filled in by individual proposing development) Mailing Address City/ate/Zip '25g-7f-5--/2 5? Telephone Number ,/S xal'e Sig ature Date 4y V C lf/O�CJrJvP� Print or Type Name /LG2 Telephone Number Date 4F Consolidated Asset Recovery Systems, Inc. }w. ti.tiYt= A facsimile from " Consolidated Asset Recovery 3 Systems 701 Corporate Center Drive Suite 163 Raleigh NC 27607 919-518-2277 Fax: 919-851-5010 Attn: JOHN WILLIS Email: FAX: 252-726-1340 DATE: 6-15-2010 RE: Faxing 2(two) pages total. {1 page plus one Cover Page} Best regards, Steve Norwood E-mail: steve.norwood@ez-recovery.com FAX = 919.851-5010 Toll -free # _ (888)-930-8881 Ext. 103 `ola 06/15/2010 16:26 2010-05-15 14;31 2523172837 SPAWOF KS 2b2-726-3954 >> THE LITTLE BANK GRV 2523172037 PAGE 01/01 P 1/ 1 ADJAM T RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOONNG PI,LINGSIBOATunlwATHOUSE) I hereby certify th u I overt property adjacent to I 9 (Name of Property Owner) property located at - o t ,�� !F [�a. 11rwd- (Lot, Block, Road, etc.) l on ��p � o �� in _ �c%+-�ioo r ��Ci ("Ter'4 (Waterl ndy) '(TownAnd/or County) Applicant's phone #:_ AU Mailing Address:_ �.3 7 v►. D �l, N �'e�� 1 Iie has described to me, as shown below, the development he is proposing at that location. and, I have no objections to h' i proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a mini num distance of fifteen feet (15') from my area of riparian access unless waived by me. (if you vish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive 14_0 wish to c 'Rive that setback requirement. DESCRIPTIO 1 AND/OR DRAWING OF PROPOSED DEVELOPMENT: (T, be filled in b� y 1nd� dual proposing development) �1W ,(. Q v %-i L. , -e+ or st,dt a-r p ; e r" ------------------------------------- ---- - — _ -- --- --------------- (Information for Proper ty Owner Applying (Riparian Property Owner Information) for Permit) 3 7 PIA (47, f",� r �d Mailing Address &C ,22?0p City/S to/Zip Telephone Number Signature pate Signature Print or Type Nama Telephone 1\,'umbcr �s yoro Date PROPOSAL_ PROPOSAL SUBMITTED TO: NAME ADDRESS a_3 4,V t7cik /Zd PHONE NO� WORK TO BE PERFORMED AT: PROPOSAL NQ. SHEET NO. 0 °4yhs DATE Kg din ADDRESS d - , E C6_Y, 7 + e DATE OF PAN I1 2 6 jQ ARCHI E T We hereby propose to furnish the materials and perform the labor necessary for the completion of a All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for above work, and completed in a substantial workmanlike manner for the sum of Dollars tS ) with payments to be made as follows Respectfully submitted Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge Per over and above the estimate. All agreements contingent upon strikes, ac- cidents, or delays beyond our control. Note -This proposal may be withdrawn _ by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date Signature D818 MADE IN USA PROPOSAL adena NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James N. Gregson, Director Dee Freeman, Secretary Date L A � /0 Applicant Name Mailing Address 2 J 7 I certify that I have authorized (agent) JOAt7 t II S to act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or construct (activity) 2� L I)�UOO # /3o a-� L , at (location) o- 4 3 i V e O ci 1�d /v e 43Oo r-4,, Ae C � �.5-7 011 This certification is valid thru (date) to%D //O Signature 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 THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT AMOUNT BOX AND THERMOCHROMIC. ABSENCE OF THFSF FEATURES WILL INDICATE A COPY. -- MoheyGram. ® 75-164 INTERNATIONAL MONEY ORDER 919 Money Orders ►it.:: '7:;.^c i t _ _ O PAY TO THE ORDER ♦ V PAY ONLY THIS AMOUNT V V - y j 9 PAGAR A L D,�5 I,:: � 3 ; •:: ::. ,:: 00 ORDEN DE: •'. ..•s�.:::.::r ::'::': IMP RT NT -SEE BACK BEFORE CASHING :!' r I- :, ,�..;.. S..#. N PURCH ER, SIGNER FOR DRAWER / COMPRADOR, FIRMA DEL Li RADOR PURCHASER, SIGNING YOU AGREE TO THE SERVICE CHARGE AND OTHER TERMS ON THE M REVERSE SIDE ADDRESS:/ /J O DIRECCION: V IIII - _I Payable Through ._ =: 1 = ::, j . , ;_i ? �`' /'Y� Citizens State Bank ISSUER/DRAWER: of Clara City MONEYGRAM PAYMENT SYSTEMS, INC. 0 — _, _ _'• -, i : d i '—' =' ='= —I -- Clara City, MN TOAUTHENTICATE RC LE PAARA AUTENT CAR RES RIEGAR EL C(RCULO 1:09 110 3 2 26840 288u- 90 1,- {_-