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48440_MARSHBURN, BEN_20070430
5-� -O'1 ❑CAMA / D DREDGE & FILL GENIERAL PERMIT /atural E)New ❑Modification ❑Complete Reissue ❑Partial ReiAs authorized by the State of North Carolina, Department of Environment andources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Applicant Name !� / f -'-' >' Project Location: County Address City Phone # O_ Authorized Agent Affected Cw AEC(s): LJ OEA ❑ PWS: ORW: yes / no State `r ZIP 1 7 1 Fax # ( ) ❑ EW O PTA D ES ❑ PTS ❑ HHF ❑ IH ❑ UBA D N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes no Sandbags: not sure yes J no Moratorium: n/a yes no Photos: yes no i _ Waiver Attached: yes � - ---- A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on backof permit Application Fee(s) Check # i Previous permit # Date previous per, Street Address/ State Road/ Lot #(sly Subdivision City lI 4" ZIP ' f Phone # ( ) River B7 �j�, , r� �: Adj. Wtr. Body i U r , natd?"L, man unkn Closest Maj. Wtr. Body (Scale;,,A_>' I '; e j ❑ See note on back regarding River Basin rules. Permit Officer's Signature / f Issuing Date Expiration Date 14 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, certifythat 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 North Carolina Michael F. Easley, Governor Date J�y NCDENR Department of Environment and Natural Resources Division of Coastal Management Charles S. Jones, Director William G. Ross Jr., Secretary Applicant Name C.IJ i�'�C%�'� ��ll�7y Mailing Address�� -� Ql�t,,7�0,r 4 CA -! 2 & 2 A I certify that I have authorized (agent) ► v 1. I- � N 0 Z act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) C' at (location) ^JA " This certification is valid thru (date) / 1;L —y '-%- Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-3330 \ Intemet: www.nccoastaimanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper ALJAA—riv 1 I-UrAK1A1N YKUl'KK l Y U WAJUAk a'l'A 1'E1Y1EN l' (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 3Vt4 41�k CCU s1-1 's (Name of Property Owner or Applicant) Mailing address if different from location address (town, state and zip) ✓4< - g _ phone numbers you can be reached at property located at 1 to I C,V'f"L L �L V/ � e a'_� (Lot, Block, Road, etc.) on fir^ —in (� �� , N.C. (Waterbody) (Town and/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. initials I do wish to waive that setback requirement. initials DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be f lled in by individual proposing development) --------------------------------------------------------------- -------------------------- Si gnature Print or Type Name Telephone Number Date: 4 ;2 - I L 62 www. nccoas taimanagement. neVPermi is/ADJACENTRIPARIANPROPERTYO WNERSTATEMHNT. Ddf r�LJ t',L.L' 1�1 1 ltl.t'A1�lAly rxuY�iK 1 Y V YV IV.t!�K `a l A 1 �:1Vil{.IV l (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent toy 2✓ (/tl L t, 6-Li r,o s (Name of Property Owner or Applicant) Mailing address if different from location address l3v oZ a t zi--- (town, state and zip) _ IXAA U"'14 E N L -;— C? 51. � phone numbers you can be reached at �( �t �l o property located at ( (p ( L t^.� Z 14 o V f-- Ne— z ss 536 (Lot, Block, Road, etc,) on lJ ;48�, C V-c-c/t1 , in l—G�✓ �' - � N.C. (Waterbody) (Town and/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. gals I do wish to waive that setback requirement. in DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) woad���,�Nl �dZel 1s` l � 5- ------------------------------------------ I� ------------------------------- Signature r Print or Tye Name %off -al � b3o � Telephone Number Date: www. nccoastalm anagement. net/Periniis/ADJACENTRIPARIANPROPERTYO WNERSTATEMENT. t)df �q ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to & VPr Q r u ti 's f f fi (Name of Property Owner) property located at " 1 C r P K kol 7 (Lot, Block, Road, etc.) on Lo e(ret'�/�� ��c k� , in re!!F -le �o � k , N.C. (Waterbody) (Town and/or CountyJ He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOMENT_ (To be filled in by individual proposing development) MOrehead h e ---------- -- ---------------------------------------- Signature Print or Type Name 4N Av "a-s oil n,.1 f✓iCA-SO I"7 ;.4 a 0 Telephone Number S Z) -7 Z P_ 7,33 5 Date: �J ©� ��LJ Ak—k iN I AIYAAIAIN 1Y1tV1'rjlt 1 Y V YY 1VLK "!,I A I ENIEN I (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to �Z�Z040,, -54 6 or,j 'S (Name of Property Owner or Applicant) Mailing address if different from location address 1 • 0, Pi v X a. D I --.