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Home My WebLink About50667_SMITH, TERRANCE_20080327❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue El 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�� D Rules attached. Applicant Name t Address City State ZIP Phone # O Fax # O Authorized Agent ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected AEC(s): ElOEA ❑ HHF ElIH ❑ 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 - - _ -.. • ... - : ... M. • - MON ■■■■■■■■■■■■�s■■■�■■rrs��t�■+�■■■ ■■ ®■■■CAI\■■■/i■■■■!i1�Al�i■■�1�!!�1■�t�■■ ■■■■■■ 1e�1�i!_l■■�i�3lli!\1yl�a�■I� i � �■■■■t\■I�■■■■/I■7\i"I■i'�i■�'llpt��Dl�i?��►^�9.�iL�i,G iG �m.•III��I,��I�rpi�I� ■■■�1t!■�iill�J■■■■�►]■■■i■!� ■■ ME ® �moll No EMIMEWAINUMBE ■■ram■ ■�e�,��■■■■■.�,a��■■■�r■nr■■■■t■■■ ■CiN■■■■L.��■{nab■■■■■■■ ■��■■C...■LEI■■�1 �.■■■■■■ ■■■■ate■■■� r.�Unm■�� OR C■■■■■■■■�■1 ■■■■ii[9i®�19■/�%�■■■!■■■■!■■tit�'�1i■■i/!�t�!ll�ll�tltat' ■NONE! ■■■UM■.MM■.■.■■■.''■.■....1��3iE\tt�ll�ti' ■■■■■■.■■■r■■■ - ■■■■\]i/■!■�: :ii.=said■■■■■■■■■■�!�7\i�■L►`�.:31.�i: ■■■■■■■■■■/r�■■��:i■■■■■■■■■■�■■■lw!NN■■ ■■■■�� i17��w��®�■ ■■■■■�i�(i■r:■■■■■ ■■■■■■■ca■■■■ 'l Will ■■■■■■■rsM■■F■�mr■■ ■ ■ �� ■�■■lt UMIN � !i � ■■�iti■1�1■■i�■■■■%1�1■lWAN-010 ■■ ■■■■■■■■■■■■��, Agent or Applicant Printed Nan4:I " Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature �t5•'" 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 landowners). 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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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/ 1-888-4RCOAST 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PI LI NGS(BOATLI FT/BOATHOUSE) 1 hereby certify that I own property adjacent to (Nam Property Owner) property Iocated at�C ) f' T; '�r- . Lot, Block, Road etc. on cd�jjF C t.G�E.��j C� in �f (Water body) (Town County) N.C. H e has descri bed to me, as shown below, the devel opmeit he i s proposi ng at that I ocati on, and, I have no obj ect i ons to hi s proposal . I understand that a pi er/mooring pi I i ngslboatl if t/boEthouse must be set back a minimum distance of fifteen feet (15') from my area of,ri ces unj, sw waived by me. I do not wish to waive the setback requirement. MAR I1()$ I do wish to waive that setback requirement. MOr@hoQo City DCM - ---------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT; (To befiIIed in by individual proposing development) Applicant Information) J -70 ��' Jam' M�Ii ng Address % (/ C/ City/State/Zip Tel one Number --16�)`� Date (Riparian Property Owner Information) ,Signature Kl lA W 1 l li S Print or Type Name -1�'k - lul Telephone Number �3- IU -0 Date i i MAR 1 1 2008 Morehead City DC -i- z ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS✓BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to zo jy z&/? property located at �P& (Name of Property owner) (Lot, Block, Road, etc.) ? '7 �f �� on G �� -t�S /'Lin ,N.C. (Waterbody) (Town d/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. I do wish to waive that setback requirement. --- ---------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Applicant Information) Mai -ling Address City/State/Zip - --7-2-S-- Telephone Number Date j"" MAR 1 1 2008 Morehead City ®CM (Riparian Pr sty U 5,jraormaxi Signature Print or Type Name 7L Telephone Number Date OTI WR PERMITS MAYBE REQUIRED: The activity you are planning may require permits other than the CAMA minor development permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with your LPO to determine if any of these apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treat- ment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune. Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others. STATEMENT OF OWNERSHIP: I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person listed as landowner on this application has a significant interest in the real property described therein. This interest can be described as: (check one) �/.an owner or record tjtlp, T page in the /HIV 1 vested � L r �� ; see De 01M..s� �^� -. County Registry of Deeds. k an owner by virtue of inheritance. Applicant is an heir to the estate of probate was in County. if other interest, such as written contract or lease, explain below or use a separate sheet V�itie+ NOTIFICATION OF ADJACENT PROPERTY OWNERS: