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Home My WebLink About56079_SOX, DEREK_20100730❑ CAMA / ❑ DREDGE & FILL 01 GENERAL PERMIT /", � Previous permit # ❑New ❑Modification El Complete Reissue ❑Partial Reissue /wIl' 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 Address City t a.)Statezip ! , Phone # () i_y/ 1(,:� Fax # (}—` Authorized Agent Affected ❑ CW rd EW ❑ PTA ❑ ES ❑ PTS ElOEA ❑ HHF ElIH ❑ UBA ElN/A AEC(s): ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Date previous permit issued FD Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision inn City ! i; -JAJ T i� `_. j zip f Phone # O - I River Basin Adj. Wtr. Body (. C� S, t�1-- irnat /man /unkn) Closest Maj. Wtr. Body 1 ■■�■■■■■■■■=SEE■■ ' JIMMEMMIME■■NE�EE■■�I�■■ ■■ :. :. ■■■■■■■■■■■■■E■■:. .. ■■SE■� ■®�■■■■■ ■ _ ,� ■■■::■■ ■■■EM ■WN■Mn,T. ■■ ME ■■■ ■E ■ .I■�li ■MEMO ■■■MEN ■ ■ -.. ■■mowMommoski ■®■ MOMIN ■ ■■■■ ■ESE■■■ ■■St ■■NEM ; ■ ■E■■■ ■ SEEN ■�■■�■■�. ,EMOMMEM ■ ■■■ ■■C�I�■■ESE■�S■■■SE■■E■i■■■ E■�i■■■■■EN■N�■ ■■ EAVON St�■■ ..i airr�SUMINSILINNIPLA .r.�►..�► ...,v�a�it. USER' � Agent or Applicant Printed Name i Signature Please'read compliance statement on back of,permit,. Permit Of%cer s Signature — Application Fee(s) Check # 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 [)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 �J C.0co; Cc4c tieW��-�� ,C �v 3� P(Cd (C,o c cc, Lq- r�� s r r /Jo YIkOve- Ll g �,' U --+= Ql- ■■ 12/16/2007 16:05 2527264092 INTRACOASTALHARINECO ANIL ■� , . ■ ■ lo, ■�� ■ HOW b, North Carolina Department of Envronml:,,llntsnd Natural Resources Division of Coastal Mcj �tjagerment PAGE 01/01 S J s Mraetor William G, Ross Jr., Secretary Michhel F, Easley, Governor Chafles orle , Date 0/ Q A.p�Ricaxtl: Name Ms�WngA►ddres.�3 7 SUS � 4 �� 00 �� S I a�rtify that I have authorized (agent) e� t to act oln my_ behalf, i;or the purpose of applying for and obtailnirl.l; all CA.MA ]Perurits necessary to l� l (L l SV( � �aGlc_ c..� i 4 inOtall or construct (activity). at klocation) Z o S j� 4-s pGr Ttiis certtil Si� natu>re valid thru (date INItIIC> 400 Commerce Avenue, Morehead :;;ity, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-33301 Inkernet: \iwvw.nc.,oastalmanagement,riet An Equal Opportunity \ Affirmative. Action Employer — Eih% Recycled \ 1 o% Post consumer Paper • r� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to De-/2/ +Al ; so, So .s (Name of Property Owner) property located at Sedk CraI-r— D,,,,� . L 64- --��—^ (Lot, Block, Road, etc.) on .�,1 +r e c oq,S C, j .7 �n � _ , in _ � e✓�e � C o')'i /, 4- , N.C. (Waterbody) (Town and/orounty) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) Signature-.-, Print or Type Name ICA Telephone Number Date: -71 i % ;/ / t 1 a ADJACENT RIPARIAN PROPERTY OWNER STATEMENT r� I hereby certify that I own property adjacent to b'erze- -k}YLS is (Name of Property Owner) property located at Z 6 0 Sea 6a4e �! L� / Z� I3[ c 1� (Lot, Block, Road, etc.) on.xcoeskef in ('- I •.�wn,�� N.C. �R�T�/� OJr1 `4/f 4�V (Waterbody) (Town and/o County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) 40 Pro lays 4 E O 0 p ±30� r Signature & m,�,R 0 4 9h 12L 4�,2) /X, a ms Print or Type Name 13 � i 3 7 / Telephone Number Date: :� / / Ll I/"f" F ILm -32 <kk.n'4E1'i1n INTRACOgSTgL MARINE 3515 WHITE DR CONSTRUCTION MOREHEAD CITY Nc'28557 2406 66-112/531 7 Pay ro the Date Order of f I-- f o Cl � BRANCH RANKING AND T seu.ny 1.....BANK 88T RUST COMPANY F,aiaa, FOR pC-P— 53101121i _ • 0 0 0 5 19 8 3 4 9 9 4 3 n■ ------. Ne NC -Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Derek Sox Date: July 30, 2010 General Permit #: 56079C Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount OW Dredge ❑ Fill ❑ Both ❑ Other ® 725 725 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.nccoastalmanagement.net revised:02/03/10