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Home My WebLink About54144_WILLIS, TIM_20090610❑ CAMA / [:]DREDGE & FILL GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue El Partial Reissue G �ZZ�i iS� Previous permit # 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 7Q, i2ovir A] Rules attached. Applicant Name Mn' yuli' S Address 10011 �1 ,,,f 4 CityState-IC, ZIP Phone # ( q) Q" 54-f Fax # ( ) Authorized Agent R'o idol- lG�, Affected ❑ CW '0 EW )(I 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 rJ 4;"fen _a Street Address/ State Road/ Lot #(s)�11 —` T c, i (n ;tc 541 4C Subdivision City �`��` ` 1`=��'U, t ZIP Phone # (1;2 ) 2 5-St! ! River Basin Adj. Wtr. Body 1' fx'� !f� i n 0'I4 C'ef(nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity - :. - .. ' .- .... ._ IEEE■.I■■■■■■■:■■■■■■■■■■■■■■■■■■■■■■■ iiMiiii NII on:::::■NI 1111111 111101.SP 11MM OME ■■M■■ ■■■►MPRr till■■ ■■■■M■■■■■■■■EE 1■■111 ■■■■■■■ ■■■■■■■■ ■■■If■■ ■El\■Er�Em Ilona E■ MEMO■■ IsE:M:■:::::::: ME■■EM■■ :■■1l:: ::MANII!!I� MINE E■IEEE■■■■IZZ=1.1l■ ■■■■■■■■■■■■■■ gE oNI 1 ISNMEENE NMN MME MN ■....(III INUIT 1NN INNNNOEN IE IOIN I ■:1l■::CI::E: ■.II EEEEE■EEEEEEEM ■1l■■■t'•M.■ ■■■■■■■■■■■■■Es E■■INMEEMMEN�= ■� momvmm■■■■Mw■■ ®nimM■ -- Room" EE -■ _. K . Agent or Applicant �Print�ed Namej� Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer'�f Signature f G C ` lio 10 I C Issuing Ibate I Ex ira ion Date 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 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 consistentwith 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 howto complywith 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/ 1-888-4RCOAST 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 G C3 CD CD 1 ac it pc G' I �I01ii? Cai'Oliilu �ENa ii1Ef i i of Ci}yli G,"r111ei it ar %f f�2��u� r,ral Q,�� Divi ion toil, U-clastal Managt.sni-ent CO Michael F. Easley, Governor charley S. Jonas, Diractor William G. Ross Jr.�cret,(D L Date 5 d 09 Applicant Dianne spa C:�0 V- l�i.a$l$$ilg Address ��" 1PA t4 NC, r761 P2 � Lj - _ to act on in eertify t aa# base autln-)rizprl (age$nt) ��SC behalf, fo$- the purpose e a applying -for and obtaining all CAINLA, Permits necessary to install or construe' {act3 at')j'ig'(�I [� l -- at (location) — This cer 'cation is 'a.l.icl tla$ a$ (date) Sjgnatwre ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to ,rzc /ll 5 's (Name of Property Owner) property located at C�%j fztt 2 Cffmech� 1Z0)4D > (Lot, Block, Road, etc.) on 2jQQ7)1 C70%G , in fflAlf2l7i � p f (- Z5Jam' 3 , N.C. erbody) (Town and/or 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. I understand that a pier/mooring pilings/boatlifi/boathouse' must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement." N I do wish to waive that setback requirement. j i c -----------------------------------------------------------------------------------------------------------------� DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: M (To be filled in by individual proposing development) u� p , ► � � *(air 0�3 V,r�-,w -co 4oxiij 70 �;O l,t 1,oL�z c (Applicant Information) ♦I Marling Address City/State/Zip Telephone Number kko4p A W 9 Date ------------------------------------------------- (Riparian Property Owner Information) i rA V 1 rn p2�tfi1/ Print or Tyle Name Telephone Number ,Date 4 JUN 4 2 2009 Morehead City DCMJ cz� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to /xq? !!/::� s (Name of Property Owner) property located at C� %5 f3Ti k cffy Pc% IZy>9'U (Lot, Block, Road, etc.) on 5 C , in%%i' � JA(C' 5 , N.C. ( erbody) (Town and/or 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. 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. I do not wish to waive the setback requirement. nM o I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) 0;3 L �►�- 'pew V)j�F�-fm To 41%1 -&(Yh�yd �-boc)6- (Applicant Information) I0 Mailing Address CitylSlate/Zip L� Telephone Number /UuWW l l A9 Date ------------------------------------------------ (Riparian PropertylOwn�r Information) sT�-y� Y►'1 NCH+UL Print or Type Name T9 -1650 , 9055 Telephone Number 2l/9ls "Dale ,% Morehead City DCM R & J GROUP P. O. Box 1885 Morehead City, NC 28557 252-726-1253 i s 1348 66-112/531 o; �� BRANCH BANKING AND TRUST COMPANY gfr / 1 �1 4 1-8WBANK BBT BBTx m FO Rf 53 10 1 1 211.0005 2976879 2lin MONITORING & COMPLETION REP rRT [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE'S NAME LOCATION: 2-� PHONE: 9�1\ %i 0 1 -71 DATE OF INSPECTION �� Lc\ 1) PERMIT # J ti 1g qC FIELD REP. MONITORED BY G DATE REPORTEDLY COMPLETE: Do the au red dimensions of the development differ from those indicated in the permit and workplat? YES/ 11O[circle one]. COMMENT: 2) SEDIMENTATI E OSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? S/[circle one] NA, COMME NT: 3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YES [circle one]. COMMENT: N � _ I - , 61 :t w•c'