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Home My WebLink About57923_ATKINSON, J R_20110510❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT �� Previous permit# ❑New ❑Modification ❑Complete Reissue OPartial 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 L O Rules attached. Applicant Name"ice ' Project Location: County Address CityState ZIP Phone # O Fax # (` ) Authorized Agent 0 CW ❑ EW ❑ PTA Affected 0 OEA ❑ HHF ❑ IH AEC(s): ❑ PWs: ❑ FC: ORW: yes / no PNA yes / no ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) `. Subdivision }City ZIP J Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body I� �. ■■ man ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■ _ ■ ■■ ■ ■■ ■■ MMOME■■■■■■ ■■■■ ® ■�M9111■■11■1IL■■■�12■■■INIMME■■■■■■■■ 1�►1�IMMEM■MEM■■■■ ■■■■■t!■■ui■■■■■■■■■■■■ 1�!■■■E■■EOMME■■■ EMOMMEMME■EMEMMOM UMMEMMMM lNNAM■MMM■■■ [MVEOOENE MEMO EMEMMUsi)TIUMM!!M■EM ■■ ■ ■ - ■ M 99" ■EEMME E■■EEE NINE' ■■.Ni.�.,��MM�...M■ ■M■ ■■MONO ■■MEMMEMOMM■NSOM M OEM �IMMM■■ E■■■M■E■ME■■■■■fI�IM■I�MM�S!■■■M'[i■ilM■■■■ ■E■■■M■E■MEM■MMMIIMii ■I�M■■IIYM■■iif E■M■■■ ■MEN■ ME■■EMEMEME HE■1@UMMEMMEM■ ■■■i■■11■■■■■t�N■�■!�rl/lM,:'7[/■!�M�►iiil�l�!■■■M ■�RE■E■■■■!NE/1lMEr1§JE _ ITiI�....��!�!■i■M■lMOO1!■1■■'■■i►lli.1��.�►��+�IOrZ..�.h�t)C+7� .. = MEMO■■■■EEMOM■\■■■■O■ • EEMM MME�l1!�■ME�MMMflI ■ E■ EMEME■MME■■O=MMMMM■■MM■■ANN IMMI■■IiM!+El�M■OWNWEEME■ ■ r!►` MMUMUM■■OMMENS a SON ill'!O■■ (A 10!�i►�■■ ME■■MOMMOM■MEMMME W■MME or Applicant Printed Name Permit Officer's Signature l f Signature ** Please read compliance statement on back of permit ** Issuing Date Expiration Date Application Fee(s) Check # 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 I) 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 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/ 1-8884RCOAST 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 Applicant Date: 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 tem,p impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amoLjaQ 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) 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Cts , .. �- ry .. :. ,. v.?? ors ,neo.Y r.0 *.a�:..:y..1, i )'1'!'7 10 'a •;, G1-2 Jk -s , , t 'r,A:3 i ^.a . r. r : o .. . y a.i ti r.. twat NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date 3.'1. + Applicant Name �� Z A4 k r js,— v Mailing Address u'S I certify that I have authorized (agent) 1Y113kr�cQ, rr.l to act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or construct (activity) �-cA9 , w,c Da-c--K— , at (location) Z 4;-) This certification is valid thru (date) Signature RECEIVED MAY 3 2011 DCM-MHD Crry 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastaimanagement.net An Equal Opportunity i Affirmalive Action Employer — 50% Recycled \ 10% Post Consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERWOORING PILI_NGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to a Z l )4k-, N—s�1v 's (Name of Property Owner) property located at (Lot, Block, Road, etc.) E!y � on ) 4)� I�a-5 LIZ�� ,in C 1Le�ro�Z� ,N.C. (Waterbody) (Town and/or County) Applicant's phone #: q 3q • 5QS •6(50 Mailing Address: 11 H Iy 51.-1 -3 2� Ile 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.) IIECE4qo I do not wish to waive MAY 3 2011 u I do wish to waive that setback requirement. --------- -------------------------- ----------------------------------------------------------------------- bc7►1 DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: Aftm crtr (To be filled in by individual proposing development) �1afa.�rnrg �:ac.iL ------------------------------------------------- (Information for Property Owner Applying for YP I its Mailing Address City/State/Zip Telephone Number -3- k%, 1 x Signature Date F l o c �,;� 'T, c !Z 1 / I ►Z �zRF 1 .� T, fr►�Dr, a d ------- I ------------------------------------------------ (Riparian Property Owner ormation) S1 re Print or Type N e l ## Telephone Number JY)n41 2 -)n(_I Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to ?- V�j-� k ► t- 5c-> 0 's (Name of Property Owner) property located at <,7 y L z N N oX v 1 11 G- fZo a P (Lot, Block, Road, etc.) �5 ^ N.C. on��1-0 LC262 (Waterbody) (Town and/or County) Applicant's phone #: y 3� S`P$ ��`�' Mailing Address:. 11541 U �5 i-lwtj '2`j C n a +h,,m V , 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 (1 T) from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank RECEIVED below.) _i/,— I do not wish to waive MAY 3 2011 I do wish to waive that setback requirement. --•---------------- - - - --------------------------------------------------'-� ns ------------ Hn Cry AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) I S41 V,S, 4w�, zGi Mailing Address C k 4 4 hY3 tj,* City/State/Zip `4-14 S-! Telephone Number Signature Date (Riparian Property Owner Information) Signature Print or Type Name Telephone Number Date MUD BUCKET DREDGING ING 507 HEDRICK BLVD MOREHEAD CITY, NC 28557-3045 Date ? 1 Pay to the 1 C C- 0 fZ_ I Order of r' _.l. •� ) , -D , - _ D —T-4F - — $�� 5005 66-112/531 BRANCH BANKING AND TRUST COMPANY (I.800-BANK BBT BBT.eom FOR iI'0000 500 51I' i:0 5 3 10 1 12 11:000 5 29 3 2 11334 111' '° " Owl y fir h°tfata* ti .. :a