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Home My WebLink About43122_NELSON, WILMA_20050927"911!NERAL ❑CAMA / ElDREDGE & FILL PERMITPrevious p�it # w ❑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 El Rules attached. Applicant Name I' ✓ �'f'�r %��' "'1 Project Location: County Address 1 / / l' �1 �t� ' �- �- Street Address/ State Road/ Lot #(s) City StateA,�JL ZIP Phone # ( ) 7 `/ ' % .'> vi ` Fax # ( ) Subdivision Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES 1pqpM AEC(s): ❑ OEA J HHF / ` ElUBA ❑ N/A ❑ PWS: / ❑FC: 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` AA-,11 ' -Other Shoreline Length SAM 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 Agent or Applicant Printed Name Signature Please read compliance statement on back of permit" Application Fee(s) Check # City ZIP Phone # O River Basin • �� Cial� 7 Adj. Wtr. Body , �j p i ram, r" - r`(nat�/man /unkn) Closest Maj. Wtr. Body ` 2 ` ' ` (Scale: Jf� ) See note on back regarding River Basin rules. / � J Permit'Officer's Signature "- Issuing Date Expiration Date 4 Local Planning jurisdiction 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, certifythat this project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: �I 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 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/ 1-888ARCOAST 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 J To Whom It May Concern: I am applying for a CAMA General Permit to place sandbags as a temporary erosion control structure ' front of my property located in the town ofL`— I have read the specific conditions in 15A NCAC 7H.1700 and understand that by receiving such a permit, I will be responsible for the removal of remnants of all or portions of any damaged sandbags, and that the sandbags may remain in place for up to two / five years after the date of permit approval. Once the temporary erosion control structure (sandbags) is determined to be unnecessary due to the relocation or removal of the house, the bags must be removed within 30 days. I also understand that the removal of the sandbags shall not be required if they are covered by dunes with vegetation sufficient to be considered stable and natural two years from permit approval date. Authorized Signature Date 2 -,�p 7 D r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to &/, m,q 4 e lj e zy— 's (Name of Property Owner) property located at la 7` Z71d C �' .�3 ////�0 gae (Lot, Block, Road, etc.) on & ae 2 le 74 , in 1��19��1�� -� LE'i L off��-e7N. C. aterbody) (Town and/or County) 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 individual proposing development) /'01,V "O(�- 0"�' � Signature oe/Yz, �h oe Print or Type Name IJ Telephone Number Date: ♦- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 'W'19 "' eArD/Y 's (Name of Property Owner) property located at lQ 7'--.p y Sleee 5.� // / (Lot, Block, Road, etc.) r 7L on Segae T./- , in � �rG��E L 4�-!�`�fCd, N.C. (Waterbody) (Town and/or County) 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 DEVELOPXIENT (To be filled in by individual proposing development) Signature Print or Type Name Telephone Number Date: r U ' WILMA F. NELSON 10-72 111 BOGUE COURT PH. 354-7380 EMERALD ISLE, NC 28594 PAY TO THE fu ORDER OF— RBC ^" Centura Rk • Enfield, NC 278 MEMO I:0 5 3 1008 Oi:O 1000 9 5 5 4 511 66-85/531 8223 0100095545 y �J DATE ESTEEM 8223 s ago do I