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Home My WebLink About56013_WARREN, J.K._20100628❑CAMA / ❑ DREDGE & FILL IV G EAV ERAL 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 Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 71 Ri Jac att—harl i Applicant Name 1. � L .J_iV.- e. 1 Address o7 Ci City /'+J a (iJ t '. State [ ZIP Phone # (`) �; ` `� �' Fax # Authorized Agent Affected ❑ CW ❑ LW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County t V i", ( ; Street Address/ State Road/ Lot #(s) 71707T, Jam: Subdivision4'" _> City r t'" �'` \_ L . ZIP Phone # River Basin /C- l-_. k, 5t Adj. Wtr. Body l' ! ii `�. 1 i✓' c - gnat /man /unkn) Closest Maj. Wtr. Body AIM ■ :N■■■■■��■■�■■■■■■:■■�■ No NONE■■■ONNO■NN■NMOON ■■NE■■NNE r.!c•A■N ■NN■■NEMOr NON■■ ■ ON■■R�LN ■■■■■ ■■■[I■■■■■i■■■■■■■■■■■■■iti`►JiI ON ■ A ■�[1NON■NON■■■.�I■■■o■■■ ■ +1■\��J■ ■NE■■■m�l■NONE/�i■■■■i®NOG+1!■.\/NOON■■■ MEENINNN/N'F! P.No" kENNN■N■ ■■E■kJa■■N■■l' ■O■. f1■■ON■O■N■rN■NN■iMENEM A\11 ■■■NONE ■�iN■�I■NlIN`■�' ■ N■��lNNON■NON ■N�!■■■■NOI ■NON■1�l�!l�:N■ ►.■�I.-..... :.. EENE ■N�1■■■■■■■■■�:� ■■�' : ' J • ../!■■NON■■■■N�..�liiN.. iNN..■NON.■N■l.t�:'WEN ■■■n■C■■■■■■N��N�■■■■ ■N■N�NN■■■■■NON■ ■�lN N■■■N■NJ.rA�■■■■■■N■■■■■■NN■■NON■ Il■N oil■■■O■�i■rEINUMENN ■1INIFIANNN'■■■■ ■ ■ NON■ ENNE �mn®■■.:No - - NOON■■NON■■■■■ ■■ NON m ME . i��■NENO ■NON■■■■■■■■■■■i.T�?;Z7 ■�i■ NON■®■■■ ram ■ E�,., r y Agent or Applicant Prmtgd Name Signature Ple a read compliance statement on backo�perml Application Fee(s) Check # 2 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, certifythat 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 AGA 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 Name of Property Owner Applying for Permit: Mauling Address: SI o 7 I certify that I have authorized (agent) 5-2V l to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) he>A I{ / 0-0 at (my property located at) s-1 drg/M— This certification is valid thru (date) l v Gig! Owner Date 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to t�l��r`z,� is -{ ;� (Name of Property Owner) property located at 7 f 7 A e-Aft l W�5 J1�- Jy z (Lot, Block, Road, etc.) on _ 1 i✓ f %C i V-el\ in ..4 Ile A/ , N.C. (Waterbody) (Town and/or County) Applicant's phone Mailing Address:. /6 7 71z-exd �I He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15') 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: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) 5-10 7 Mailing Address e � :)--ey & L City/State/ 3 (l T eph7r' ./ be � 6 /Z Lld Si afore Date (Riparian Property Owner Information) Signature Print or Type Name Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to `J . K . WAly enf 's (Name of Property Owner) property located at S/ 07 rRfAf-t (Lot, Block, Road, etc.) on / /den/ f dPi/� in C/e,al/GN , N.C. (Waterbody) (Town and/or County) Applicant's phone #: S/ Mailing Address: 5-10 .? Tfl ev-� D AA1- ,,raj ff'C He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15') 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: (To be filled in by individual proposing development) 0 --------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address f,A-) ref-, , City/State/Zip C t Telep erg/ a Date Signature /,y /,P) '11 D ate' -ems Print or Type Name 6 7 -? " 3 `o � Telephone Number Date NC Division'ot Coastal Mgt. Habitat Impact Computer Sheet Applicant: J.K. Warren Date: June 28, 2010 General Permit #: 56013C 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) im act amount) temp impacts amount OW Dredge ❑ Fill ❑ Both ❑ Other ® 169 169 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.nccoastalmanagement.net revised:02/03/10 -=3 -W! RDB, LLC 384 BEARDS CREEK ROAD ARAPAHOE, NC 28510 a 1458 66-112/531 BRA CH 01901 �''\V DATE oU iRDER OF I L db DOLLARS —Classic— BANKING BRANCH BANKING AND TRUST COMPANY 1 _gpp-BANK BST BB7.com FOR� ..—_._.------.- .---- 1:053 10 It 2 11:0005 2903L'Ei I 1'O L458 _