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Home My WebLink About58112_MOSES, JOSEPH AND RHONDA_20110803L-�CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue []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 FTJ Rules attached. Applicant Name f rt Project Location: County Address- City - Phone # ( )_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS ORW: yes / no State ZIP Fax # ( ) ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # O River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: } ) Pier EMM Platf MONNIMMOMMEN MENEM EMEMEMOMME Finge GroiNINE Bulk Basin Boat MEN ONE 0 MEN MEMMIMMEMEM11 ■■■■MENEIMMEM MEMNON EMEMEMEMEMEMON ■■■■i Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date Local PlanningJurisdiction i Rover File Name b. 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 comply with 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 TR PRESCOTT MARINE CONSTRUCTION LLC 04-08 545 ALLIGATOR LOOP RD 252-745-7135 0857 MERRITT, NC 28556 66-30/531 471 Pay to the Date Order of First Citizens _ Bank Fir 1:05 1003001:004712019461►1' 00857 �� 11 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to�W R-R n ol` t,A M,a7;'t-6 S ,►a (Name of Property Owner property located at ll/ 3 Y1140 0'6 j� (Lot, Block, Road, etc.) on /r�o,ee/ S C� E e� ,.in ate'/ e.� /,d - , N.C. (Waterbody) (Town and/or County) Applicant's phone#: Z SZS $ t� Mailing Address: ///-3 e,7 Tso1- / 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. --------------------------------------------------------------------------------------------------------- UtIM Mir l 1VIN AINMUA IPAA W UNky Vi' rnur%JOJV_" Jli`. v IiLVr lvli'il\ L (To be filled in by property owner roposing develop ent) Mores .% � yo ��: s',cso� GbNG�-E To REAOurcz M,sn)Cx- WOO""" Cr� � / a?G• `A ' l0'vdo' Cowk�-�t� t�r_AT'FOVL �ARi• u F�l -------------------------------------------------------- (Information for Property Owner Applying for Permit) ,�l � 13 ` ,4A13i41evn A2, Mailing Address 0/6/1F /- , oJL d�'S' 71 City/State/Zip Telephone Number _ �- r gnature ate --------------------------------------------------------- (Riparian Property Owner Information) Signature T Print or Type Name Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to , ��1�t�'1 (Name of Property Owner property located at (Lot, Block, Road, etc.) in o1< � e .� 2 -d Z- , N.C. (Waterbody) (Town and/or County) Applicant's phone#: Z SZ��$ �S%t� Mailing Address: 1113 y�''eDXP/Yl Z)7 ' 7sQ 1- IV 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. ------------------------------------------------------`---------------------------------- iih6utairi iv1N A1N v/ ;\V KA W llN u yr r vru6tm vt, v tivrivmii 1: (Tobefillediny property owner roposing develo ent) ey h � �0 d V r'% too ! (Information for Property Owner Applying for Permit) l Mailing Address Si re Q,eAF ✓ ?f L , City/State/Zip Telephone Number gnature Late s 1 � 'X 50 �corJcl�re. TDiWEPu4cE / �ts'n�CT kfoODE�.7 �'OC.I�, 10 ' }C do' CoK. CA41-e--:P Tl FZW-4 cA-wA,LW- ------------------------------ -------- Z04�r_ 0 Fi------ (Riparian Property Owner Information) Print or Type Name �57v 5�(o Y-S7Z Telephone Number ? zq Date NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Joseph Moses Date: August 3, 2011 General Permit #: 58112C 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 OW Dredge ❑ Fill ❑ Both ❑ Other ® 709 709 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