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Home My WebLink About55273_FINNICUM, MARK_20100305CAMA / ❑ DREDGE & FILL r?�; GENERAL PERMIT revious permit # New ❑Modification [-]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 LJ Rules attached. Applicant Name Qr, AA► c I/V., Address f z"� City:'> State-- ZIP 7L ►i Phone # ( 1 ) -1 , Fax # (_ ) Authorized Agent F'� � 1 rip Affected ❑ CW ❑ EW L7.PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA , yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) L Subdivision City i f �C' 3� e � >t, r ZIP 7 Phone # ( ) "Ais- i M"5 River Basin Adj. Wtr. Body \ t nat man Zunkn Closest Maj. Wtr. Rorly 1 0 ) t r Type of Project/ Activity (Scale: I — "; ) Pier(dock) length_ I - - Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic s ard Y _ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other a - I — I - - -- 41- - ` r� i - — j I Shoreline Length SAV: not sure yes no Sandbags: not sure yes Moratorium: n/a yes n Photos: yes � � Waiver Attached: yes no I— A building permit may be required by: Notes/ Special Conditions _ - + { I � - I - ' ! :"fir t?fA ❑ See note ��r 1� r•.� on back regarding River Basin rules. - ! ^ Agent oo Applicant Printed 4 Signature Please read compliance statement on back of permit Application Fee(s) Check # ,le__, , PermitOffice 's Si ' atur— e Issuing Dtj Expiration Date f fn 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, 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. 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOAJTLIF/�TBOATHOUSE) I hereby certify that I own property adjacent to 'GG� h /Ci �I i1 r G u 's (Name of Property Owner) property located at /mod (Lot, Road, etc.) on �� 61-e(f , in a 1 `A�' N.C. terbody) (Town and or County) Applicant's phone #: 9�� Mailing Address: 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.) L- 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 indivi4gal prVosing development) I <f �7 j�e . ,,-te (c 10 ).0 (Information for Property Owner Applying for Permit) Al 0 rvrpo CIn-%%i'rh -2 Mailing Address 12��c,d 4) �z 7�� City/State/Zip ��- ff 4( l -�"9 41` ( Telephone Number Signature ��2m /�-�Date 01—_.f}-dd1 ---------------------------------------------------- (Riparian Property Owner Information) Signature Print or Type Name Tele hone Number Date W 4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOAJTLIFTBOATHOUSE) I hereby certify that I own property adjacent to �'`G� �-i ili7 r G �t 's (Name of Property Owner) property located at /yZ0 (Lot, Road, etc.) on C�llceptlC�^�e , in lc2 lGA e N.C. terbody) (Town an or County) Applicant's phone #: Mailing Address: 7 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 indivif! al pro oS. development) /QC k Cvel \ Y (Information for Property Owner Applying for Permit) -,A Mailing e Mailing Address Zz f ` A' 2-7jk City/State/Zip TeleVne /Number Signature ��m� /jr-.---Date (Riparian Property Owner Information) Signature Print or Type Name -z%o---5'6io Telephone Number Date I IS Feb 26 10 09:14p Mark Finnieum Abbott Labs 9198466812 -- aoI*xC*Wo p.2 P. 92 NcrIMENAR North Carolina Department of Environment and Natural Resources Division of Coastal Mart Wmnt Beverty Eaves Perdue, Govemor James H. Gregson, Qirem Dee Freeman, Secretory Date ;;o-p-z _ � Name nof�Property Owner Applying for Permit: hr14 G c4 "n, Mailing Address: I certify that I have authorized (agent) t705�—p 1�e' �' to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necemry to WWI or construct (activity) Aodr f -XI;-_ -4,0?- at (my property located at) f 8 .�-y D'r el'oel•e— This certification 6 vaiM thro (date) "r /r le 0�;) . Property Owner Signature L 400 Commerce Avenue, Mon*ad City, North CanAlna 28557 Phone: 252-W&28081 FAX 252-247-33301 hnemet: www.nowastalman&jernerit.net An EquaO Opportunity 1 AfmneM kbm Employer — 50% RegjcW 110% Past Consumer Paper 2 D/ MARK FINNICUM 868 5816 Norwood Oaks Dr Raleigh NC 27614 66- i � ' � BRANCCHH 30010017 Date Pay to the t� order of llais WACHOVIA Wachovia Bank, N.A.��\ wachovia.com C;A'A'(h For 104t,p55V ,:053000 2 L91: L06 266 L53 L890ii' 0868 ssz�sc Describe below the HABITAT disturbances nor the application. All values should match the name, and units of measurernent found in your Habitat code sheet. habitat �`$c1Yrl DISTURB -hyrax: hawse rJrie TOTAL Sq. Ft. i (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 ElElp I so 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ T