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Home My WebLink About54149_WORLEY, JAMES_200906151 CAMA / ❑ DREDGE & FILL /9 C GENERAL PERMIT Previous permit# ONew ❑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 ❑ Rules attached. Applicant Name Address 4 - City State ZIP Phone # O Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ 1H ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no 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 ■..■I■ :. ■�11■ ` ■MU■■ ■■■■..■.■■■■.:■: :.. ■■■■■■■■■■■■■Wi■■ ■E_:■■■.�l•-- " NEE::�::■ ::::�::::O =E::::::: ■■■■■■■■■■■■■■■■■■■■w■■■■■■■■■ NONE :. INN�■■ 111■::■ ■■■.■ ..■1■■...1i 1 HHKI.■■■■■■■■: � .. .■■:■■:■■■■■:■ ■ .n■■ ■■■■■■■■■■ - -- .RI..:.■■=.■..0 .... :■.■ 1.■■■ NO—l�l.WeIrM■■■■■ a 11 �r t1�:■■■l ORSE o■•■■■::■■■■ ■■11IJ "��■1 ■t®■� VAN ■■■:■■■■■■■■■ irl�Tiri i iliili iriuii ■ril■■ None MOMMEME EMEMEMMIN MENEM Agent or Applicant Printed Name � F Signature Please read compliance statement on back of permit _ fi si Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration 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 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 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/ 1-888ARCOAST 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 ADJACENT RIPARIAN PROPERTYO«'NER STATEMENT (FOR A PIERlLIOORIIVG PILLN'GSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent toi 's (Name of Proper.- O-. ner) property located ate, (Lot, Block, Road, etc.) on ,in , N.C. (Vat od}•) ( o�t•n andlt�r Caunt}') He has described to nee, as shown below, the develownent he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings boatli fLboatnouse must be set back a minimum distance of fifteen feet (i Y) from my area of riparian acres, unless waived by me. I do not wish to waive the setback requirement. I do %wish to --vaive that setback requirement. '--------------------•--------•---..-------------'-- DESCRIPTION AND/OR DRAWI.,NG OF PROPOSED DENTL.OPAIEiNT, (To be filled M bl• indbidual proposbig dei-eloparerit) d - � o 1-1 F -------- ------ AU 4 He A � -•---------• (r� — ---------•--------------------- - •------------ --------------------------- tgnature *Pn Typ�1-4 e 7.1 �YtZ� Tele Date: Q Jun 10, 09 0315p Audrey ARNOLD 252-726-301 S p. 6 ADJACLiNT RIPAPJAN PROPERTY OWNER STATE:N.IENT (FOR rt PIER lr11dORItVG !'ILIN�"iS/BDr� TL'tFrl,�Qii I hereby certify that I own property adjacent to (Marne of Property QIN nsr) property located at . 1 L' (Lot) 810ck4 Road, etc.) on in (1•Y erbvdv) { o�►•n aatllot'�ou�i3-) lie has described to Me, y; sho%vn bCj0%%•, the development he is pr4p05209,rat that loca,ion, and, I have no objections to his proposal. I understand that a pier/mooring pi l ings'boattr l�„'l�asr�cattsc must be set back a minirotim distance of fifteen feet from my area of ripacigrt access untcss %waived Say me. - - I @ not evish ttt tit•aive the setback m0irement_ f da 'wish to waivc that setback- requirement. bESC�t3P'�`I{?t S�'Iti�~_..---------------------.. -•----•-..._.._..__.__-_._. -- AI�Ult3it 1?R.A or PROPOSED AENTL.OPIMENT, (To Ge filled ire 1��• i�rcli��fdutrtproposiag rtei�FlGpitr�rrt} t'd FX 15, 7- 4 pG � j,ofL�%Pt�� tye)e G11, /e- h4 e-,4d .......... ----------------- ------ - -----•------------- Print ar Type*ame 33�,l�U— 0£� Tciephone R'umbcr Cate; Jun 10 09 0314p Audrey ARNOLD un 1C,C9 1f"IPM F,MY Grraven 252-726-3018 p.3 'i3i,r1E?r 2ehJ9 1 e�& 252)1'26s'II ar, i s tag arc : 0?r6? ,(,poip.artf'F"r/M0.sr"cap t hef4ty �Cfti jr *41 I pm'paxty sig+ ra (Kar"41 of property rasax pmper.y kcatod wr ,a --j'l .�. (T,6,Avn s udior �auasRa'i Se hu de:criw ao rat, 0 as oo"T, below, the eA,;vr ItxpMrmt he it propol;r'$ apt +tijt �'uc:z;�r., and, Ihave. t��+��C�m�k6oEsaw�r�7pos4l�,.�sxr> rY+xaMrs�c°+a�t�pa�i,ar'rta�soaBrt�Iri4ars�a'�+�,tEiPLt�n�a�catsa:e must be sec any§: (i 5') now Itky srara of rIporia-A mreec:a uak" wad+nrt4 by Mac t q nit Iwish to `mvt Iht wrzhmqu;rcmal. gr� wjark %* A•4iya that wrtt*& r&gvimmecat. DIESC t.iMON AA)WOR I)AWK'ING.OAF' PROPOSED I?Ir'�'E3.OF'ih:'Etiis (To 49 flU f 19 & IGa�Pdvd t�rr� erYe��es � afrrralaprxca� t �1 3 v L» A 1 #-&rjScd /V 7r 40X* Ilk 5i�sgsaron �t ii t1iM or � N�ts'fe A, 1.. Trtc�fYauae Nt�asiisr """' �.� �tt Jun IQ 09 Oa-24p Audrey ARNOLD 252-726-3018 p.d ADJACEN, T RIPAMAN PROPER/ Y OWNER STATEMENT (FOR A MEA4WOR{R' G PIL M9.51BOATUFTIBOA WO USE) ' t I hereby certify that I own property adjacent to 's Ni ame of Property 4-wner) property located at i (Lot, dock, road, etc.) on � . � in , KC. f'E*�' erbadti-} own and/or County) He has described to me, as shotvn below, the devttopment he is proposing at that location, and, I have no objecti*as to his proposal, I undsrs�tand that apictimooringpilingsboattifLItxo ithouse must be sec back a minimum distance of fiFtcon fee (i 5') from my area of riparian access unless waived by nit. I net'wish so waive the setback requicernent. I coo wish to waive that setback regvirement. i --------- D£SCRIMO AND/OR DlAWUNG OF PROPOSED DEVELOPMENT: ---- (io lie filled in 6), indil4duul proposing development) xl�r7r FXi7 CSC WA Wh y cAd ............. •--------..-- ---------«.—_- - - - - - - - - •---- •--•-------•-- ---- -- Si zre L L Print or.Type Name TrtephOne h'ura6er t LG ARNOLD DOCKS & SEAWALLS 1313 RR-112/531 2779 MILL CREEK RD NEWPORT, NC 26570 PH. 252-241-2636 "� b 6 I...rny Dl. 11.. 4-44 GSC t BeN.", . BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com i9llmD 1:053 10112 11:0005 295798 113 3 "o. MONITORING &COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE' S NAME: yv�p s of' ePERMIT # �tl`I�C LOCATION: 2zo !JI`_ FIELD REP. 1121.11from DATE OF INSPECTION % I S lot MONITORED BY� DATE REPORTEDLY COMPLETE: 45 G i 1) Do th easured dimensions of the development differ from those indicated in the permit and workplat? YES/[circle one]. COMMENT: 2) SEDIMENTATI EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? S NO [circle one] COMMENT: 3) FUTURE MON11TORING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YES �Jlo [circle one]. COMMENT: CU � 011 t