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Home My WebLink About55717_WORELL, TIM_20100503❑CAMA / [-1DREDGE &FILL GENEFAL 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 Applicant Name �.. �'^t.'t_, Project Location: County Address < ' F 1 ;'� 1 __ % Street Address/ State Road/ Lot #(s) City State`4 ZIP Phone # Authorized Agent Li Affected ❑ CW ❑ EW TA ❑ s 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 _ Platform(s) I _ Finger pier(s) Groin length (�q� number i Bulkhead/ Riprap length l } .f d ff, h avg istance o s ore max distance offshore Basin, channel L r4 cubic yards Boat -7- ramp Boathouse/ Boatlift Subdivision City �. Phone # O Adj. Wtr. Body'(., `. Closest Maj. Wtr. Body "rVL XQVI_ il<! ❑ Rules ZIP )V-,1111 River Basin If (Scale: Beach Bulldozing Other71 ', �� w ,---- -- - -- - -- - - - -- --1 — - -- Shoreline Length SAV: not sure yes (no Sandbags: not sure yes no Moratorium: n/a yes no r Photos: yes no Waiver Attached: yes no --- — -- ---- -- A building permit may be required by: �- _ ❑ See note on back regarding River Basin rules. Notes/ Special Conditions � ` � Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # The time period requirement for this development is suspended until 12-31- Permit Officer's Signature 2010, pursuant to Senate Bill 831. The effective date of e iration for this - Issuing Date permit is 1 J Local PlanningJurisdiction Dove 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 Citv 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 ApolDate: 9�)flo ican, �n �21�i L �11J_q� (� I EI oY1K.'V ,Jv'.c� �✓ 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 tem p im pactq 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 shDredge Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other -- W-1 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fitt ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Doth C] Other ❑ Dredge ❑ frill ❑ 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 ❑ ■,;omple!e items 1, 2, and 3. ALSo complete item 4 if Restricted Delivery is desired. `I ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: L e f Loop Rd, (Ay� OV-\ A. lure X ❑ Agent � 1•�,�--- El Addressee � B�eived by (Printed Name) Date of Delivsry S D. Is delivery address different from m 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. SQfvice Type l� Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4, Restricted Delivery? Extra Fee) ❑Yes 2. Article Number LOp 3 3929 9585 UNITED STATES POSTAL SERy,IG,E .. .. ...... ..... • Sender: Please print your name, address, and ZIP+4 in this box • NLV"v,'Y Wavf-e I ( I 1 c 0 G '� .4\,e M j- w � N C . X-7 993 AIMM— +.IN 1 KWAKIAIN YKVYINIR Y OWNER NA'ATEIVILINT (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE) r � , I hereby certify that I own property adjacent to --"SS (Name of Property Owner or Applicant) Mailing address if different from location address ! i\4 YV) S� , (town, state and zip) \Q� \ N-'� C— phone numbers you can be reached at property located at (� p (Lot, Block, Road, etc.) \ �—RCA\ on -`yw� in �� c : L. , N.C. (Waterbody) (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. initials initials I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) r i Signature el J, Print or Type Name Telephone Number Date: www.nccoastalmanagementnedPermits/ADJACENT P-IPARIANPROPERTYOWNERSTA pdf �o l � d �N arse ,�✓1. 190usC-- I + 1 1 Maw ly rM 6 p I � I i i I •�t � 340 lam' f° �y �� 30 f N -e 11� 1 s ova �s1 NCDNt North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary Date S- .3-1 0 Applicant Name 0c) (..&'� Mailing Address RECEfd'ED MAY 4 z010 Morehead City DCM I certify that I have authorized (agent) D ha c. W `ttt-'` W4.,Am e 6w4 s - to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to J-� &..t 1; A)L install or construct (activity) p► 5!! jr— at (location) This certification is valid thru (date) Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-280,81 FAX: 252-247-33301 Internet: www.nccoastaimanagement.het An Equal Opportunity 1 Affirmative Action Employer — 50% Recyded 110% Post Consumer Paper BARRY WORRELL 5684 STEPHANIE D. WORRELL NCDL 7649445 66-593/531 1008 SALEM STREET PH 252-237-6141 WILSON, NC 27893 lJ oC CJO(ATE 9OADEROF /c �C$ OLLARS �i `•:Y':e a:r , THE Heritage Classic HEGE Fore f Hills Rd West 1Av Wile.., NC 27893 1:0531059361:230771751411' 05684 a