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Home My WebLink About47140_NEWSOME, WILLIAM_20061221r I /2 -,�27-0 .� -:CAMA / DREDGE & FILL GENERAL PERMIT Previous permit # L_'New !Modification Complete Reissue ❑Partial Reissue Date previous permi issu d ' 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 ' Rules a ched. Applicant Name_ — Project Location: County _ - Address t / / _— _ Street Address/ State Road/ Lot #(s) State ZIP Phone # O Fax # O Subdivision Authorized Agent ' ' / City __ -i ZIP :3 CW EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) _ River Basin Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body _ _ , d (nat /man /unkn) Closest Maj. Wtr. Body ORW: yes / no 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 no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions (Scale: /,-/ i f ) I L_ See note on back regarding River Basin rules. Agent or Applicant Printed Name Permit Officer's Signature Issuing Date / Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Expiration Date Rover File Name Local Planning Jurisdiction 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: I Tar - Pamlico River Basin Buffer Rules Other: _I 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 Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 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) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 06/29/05 ADJACENT RIPARIAN PROPERTY OWNER ST4 I hereby certify that I own property adjacent to (Name of Property Owner) property located at p (Lot, Block, Road, on _ �;.2�p� ` , N.C. (Waterbody) (Town and/or Co ty) He has describers to me as shown below, the deg elopment he is proposing at that location, . and, I have no coons o his proposal. S--- ------------------------------------------------------------- -- -------- DESCRIPTION AND/OR DRANVCL G OF PROPOSED DEVELOPMENT i ------------------------------------------�---- �A'y lit < ,� --- I.A>4 L Signature / ?,Aee 5 , [t t)a Pnnt o, Type hank - M-) - &60 Tplonhone.Number p V Ate,; ACEN RT_ciA/d N PROPERTY OWNEER STATN NT 2 rho 4' I hereby certify that I own property adjacent to (Name of Property Owner) property located at ;��•� (Lot, Block, Road, etc.) on &► U CN , in N.C. ( r'�aterbody) _ (Town an.d/or Cou y) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. ------------ ------?C�'G - - -- -------------------------------------- I.�: DESCRIPTION A?-D/OR DRATO-FPROP ED DEVELOP,\IENT t• (To befilled in bti• �rdc►•idclal prNoposu7 de► dopmem) / i l �r it [ r (; r � 0 LI.,V if----------------------------------------------- - r —r i 1 1 _ � I ----------- - -----------------`------------------410 1 l Signature Print o; Type Narril i ' T�l��nhone t�'umber ONN.101!0- rftLRV� NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary Date Applicant Name-�� Mailing Address I certify that I have authorized (agent) _ LLi�' ="i to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) `p,�i� at (location) This certification is valid thru (date) Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-3330 \ Internet: www,nccoastalmanagQment.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper HERMAN CURTIS GILLIKIN NCDL 2369236 Ph 252-504-6269 1176 Harkers Island Rd Beaufort, NC 28516 0 WACHovi, Wach-ja Bank, N.A. wadwvla.mm 30002191:10100132525327++� i630 rvu / LIBERT4 do 1630 66-21/530 BRANCH 775a5 �9%,2?.� '--- DATE $ o9,mo, � DOLLARS t � . o