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Home My WebLink About57168_MAXWELL, SCOTT_20110322❑CAMA / ❑ DREDGE & FILL GENEfIAL PERMIT `�"� Previous permit# ❑New ❑Modification El 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 15A NCAC { Q Rules attached. {{ Applicant Name_ Address City Phone # O_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State Fax # ( ❑ EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no ZIP L7 ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision J City ZIP J / Phone # River Basin I -) L� Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body i Type of Project/ Activity Pier . • _- - ■■■l!i■L■■■■■■�'� sY �■I■■■Ifs■■■■■■■■■■■■■■■■■■ ■M■■■■■■■M�■N ■� ��Yi■� ■■■■■■■■�!f■■■■■ ■■■■■■■■■■■■��If0:7i■�!■H®■I�YI■■■■■l�■■�1■■ill■■■■ ■■■■■■■■■■■■■�I J■'fiblJ■kT111■■■■■■f■i�■■■�1■■■■■■ iw■RIFCi ■E®■■■■■1:�1■■f■■■li1■■■■■■►r■■■■■I■■■�1■l��J■ M. ®H■■®EE■® Ion ■:�■�®■®;: �:v� ��■��■■:■■■ WEIVOK ■� MEi■■■■EM■REi ■■■■■■■ ■■■i��.w■■■ i■■■■�■■■■■i■■ice■■■■i■■■■■ 4P Agent or Applicant Printed Name ter. Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature J f � Issuing Date Expiration Date f Local Planning Jurisdiction Rover File Name A 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 complywith 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. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 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) 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 Applicant: Date: �nIIola il� Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or ternimpacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount CX l ❑ Both ❑ Other ((V IJ S l ❑ Both ❑ Other rlEJ Both ❑ Otheilx� Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ .?a,24'.G,3 22,) :1 -'83 w j--1;C A.'s '• ,.. rn zn, ,�..n. + v,a-1—w-4, i^.')t..' 14) NC®ENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Bate 3 - /G-11 Applicant Name Se- o %f lna2ewe- !/ Mailing Address /0.5 Uit4 &Lech So�1L�� S�. rFc 3S-C CQ�{ NL. 27S1/ 1 certify that 1 have authorized (agent) 9/ke wafr, A� w,,me- to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) A'A i I cP O/oc.Ie— .` J,4t at (location) 2,0 / 3 S �A This certification is valid thru (date) Signature�C�►1(�- 5 F- N-C. di 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www,nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1RCENEIr (FOR A �tPIER/MOORING PILINGSIBOATLIFTBtOA_THOUSE) I hereby certify that I own property adjacent to 5 W- t i' w-%4—WQ--( I MP 18 2011 (Name of Property Owner) iDCM-MHD CTi'�C property located at �2.0 13 S ►'W-�4 rd S+r QA-`�' (Lot, Block, Road, etc.) on gpq UQ.. SO U n d. in MC)V-Q-hQ.Z-d Cif f Y N.C. I (Waterbody) (Town and/or County) Applicant's phone #: % i .3�� 3� �� Mailing Address: M E-d inbUrgh Soul �SU if9- 350 Gory , NC a,7511 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/moori.ng pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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.) I do not wish to waive 7I7dowish to waive that setback requirement. 110 4— DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ------------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) l05 F-diAbyrg% SoUfA .Swk 350 Mailing Address Signature Cary , NC. City/State/Zip cin-3%%.31[o Telephone Number ,NL,, d V" 3•I%.\I Signature Date Print or Type Name Telephone Number Date RECEIVED MAR 18 2011 DCM MHD aff ,s i f i I Z Lf- i 1 v� .`:DJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORINGPILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to SCO-ft Q-�k 's (Name of Property Owner) property located at S►%Q.PGXd S'{ rCk,+ (Lot, Block, Road, etc.) on B0gv(L, Sound ,in KOYOAq-0,8 C1+ N.C. (Waterbody) (Town and/or ounty) Applicant's phone #: 919.607. 142-0 Mailing Address: 105 a6uok soA,SU;f Q. 356 (_orV . NC -�7S 1 I 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. (If you wish to waive the setback, you must initial the appropriate blank below.) �( I do not wish to waive 4 1\ I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) 105 �j�hbUrgl� 50�� ,Su�tR.35o Mailing Address Cary , NC a7S I I City/State/Zip Ctn.(DO7.►gzo Tel phone Number -64gAu 3-u-tl Signature GQ-orgQ. 6gre.y q garb nx C7arcV 1 Print or Type Name 2.5:� . --L47.704-1 Telephone Number 3•II. 11 Signature Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILIVGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to Jcr-0ff MCL .wQ.1 t 's (Name of Property Owner) property located at 13 ShQ.Pgr• d S-"(-Q-Q.* (Lot, Block, Road, etc.) on goq uQ- Sou hd , in MorohQ,d C.i+y , N.C. (Waterbody) (Town and/or County) I Applicant's phone #: �1��i .�07 • ��Zy Mailing Address: Ins Ed;nbu!29k Swil-% Su,+sL 350 Cs�►.ry . Nc a7511 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. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) (Riparian Property Owner Information) 05 E d;Eby rq Swik . Su liq-350 Mailing Address Signature City/State/Zip Print or Type Name 919 . (z0l . 14-40 Telephone Number 2--52--?u. ,G8 5/, Telephone Number Signature Date Date x i2' I I I i I i i II ( 60c�+� I � � I ) ( B"r, -�( : � 4 � ) s BLUE WATER MARINE CONSTRUCTION INC. P 0 BOX 93 MOREHEAD CITY, NC 28557-0093 PAY TO THE l+ ��//�� ORDER OF /y C [J E N t Mp DATE 3-2(-I BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com FORPA)( icIt «..a t CAA�cIt w.a t w�� -- - _— ' 1100000679C,"m 1:0531011211:0005214986592ji' 6796 66-112/531 Feel r¢s ftOx on