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Home My WebLink About50149_KLEMIC, JAMES_20080214No ❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New ElModification ❑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 0 Rules attached. . Applicant Name Project Location: County C Address 4 ,_ � ` + 1 _� Street Address/ State Road/ Lot #(s) City State ZIP -\- Phone # (J) Fax # () Authorized Agent Affected 0 Cw AEC(s): OEA ❑ PWS: ORW: yes / no ❑ EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no DES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ■■■■■■■■■■■■■■M■EMEMME■ .■MEN ■ ■■■®9i®M■■■MMei■EMMEMEM■■EME■■■■■■■ _■■■■■■■■■■MEMOMM■NWOMM■ ■fir ME OWN MEN ■■■E■EM • ...MENNEOM . M. ■ ■■■E■ME■■■■■■■M■MEEM■M■M■■ti■■ME■■■■■ �C'�i�E■■■■■■■■■■■■E■■E■ Y��■■■��■ ■■■■■ESE/f��i�■■■■un", a119A.W012=��.i� ■■EEMMiGiMi'JfiMM■■El■■IiE■■■■M■■■■MMEM■EM■ MEN SOMEONE ■ MEMEEE■M■�■■M■EEE■ ■■■OME■OMM■MMEE(N ■■■■■■■■■MM■■■�■iili>r■■■■■■■■■■MEM■■ MEN ■■■M■■■■■■■MM■■■■■■■■E■■■■■fE■�iSEEM ■■ OMEN ■■■E■■■E■■EN i■■■i■■■■■M■SEC InME■■■■■EM■MMMMEME 0MOMMEMEN ■■■ JIMEMEEMM1.3mom■■N■EMEEMMEM■■ !■■MM■■MM■■■MEE■EE■E■MMWQEM■■ME■■ ME■■E■■MMMME■MME■lMME■■MEMEM ir.M■EM■■■MM■■■MEARN MM 0 NiiOME■UM MEEEMMMMEM■EM■■r fjgent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # F; PermitOfficer's Signature Issuing Date Local Planning Jurisdiction Expiration Date 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 f I. 0 �3 G A* Notch Garohii@ Department of Environment and Nat -Ural Resources Divislu toll coasta$ managsMen Michael F, Sssle:y, Govemor Chars S. Jones, Direclu William G, Boss Jr 0 DFzo 1�-- FEB 1 2 Z008 m®ralleac City DCM I' a�tt>ra � e v ens l R o c-K Psjq �1r1 UI. 5-Y A F76�/� 111tC N 14 9 a a t�c- cartti-.,� ,gnat] have autbor:zed (agentrVaL ,,,&_ _M--gr-I'( hebalf, nor tie pu rpo5c of applying for and obtaining all CAS Permits JaetessaaYy t,* aIRkall 4X C��19t9"GAei � Ct3'trR � +'' . L.vu�! i ��BAT L' M-1 cevt* hcwtjon as -eat,,�A dire (date) S�gxaa�nnve •--•-- � � «o� - - - 1 t A t T) it i r G' r�i'� '�• '' _ a- I 'r r y 77'1 z/ r ,Jti..A—t aa-i_::��L'i Jii� .� s�.�'1r1!� �.%YY�jf-► tiTi'��..i.� �Lr;,�.j�� (FO.? A NER/L NC-0 ✓ZER D PCA1 L r17) property- Iccated at g) q ,4 r.� pt 14 L (Ii-oc, Block, Road, etc.) On GVE rb�d�,v)�� ir; o� andi�u�� r -z cri yj He has descnbo:d to mc' shv�•�'n bele,�, the deye:cp:-rent he. is propcsina a, t.}a.c lc�catior, and, I h2vG no ooj�:cions to his procos;Ll, I. understand Ihac a pieriuncuvered boat Zli- must be sat back a minimum distant-- of rlr=:1 feet (,j') tron myjarea of npanari access utlfes; waived by me. I I MINED I dodo aot wish to waive the setbaci� re wire rent. I wisi7 to waive [hat seWac!t reQuirene Zt. DF•SORYPTTQ A`v- D-F v ; G OF PRO POSED (To be f N ' fal1 �GM 1 . Trposzn,; deveLapmezi) i I i Si, a�uc� Print, or Type j;y1e Tei>phone Number s _ �1 X' U Y� (Fn� A T'iEaJU1Yr'v1iED ,OA)7,61FT � I r�irt i G.i u 1 J i a"wn prat)trt;l arjiac4rt to properr lccared at on (LQt, Black, Road, err.) aaU-E 56Q14 it � t FVVatertody) (?ovFm andiorl.County) N. C. He hzz des;.ribed tp cne, si�v�.�'n beiG�, Che deue.'cp-:ent he is propcsir.� a; L a.: location, and, I have no obj bons to his ptoc�osal. 1 understand ghat a pieri uncovered boat ijj; must be s,-r back a minimum disarc- of cif=n feet (lj j from mfiarea of iparian ac:ess u[1les; waived by me. .7 1 do aot wi:h to waive the se back t� uirernent. V I do wis,7 to waive that setback re ULM-nlejc. DFSCP-=ON ANCDAd ( `TIN G OF PR() POSZDI D VELOPNj=-,i"r. (�o be fzd ' i _ Mpuz-1n; deve bpme,-a) - . ��Vil FEB 12 �d08 ----Ity DCP4 S i; n antra Print or Tyw, Aisle Tz-ieph0nz INurnc r FRONT OF THE DOCUMENT HAS A MICRO -PRINT AMOUNT 80% AND THERMOCHROM(C. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. 7S-53 THE ISSUING AGENT moneyGram. .'A Money Orders 919 fe-v INTERNATIONAL MONEY ORDER GO _pAy ONkyj"l$ AMQYN_TV__T- PAY To THE Y ORDER OF:/ -7 li_'A X`� PAGAR A CA ORDEN D IMPORTANT SEE BACK Litt -ORE CASHING -7 f . .... .... . . Co CoPURCHASER, &XPRIDOR RADOR PURCHASER, SIGNER FOR DRAWER7 By SIGNING YOU AGREE TO THE SERVICE CHARGE AND C)Tliii TERMS ON THE REVERSE SIDE -J 'j -1 CERTIFICATE. RECIPIENT MONEY ORDER: ADDRESS I UH-I LtK Payable Through ISSUERIORAWER.- W N� Bank MONEYGRAM PAYMENT SYSTEMS, INC, 0 TO AUTHENTICATE RUB CIRCLE PARA AUTENTICAR FIESTREGAR EL CiRCULO C entral South Central Faribault, MN 1: C) q 19005 3 3 12 0 9 8 90