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Home My WebLink About51054_ELLER, CHAD_20070912❑CAMA / ZDREDGE & FILL y Za, a? GENUTAL PERMIT C}NeW ❑Modification ❑Complete Reissue El Partial Reissue 9-igo7/'9� 1 / v Previous permit # Date previous permit issued As authorizgd 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 QR"ules'attached. Applicant Name(_ kry- . Address } City - t't State ZIP Phone # () r— '`' Fax # ( ) Authorized Agent :(� Q^)k*--ffected ❑ CW ❑ EW ❑ PTA ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ 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 51054 CityZIP �? Phone # ( ) River Basin Adj. Wtr. Body, ( (V (, ,{) ; I r' 71 )1� i j' t`• nat man unkn Closest Maj. Wtr. Body Y . • . • - ■■■■■■■■■■■■■■■■■■■■■n■■■■■■■■■■■■■■■■■ ■■■■ ■■■■■■■■■■■■■■■■�!■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■ ■■■■ I■■■ ■■► IRL! ■i/■■■■■■■ ■.■1!■■■■■■■■■■■■■■.■��!■■■■■■l.■■■■■■■■.■. ■:\il■■■■■■■■■■■■■..■..1■■a®I1■■■■■■■■■■■■■ .-■■■■■m■.......■■MWEE■■,■■■■■■■■■■.■. ■■■■■■�■rye_a�l.."!��'n■�■iu�►�i!■■■■■■■■■■■■■■■■■■ ■ENO■■NEE ME■■■UM■■■■■■■®■■■:■■■ MENEM •■■■■■■W■■■■■■■■■■■■■■■�■■■■■■■EMENNEEM ■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■ ■ M■■ `rya: Agent or Applicant Printed Name n Signature �� Please re d complian statement on back of permit �� Application Fee(s) Check # PermitOfficer's Signature Issuing Da e ` Expiration Date Local Planning Jurisdiction Rover File Name al 4 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/ 1-888ARCOAST 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 TY, Ph- IL I IMCDENR Nosh Garoii -ia Department of Environment and Na.tura! Resources o,' Coastal: Pan-g-sment wlichaei F asle:y, Go�!emor Charles S. Jones, Director William G. Ross Jr., Secre� ",j Date � ' ;t D -0-7 C Applicant game 1°�aaR�a� .�tlRlress H C- P -Z 6 SS 1 certify that I have authorized (agent:) -fE�r--)661E w to act oft xn-.- EBB behalf, for the purpose e)f applying for and obtaining all CAMA Permits necessary to install or construct (activity-) lr-* at (location) This certification is - <al-d thru (date) 4� - :3 Signaturc dncc, -,ornt-ne..roe .Avenue; Morehead City, North Carolina 23557 Pi-,n,,ip )5;_?,�?,_ gi] ', Ln,;;. 252-247-3330 \ Internet: www,nccoastalmanagement.n^t CF _fit y 7. " '' ' a ' T�77 d '�' r; r-- — d.... _/� rp� J t' k _ . ri t Jt l_e� T f 1 i JL l T _ (FOR A PIER/UN�:OVERED BOAT LVIT I hereby ctir.Fy that I o4y,n propermy adiac:int to CC (-'~ knae of Property 0.77er ; (143t, Block, Road, etc.) y -. on I atj I(Y O f F CfliJ $L,Ln (Waterbody) - (TovFn a� for County) --'°'0, aC''R He has desc-ibed to rie, as shown below, the developr'pent tte is pror location and I have no obj Liens to his proposal. I undersund ghat a pier/ uncove:rerf boar must be set backa minimum distance or rzreen f--,, (I5') from my ja.rea or riparian a: waived by me. I do riot wish to waive the setback reQuirernenr. —�� I do ""-sh to waive tf;aC setback requirement. S�qk-s-jPr(-) DESCRLFIIDN AND/OR DRAwTiG OF PRO POSED; DE%ELOP?vEENT., (!n be )Wed in by individual proposing devel��pment) s 7— eLl Signature Ra h M Go- p E Print Jr Type Name -- - F} oAe 4CaCl 336- 769- T eiephone Numbtrr Date: - -� -20- _D 7 ._ R �j %'OP C _Pi{m! A t= L _ b �1 - (FOR A PIERIUIV COVERED BOAT 4IT-T) Z007 I hereby c.PrtiFy that I own, oroper-y, adiac_ent to -- (_tiisLmP of Propert 1 6 / (I-.-ot, Block, Road, etc.) (-VVaterbodv) - (Town and/orLounty) �--- He has desc-ibex; to me, a_s shown belo,,v, the deve!oprhent he is propcsin� a" location, and, I have no obj�--ticns to his proposal. I undersr-and 61 a pier/uncover--d boat must be set back a minimum distance of firm f= —r (15') from. my jarea or riparian a cess un; waived by me. I do riot wish to waive the se -back re;uiremen . I do Y"Ish to waive that setback recuiremen(5flarc L� ------- ----- -------------------------------------- --- DESCRLP ,:)-, —ND/OR DRAWD G OF PROPOSED DE- ELOP-?YM. -N-T; (-To be frlled in bv individual proposing devO)pment) -- P�L� �D Iq �a5 16 p Ll Sigrature eo y �I• NRG�✓ PC), ,yg6E,u Print or Type Name z sz - Sol,,; Teiephone Numb�pr Date: -73�;, WESTERNI IMONEV INTEGRATED !PAYMENT SYSTEMS, INC. • ISSUER UNION ORDER` Greenwood Village, Colorado 08-755290925 I82•-i:_:1 •-l•.l.�. i.'��J IJ-40/1021 H i t �i�' a % i .f'd { Q. �_t.. ,E •, . 5 08' 55'2 0922 1 LOCATION ili'J� 601 PAY EXACTLY FOUR HUNIDREED 13OLLARS AND NO CENTS PAY EXACTLY PAYY TO THE O T OF !1/ . jI_J G (/ PAYMENT FQR/ACCT, # f 5U RCHASER'S ADDRESS `E LLL xass. ass.. wR o Vfv _ PURCRIBER In, Y. AOREE M — 6 M 111E REVERSE 81DE. Western Union Monoy Order and Design Is a service mark of Western Union Holdings. IncJPayaole at Wells Fargo Bank Grand Juncllon - Downtown, N.A., Oren V ctlon, C .rad. a;<❑2�DO�,O❑i: LnnR?5529❑92Slu■ MONEY INTEGRAMPAYMEN SYSTEN-50M-l"w- Greenwood 'Village, Colorado 0 8 755290,942 82-4011021 I n'j, D—' 41 14'16 C---6 ..., - w L EXACTLY THE -SR OF E: PAYMENT FC)A/ACCT- # EALL C�- vm A -- TO TN! TEf1ME ON THE REVE0.5fi BIDEN.A., Grand Jll-- —1—W w.,,,.m Union Holdings, Inc./Payable .haftClank Grand Junction t 'S 29094 2 21" 1 :3 ? S -1 1- LOD 1.0