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Home My WebLink About50648_OLDMAN, JAMES_20080408❑ CAMA / e'i) DREDGE &FILL ' ' ' 0 GENERAL 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 I SA NCAC ❑ Rules attached. i Applicant Name N- _ 1i ,4 .,n , ^ Project Location: County j Address Street Address/ State Road/ Lot #(s) City - State ZIP Phone # (ii�# Fax # O Authorized Agent %. ❑ CW El EW D PTA ❑ ES ❑ PTS Affected OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Subdivision CityZIP Phone # O River Basin Adj. Wtr. Body _ 1nat /man /unkn) Closest Maj. Wtr. Body ■■■■■■■ N■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■■■EEMMINMM■■■■■■■■■■■■■■■■■■ •...: . • ■■■■■■■■■■■■■■■■■■■■■■■■■■OMEN■■■■■■■■■ OOMNM■MOBS■■MENN■■O■111�N■E!�OE■O■■ ■M iEEE MMEE..wo i WRO:EGiN iMi■N■ OM�..•- ■NMENNE■■ MEN ■■■N■■■■■■■NM■MOMMMM�N■■NN ■■=e■■■■■■■�ii■i ■■NON■■■M■■■■■m■M�i�M■MMNIMEM ■■■■E■NNNM■N■M■■■E■N■NNN■■■■■■■■■NN■NNNN EBEENME NOEON00 ONE MMEMNMMKE■NEE■ M■EEMi ■■■■■ ■■■.. . .. . ■MENNEN .■■■. IN IN ■■■■ ■■M■■■.■..■■■■.■.l■■■■■:=oE■■ .mom N■■■..■■■N■■■.■■■■..■■■.i■■■■. ■ N■NMMEN EEE■INN■INN■N■■NN mI■■■■■■B■■E ■NBINNE■■■■■N■O■Eli■OEO�I'�►.:�N�INNNEENN■ ■N■■NM ENE N■■■1�■■■E■ 0EN�!M■N■■ENN■■ ■EEEONE NBENE NE■Si■E�'iF201 MMEMMMMBEEM MINION■ ■EIN immimimiMN ■■■■■■0 ■■■■■■■■■■■■■ MOON=NNO/Eem ME ■MEMN■NN■NwNNNN ■��'�EM■MM■■MMIiNE■■NNNNw�a�■8�-,FEED . Midi N■■OEM ■■■■m■■■■■��E■�E■ =� ■ I�, F .._M-EE■■ �EE�■t'1ri_.EMMirii c �``1��ii■ ■M0EEt7BriiliiMEEE ENMERIMM Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit 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 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 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 04- 0-1 �,i1W'; 1•1:40 P� �19,a340843 DR JOIES A OLDR.Mvi DDS PA z Cwl"OU1 �uua i4. urr ��:.9 474t{b D4VIP T'-IFNEF' FAGS 02 qF ..,.e:e-100e I I .31 t,P- Oi-IOPE-L I f-iL MAR XNS r_.Ot4ST. I -�Ikz -3`—f-+7nXa a.e;, A VRX FONINIM North Coarrolina 1. epa tm@nt of Environment and Velure, ��s�li rep Division of Coastal Managern$M ,Ije�e01 c 9ee10y raad#t W chafiss & Jones, Oiractor %%Iam G Rou J, Dare ''4 1r Applicant Nsmc J#Aes NJAAm l aillLteg Address r' / Co 0�'W.el OVA, ; 2 1 eertiN beat 1 hart auChurized (agent) � 06kft o e0.0 16 act on Auv behalf, for the purposz of apphi,n for -and Obtatniug at6 LAMA Permits uecnaar}; rn i•rstail for e4fistruct (aetivity) at (10antion),� This certiAtntion is valid4hiv4d0e) t % Ah Carnrne'rce Avenue. Morehead North Carolina 285K7 Pr' m 2Q-808-2WS 1 FAX, 252-247-3330! k,t8mev worn ^=miaimanecemem.re; A, �g;i Opcnimffy', OM R% A 4xir, i lr.O.0 x - ,X% ! 10% Pow C>>a n+er pmet CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for the permit: J ,J • 0 LD Address of property:5d 0 A 0 6-uE 5OL/.,JD DR (Lot or street#, street of road) igIq ALA lS tom, Al c- Mailing address: a- D o/ f-/S/-J 62;)Lwe r- x 5 -7-7 (City & County) Phone number you can be reached at Z- 5Z te 4 3 21 :_ I hereby certify the I own property adjacent to the above referenced property. The Individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing. A description or drawing, with dimensions, should be provided whit this letter. /0 I have no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. No response is considered the same as no objection if you have been notified by Certified Mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags must be set back a minimum distance of 15' From my area of riprap access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) / 0S I do wish to waive the 15' setback requirement I do not wish to waive the 15" setback requirements a IZZI2609 Signature If Date Print Name 1q KgV-3225 Telephone number with area code www.necoastalmanagement.net/Permits/RiparianSetbackWaiver.pdf ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to JqA&tS v 1 dAA,, ^. 's c (Name of Property Owner) property located at J (� o� � , / Address, -Lot, Block, Road, etc.), i n 0( V on (Watedy) N.C. rbo (Town and/or County) , He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, I have no objections to his Proposal. ikt Gicye 1 ;APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED Tw 4 OF E,er9,(415 le Signature Print or Type Name (012)31'q-3924 Telephone Number Date Prof>sed (4b.dd d�6cK I �o' v NO 03 3L� (5tGqx G -5ocol> 4)R isle, Ac. 21?5141 ry �j z 5; /4) 9/C--- "1 1 "><, 25 / --)D 9/cl WIT Boot/21/Ep va saq NVEGIO v SiNvP act YYJ TO:51 8k)l)7, i, SHORELINE PIERS & BOATLIFTS INC. J 0L 6462 DBA SHORELINE MARINE CONST 252-646-3212 ASHLEY BROOKS NCDL 7666496 66-21/530 580 PEARSON CR BRANCH T7614 NEWPORT, NC 28570 DATE PAY TO THE A�G��2 ORDER OF I QO� DOLLARS 1 it WACHOvta Wachovia Bank, N.A. wachWa.com h: r: FOR— %lpt :! II'0064 11' 1:0530002L91:2054670025579n■ ..:. . SHORELINE PIERS & BOATLIFTS INC.�5 6459 DBA SHORELINE MARINE CONST 252-646-3212 �� ✓ 66-21/530 ASHLEY BROOKS NCDL 7666496 j BRANCH T7614 NEW PORT, NC 28570 tilU rj DATE PAY TO THE ��///I ((`/ ORDER OF s '?6D �— I I l�l Lt J WACHOvia Wachovia Bank, N.A. cool FOR A4-1 �I'G y ✓� `'14W6 II■00�45911' 1:0 30002L91:205467002557 II■