I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (1) (2) (3) - -- -- - - — (4) -- - - -- - - --- FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS: 5_i I acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing techniques. PERMISSION TO ENTER ON LAND: I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. This application includes: general information (this form), a site drawing as described on the back of this application, the ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any information as may be provided orally by the applicant. The details of the application as described by these sources are incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action. This the day of. . 20 Landowner or person authorized to act as his agent for t)umose of filing a CAMA hermit application. SITE DRAWING/APPLICATION CHECKLIST Please make sure your site drawing includes the following information required for a CAMA minor development permit. The drawing may be simple and not necessarily to scale. The Local Permit Officer will help you, if requested. PHYSICAL DIMENSIONS Label roads Label highways right-of-ways Label local setback lines Label any and all structures and driveways currently existing on property PHYSICAL CHARACTERISTICS Draw and label mean high water mark Draw location of on -site wastewater system If you will be working in the ocean hazard area: Draw and label dune ridges (note height) Draw and label toe of dune Identify and locate first line of stable vegetation Draw and label setback line under CAMA Draw and label topographical features (optional) If you will be working in an estuarine shoreline area: Draw and label landward limit of AEC Describe terrain (slope) DEVELOPMENT PLANS Draw and label areas that will be disturbed If a house is to be placed on lot, describe location of house Note size of piling and depth to be placed in ground Draw and label all areas to be paved or graveled Describe composition of surface Note and list fully all trees and vegetation to be removed or relocated Show landscaping NOTE TO APPLICANT Have you: • completed all blanks and/or indicated if not applicable? • notified and listed adjacent property owners? • included your site drawing? • signed both application and statement of ownership? • enclosed the $100.00 fee? • completed an AEC Hazard Notice, if necessary? FOR STAFF USE Site Notice Posted Final Inspection Fee Received - Site Inspections 9:x MAR Date of Action: Issued Exempted Denied Appeal Deadline (20 days) p9Tzr, M, J, CW, it c 4 , jt� MAR I J 2008 M-PrOhoad City DGM Locality Permit Number Ocean Hazard Estuarine Shoreline GENERAL INFORMATION LAND OWNER � Name C� �� 1 Address _ ORW Shoreline Public This i_ Other (For official use only) MAR 1 2008 Wreheau G1 v <-� � Phone City State „ Zip AUTHORIZED AWV /f Name �— Address city ��8r/ �S Y State �� Zip l Phone LOCATION OF PROJECT: (Address, street name and/or directionmt;ite If not oceanfront, what is the name of the adjacent waterbody. S`o� —�✓ --- -- / DESCRIPTION OF P OJECT: List all pro posed construction d land disturbance.) o(9 it< / �� 9 zi` ; - -- — -- --- SIZE OF LOT/PARCEL: 3 //4e/e Square feet acres PROPOSED USE: Residential :�(Single-family Multi -family ) Commercial/Industrial Other .-.--- TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON- MENTAL CONCERN (AEC): square feet (includes all floors and roof covered decks) SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC)` square feet (Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios, etc., that are within the applicable AEC. Attach your calculations with the project drawing .) Ch the AEC area that applies to your property: tithin 75 feet of Normal High Water for the Estuarine Shoreline AEC within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters (3)within 30 feet of the Public Trust Shoreline AEC (Contact your Local Permit Officer if you are not sure which AEC applies to your property.) STATE STORMWAT MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater Management Permit i ued by the NC Division of Water Quality? YES NO CHADWICK TIRE CO., INC. 688 HWY. 70 E. OTWAY BEAUFORT, NC 28516 PH: (252) 728-6960 16844 SOUND BANK 66-1246/531 ._- - ----- _ - --�- DATE MOUNT 4� PAY TO THE ORDER��'-'(�� OF A U T H O R I Z E D S I G NATURE SECURITY FEATURES INCLUDED. DETAILS ON BACK. „■p L6844n■ 1:053 11 24661: 000 12 14 2no