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Home My WebLink About57192_MAYBEE, DAVID_20110420❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT ENew ❑Modification ❑Complete Reissue ❑Partial Reissue /L 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 1 Previous permit # Date previous permit issued Applicant Name ' ` Project Location: County Address Street Address/ State Road/ Lot #(s) ❑ Rules attached. City State ZIP Phone # O Fax # O Subdivision Authorized Agent City ZIP ❑ CW ElEW ❑ PTA ❑ ES [IPTS Phone # ( ) River Basin Affected OEA ElElF HHIH ❑ UBA ❑ N/A El Adj. Wtr. Body . 1 nat man unkn ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity (Scale: 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 JEF r 1 Shoreline Length S": not sure yes no- - u_ Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no I_ f Waiver Attached: yes no A building permit may be required by: ❑ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** Issuing Date Application Fee(s) Check# Local Plan ningJurisdiction Expiration Date 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, 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/ 1-888-4RCOAST 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 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: David Maybee Date: April 20, 2011 General Permit #: 57192C 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 temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount SB Dredge ❑ Fill ® Both ❑ Other ❑ 50 50 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised- 02/03/10 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date— Z1 r ZY— Applicant Name Mailing Address I certify that I have authorized (agent) V". Jto act on my behalf, for the purpose of applying for and obtainij all CAMA Permits necessary to install or construct (activity) at (location) This cer Signatu 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post consumer Paper ADJACENT RIPARIAN PROPERTY OWNEVt STATEMENT I HERBY CERTIFY THAT I OWN PROPERTY ADJACNET TO GLv (NAME OF PROPERTY ER) fQ PROPERTY LOCATED AT tm- � , (LOT, BLOCK, ROAD, ETC.) ON Ti Aw.�✓ NC (WATERBODY) (TOWN AND/OR COUNTY) HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS PROPOSING AT THAT LOCATIION AND, I HAVE NO OBJEACTIONS TO HIS PROPOSAL.. DESCRIPTION ANUOR DRAWING OF PROPOSED DE Y ELOPMENT (TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT) signature print or type name Telephone number DATE ADJACENT RIPARIAN PROPERTY OWNER STATEMENT xf-/- Ap I HERBY CERTIFY THAT I OWN PROPERTY ADJACNET TO (NAME OF PROPERTY O NER) PROPERTY LOCATED AT ,p (LOT, BLOCK, ROAD, ETC.) ON �I. P�va�, U� .tnk,� JN j%jy,� �%� ,NC (WATERBODY) (TOWN AND/OR COUNTY) HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS PROPOSING AT THAT LOCATIION AND, I HAVE NO OBJEACTIONS TO HIS PROPOSAL.. DESCRIPTION ANUOR DRAWING OF PROPOSED DEVELOPMENT (TO BE FILLED IN BY INDIVIDUAL PRoposrNG DEVELOPMENT) I� I rC Isignature I l I� print or type name I l 5�- C F c l I Telephone number CDATE L4 A 9 ,4,6) 1 t I c .rs 0 ex ' w LARRY G. ARNOLD P O Box 2277 rr _ 2238 Morehead City, NC 28557 66-21/530 BRANCH 77615 z2- Date $ d 8 O ` ��..rs B:cklla on WACHOVIA Wachovia Bank, N.A. ch For ��l 1:053000 2 191: 105466 1B94 2B6►i' 22