- (town, state and zip) o {4- d phone numbers you can be reached at t(i �. �{o a-:4 -3-0 property located at (D ( t/ L d5;?:: �r (Lot, Block, Road, etc.) on IL �rM !) Lyy , in N.G. (Waterbody) (Town and/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/bcatllft boathOList 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. initials I do wish to waive that setback requirement. initials - - - - - - ----------------------------------------------------------------------------------------Y 0C DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To befilled in by individual proposing development) d14 / '`i- q5` 16� I � ------------------------------------------------------------------- - -- ------------------------------------------ Signature 69�� o AA, A— 1-4 �1 Print or TypeName z5Z- .SO Telephone Number Date: www. nccoastalmanagement.netRermits/AD3 ACENTRIPARIANPROPERTYO WNERSTATENENT. t)df CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for the permit: Address of property: ( tO 1 C rt-t'�� (Lot or street#, street of road) (city & county) 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. - -OKI 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 , 0CM 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 riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement I do not wish to waive the 15" setback requirements Signature Date Print Name Telephone number with area code �L� rat LJv 1 lurtitcl Div rl<�r�tt l Y V VY iNLI,( N I A I LML. N I (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 's (Name of Property Owner or Applicant) Mailing address if different from location address_ (town, state and zip) j-De a --%A 1)V+P e_ SfS1-h 1. phone numbers you can be reached at qq4 property located at _ /(p j (.Y-e -G jC- (Lot, Block, Road, etc.) on -,in E-c,, N.C. (Waterbody) (Town and/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/hoathotise must be, set back a minimum distance of fifteen feet (15) from my area of riparian access unless waived by me. inivals initials I do not wish to waive the setback requirement. I do wish to waive that setback requirement � orQt,)�.d city? jDCM ------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ature CL Print or Type Name as,z-_ a_aV Telephone Number Date: www. nccoas talm a.nagernent. net/Permits/ADJACEN=ARIANPROPERTYO WNERSTATF-NMNT.I)df CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for the permit: 1�2 u e , �,j VLi ✓5� % ur,� Address of property: i (o l L vamp- k— (Z d, JSe 4.�4 o (Lot or street#, street of road) Mailing address: t-10 6 e'e ':z 6 /L r^ -/ IZ16 �' --/ A (City & County) Phone number you can be reached at 9 D 3 a 0 / 3 / �0 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. {� j y ✓' 41 4 ZI have no objections to this proposal q PR 0 3 200% If you have objections to what is being proposed, please write the Divisicp of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within1'ty DCA4 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.) I do wish to. waive the 15' setback requirement I do not wish to waive the 15" setback requirements Signature Date C�/ - e- /A Print Name Telephone number with area code t "J,A-, n1N 1 n1.C/- nIAIN t 1A`C11'EK i Y V VYINEK S IA l E'IVIL' N I - (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to e-b-ev -e ✓ i'l IM of ✓ (Name of Property Owner or Applicant) Mailing address if different from location address_ (town, state and zip) _ 6,e 41,4-A� Q i_ phone numbers you can be reached at�__� Y� property located at _—o C✓,e -p_ (Lot, Block, Road, etc.) on_ A rA t w-�eR/h , in L' �_ N.C. (Waterbody) (Town and/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/boatlif /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. initials u / I do wish to waive that setback requirement. MOrC e initialsad CiDCA4 ------------------------------------------------ ------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To befilled in by individual proposing development) 10 J`-e`11-L . 'SS ' 1 04- to Sign`amfe Gar <<� �- (- ,,►� D 4-e l e h Print or Type Name Telephone Number Date: --3 , / ; www.nccoastalmanagement.net/Permits/ADJACENTR PARIANPROPERTYOWNERSTATEiitENT.pdf t NOE CONSTRUCTION & SERVICES 972 HIGHWAY 101 BEAUFORT, NC 28516 (2.52) 728-3966 0 �v U -�C/ 120 4a n L LA 4 .r a�. CJ V V r 2 r�- WACNOVIA BANK BEAUFORT, NC 28516 66-21 /530 116002??F3o -,:0530002191:20546000447530■ 2776 $ ,:2d Cgs C