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Home My WebLink About57138_MILLS, GLEN_20110224r ❑ CAMA / ❑ DREDGE & FILL GENERAL ' 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 4 i ( ❑ Rules attached. Applicant Name Address_ City State ZIP Phone # ( ) Fax # () Authorized Agent 0 CW ❑ EW ❑ PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no J ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # () River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) } (Scale: ) Groin length number i Bulkhead/ Riprap length avg distance offshoreT� max distance offshore , Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other — — i v ` i i 1 I 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: ❑ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit* Permit Officer's Signature Issuing Date Expiration Date Application Fee(s) Check# Local PlanningJurisdiction 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 ❑ 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 complywith 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 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Glen Mills Date: February 24, 2011 General Permit #: 57138C 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 ❑ 800 80 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 1'� g !?! .vim,. ...:: :. North Caroiiria Jepar`ment of Environment and 1 atura! iaesources o-I Coastal Management Michael F. Easley, Governor chwles S. Tones, Direst or William G. Ross Jr., Secret,ry Datc ';�? " I Lt.- I ApplicantT'Naaxae C r/L-` Mailing Address � ��t �►�,T' �-)!E'er � -- -ertit'y that I have antit'im izecl (agent) �) w6 to act On Inv behalf, for the purpose O aPlalying fjor and obtaining all CAAIA Permits necessary to t install or construct (acti'"ty)at (location) This certification is,1°aI.-d Hirai (Tate) Signature 14 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �� &eo M ILLS is (Name of Property Owner) property located at �1-P VT C—( k1 t (Lot, Block, Road, etc.) on MAO fflAvW CP0C , in to C l , N.C. (Waterbody) (town and/or nty) Applicant's phone �y 7-Qi! Mailing Address: 1 � 6,- L-JVL �-1 � 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 DEVELOPMENT: (To be filled in by property owner proposing development) LL _. (n ormation for Property Owner Applying (Riparian Property Owner Informa o ) for Permit) j Z/ Mailing Address Signature �.\1 i� City/State/Zip Print or Type Name Telephone Number / Telephone Number Signature Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 6,MI" is (Name of Property Owner) property located at b L) t fL-P OT C j V-C f E- (Lot, Block, Road, etc.) on rp p MCE A-(-- , in f ?r=S 7 N.C. (Waterbody)\ (Town and/or County) Applicant's phoneC.l� —E ailing Address: % � � L-)AL.0LT �fY� 'Pk s P C, 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 DEVELOPMENT: (To be filled in by property owner proposing development) „l6 ` icy L-v w �— ------------------------------------------------------------------------=---------------------------- C. Information for Property Owner Applying (Riparian Property Owner Information for Permit) Mailing Address City/State/Zip Telephone Number Signature Date Signature Print or Type Name Telephone Number Date SAMMIE E. TURNER MARINE CONSTRUCTION ACCT 252-725-3415 P.O. BOX 1885 MOREHEAD CITY, NC 28557 PAY �`� TO THE ,�/ ORDER OF m 5034 66-112/531 DATE A >c i s ��,, Beco,liy DOLLARS LJ fa1Y1B9 Beck. BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.co�mm FOR � 7y �. `1 l I 39 � — ---- ------ u'0000 50 3 Low I:0 5 3 10 1 1 2 11:000 5 2 L0 58 40 6 611' 10