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Home My WebLink About56866_HARMELINK, DALE_2010100710llla ❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT / V 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 ❑ Rules attached. Applicant Name Address City State ZIP Phone # ( ) Fax # ( ) Authorized Agent ❑ CW DEW ❑ PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑FC: ORW: yes / no PNA yes / no 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 ..■■■!■■■■!�!■■■■■■■■■■■�■■■■■■■■■■■■■■i■ ....■i■■■■■■■■■!■■■■■■■■■t�■■■■■■■��■C■!t SON ■■■■I{■■I■■■■■■■■■■� C■■■■■■■■!■■■I ISSUE ■■■■■f■■I■!t!■■■■■■■■■■■!■■■■!■■■■■!1� ■■■�■■■■■■■■■!1 Z==Zw■■w:■I■■■■■■ EMEMEMENEENEMENOMMM INEENNEEMEMENEW ■e■■■■■■■■■■M■ I■■■■■■■■■■■■■■ ■■■■■ilk'�J■■■■■t■■■■■■■■■■■!■■■■■■■■■■■■■■■ Sam rya■■ ��■.!■ail.■■ ■!!■�Ir■■■■■■■■■■■■■■■■■■■■■�■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Permit Officer's Signature Issuing Date Expiration Date Y;: �l Application Fee(s) Check # Local Planningf urisdiction 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: ❑ 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 :�•� y`t i"ti ��;:m �'p ir'.-t•�•�; �$��:�,� „� � ;3 � 'b tm fi�^^na:� ,i L -0. �x°�t:.�w':b Applicant: �Ca I i f Date: M-1 C Il Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp im act amount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount f redge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other Cl Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-302-2303 .. ,.ravi:.�J1012i'0311 A 5 WA NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary 6 o 1� d Date , Name of Property Owner Applying for Permit: Mailing Address: Z 2, A ec'Ut ro '�- Al I certify that I have authorized (agent) t 14-, 0 6--e- a to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) hCt 41+ �� ct� , at (my property located at) I .�✓�� CS``-$�"fi This certification is valid thru date i — 3 I (- l " Property Owner Signature RECEIVED UCT- 7 201g Morehead City DCM l o /Z_/ 7,616 Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper 03/10/2002 12:59 252-728-5346 'MIKE N0E MARINE CONS P43E 01 'a ADJACENT RIPARIAN PROPERTY OWNER StATEMENT (FOR A PIERIMOORING PILINGS/BOATLIFTIBOA MOUSE) I hereby certify that I own property adjacent to �A11_ CT i +s (Name of Property Owner) property located at t b �A �i2U�►1 Tna , (Lot, Block, Road, etc.) on _ \ rP�r� bP` �tLk , in �2l L NC. (Waterbody) (Town and/or C udty) He has described to me, as shown below, the development be is proposing at that location, and I have no objections to his proposal. I understand that * pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15") from nay area of riparian access unless waived by me. I do not wish to waive the setback requirement. km/ `� I do wish to waive that setback requirement. ------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be falled in by individual proposing developmew) Sv,' t A-rM —kt--b I?ECEIVED 1)(1 7 2010 "Z7tr end City DCM ---------------------------------- 91, � \S L2C.f'..q�'l q j Print Nam �� Telephone Number Date: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) i I hereby certify that I own property adjacent to Uf�� lq erOt //�,fl� s (Name of Property Owner) property located at U 62 1 ` ' (Lot, Block, Ro d, etc.) -4 on 1 in .✓l , N.C. (Waterbody) (Town and/or C nty) Applicant's phone #:y SWMailing Address: AIL Z9 67C, 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 individual proposin; development) Sf RECEIVED 0 C T 7 2010 MOrehead City DCM •------------------------------- (Information for Property Owner Applying for Permit) `7 L -S A ailing Address QC 7.651 ty/State/Zip 2IS?, - Is 9 n �NumM Signature Date -------------------------------------------------------- (Riparian Property Owner Infor tion) Signature An, k rint or Type Name �l _g 77.;Z-. /j Telephone Number Date Locality Ocean Hazard Estuarine. Shoreline ORW Shoreline _ (For official use only) S;i GIiLRAi...lNEURh7AI1SlN LAND OWNER Name MJ 14k Pennit Number Public. Trust Shoreline; f a1 ^c r Address [jet 6 SA �—qo ftie STD+ -e 1 `� n , City �)FA r 4T State � Zip 2_Sd_1CL_ Phone 1Z — t { 35CG— AUTI IORIZEI7 A(3I3N I' Name Address City LOCATION OF PROJECi': adj,1CCnt w'atertxmdy-.) Tom. DE SCRIPI•ION OF PROJp State Zip Phone name andlor direcliswis to site. If got ccanfroul, w (List all proposed construction and land disturbance.) 7"__ 4 4/vbAA SIZE OF LOT:FARCE.L,: �r square feet s Z. acres PROPOSED USE: Residential _C_ (Single-famih 4lulti-family _) Commercial/Industrial Other TOTAL. ENCLOSED M.00R^^AREA OFA BUILDING 1N THE'OCEAN HAZARD AREA OF ENVIRONMENTAL CONCERN (AEC):,_. %j_I --square feet ( includes all hetatedlair-conditioned living space) SIZE OF BUILDING FOUI'PRINT AND 0"111I R IMPERVIOUS OR BIAUT UPON SURI:AC ES IN THE COASTAL SHORELINE AREA OF ENVIRONMIENTAL. CONCERN (AE'.C): sgiure feet (Calculations includes the area of the roofidrip line of all buildings, driveways, covered decks. concrete or masonry pauios, etc_ that are within the applicable AEC". Attach your calculations with the project drawing .l Choose the AEC area that applies to your property: (I) within 7- feet of Normal High Wmcr/Normal Water level for the: Estuarine Shoreline AFC (2) within 575 feet of Normal High Water/ Norrmil Water Level for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters (3) within 30 feet of Normal High Water/ Normal Water Level for the public Trust Shoreline AEC (Contact your Local Pennjt Officer if you are not sure which AEC applies to you' property.) STATE' STORMWALP.R MANAGEMIENr PF,RMri': is the project located in an area subject to a State Siormwater Management Permit issued by the: NC Division of Water Quality' YES.— NO — If yes, list the total built upon area/impervious surface allowed lir your lot or pnrccl: _� ...__ square feet. OTHLR PERMITS MAY BE REQUMM The acti%iq you are planning ma;requur permits other than the CAMA nnmr dcm elopnient permit_ As a gen°ire we have compiled a listing of the kinils of permit, that might be required. We suggest you check over the list with your I -PO to determine it may of these apply to your project. Zoning, I>rinking %der Well, Scpue Tmik (or other sanitary wade trcahncnt si stem). Building, Electrical, Plumbing, Cleating and Air Conditioning, Insulation m,d Energy Conservation, ILA Certification, Sand Dune, Sediment C nuol, Subdivision Approval. ilobile Home Park Approval, Highway Connection, and others. STATEYlENT OF OWNERSHIP: I, the undersigned, an applicant for a CAMA mirror development permit, being either the owner of property in an AEC' or a person autborize d to act as an agent forVrposes of applying for a CAMA ininor development pennir, certify that the person listed as landowner on this ap%,ation 0,4s a significant interest in the real property described therein. This interest can be described as: (checkge) O 0 � 4sj L �7 (an owner or rVad title, Title is �ted in see Dt:ed Book pagetWi-1-in t1 •+ ._C QQr.— _ County Registry of Deeds. L _ 0 ----an owner by virtue ofSLth�eritane.. Applicant is an heir to time estate of _...... probate was in IJJ 0 County. �_.... .. _if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application. NCPTIFICATION OFADJACE.PPf PROPI-KrY OWNE.?RS: i furthermore certify that the following persons are owners of properties adjoining this property. l affirm that I have given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply fora CAMA permit. (i) dah,,J 4oS Ark S7 6kF_1W+I �. (2) V i T U!< N (;) (4 ) FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS: { 1 acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible to erosion andlor flooding. I acknowledge that the local permit officer puns explained to me the particular hazard problems associated with this Iot This explanation was accompanied by recommendations concerning stabilization and tlouxfprooring techniques. PERMISSION TO ENTER ON LAND: 1 furthermore certify that I am authorized to grant and do in fact grant permission to the kcal pennir officer and his agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. This application includes: general information (this fonn). a site drawing as described on the back of this application, the ownership statement, the AEC hared notice where necessary, a check for b t00.00 made Payable to the locality, and any information as nuty I)e provided ordllt' by the applicant. The details of the application as described by these sources are. incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of any permit. Any person developing in an AEC: without permit is subject to civil, criminal and administ attve action. 7bPhis the day, of 20 1 03 Landowner or person authorized to act as his agent for propose of filing a CAMA permit application. aEIVED 201p, 'City DCU _1 - •06:) MOW 2691 DALE A HARMELINK JUDY HARMELINK 66-21/530 1703 A FRONT STREET _ BRANCH 77513 BEAUFORT, NC 28516 Date the der of Ilars COMMAND ASSET PROGRAM Wachovia Bank, N.A. r CODE 1:0 S 3000 2 L 91: 400 3 68 2 7 Ha land Clarke I6li' 2 P39L