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Home My WebLink About60194_BAILEY, SHANNON_20120507-� C,CAMA / C' DREDGE & FILL NO. 60194, _:. GENERAL PERMIT Previous permit JNew 1 1Modification NComplete 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 Project Location: County Address_ Street Address/ State Road/ Lot #(s) City State �'ZIP_ _ Phone # Fax # Subdivision pp Authorized Agent ly li 1, l City— - --- ZIP--- --- Affected i CW EW ❑ PTA ❑ ES ❑ PTS Phone # (_) _ River Basin OEA _ HHF ElIH ElUBA El N/A AEC(s): - Adj. Wtr. Body _ _ _(nat /man /unkn) PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body IType of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number p� Bulkhead/ Riprap length 1 00 x g avg distance offshore .n max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other JL J -1_ Shoreline Length SAV: not sure yes no Sandbags: not sure yes no — Moratorium: n/a yes no Photos: yes no Waiver Attached: yes' A building permit may be required by: Notes/ Special Conditions e Agent or Applicant Printed Name Signature Please read compliance statement on back of permit k Application Fee(s) Check # - - t (Scale: ... ) 1 +ec See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date 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) MUD BUCKET DREDGING INC 5689 507 HEDRICK BLVD MOREHEAD CITY, NC 28557-3045 66-112/531 011te ' T / 2- J-2 Pay to the ► a!� �,! I s —zoo o [ J-D Order Of Dolfars !y ,q Bm RANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com 2�oDA1CCx o� FORS h$r�n+r� Y7ti I64T' ()J.` 11100005689u' l:053 LO L L 2 0:0005 2R3 2 L834 LiI' N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FOR-11A Date 5, 1. 1 Z oiame of Property Owner Applying for Permit: Mailing Address: f4�+� _.� Il �-LI .L. 2S3 ll I certify that I have authorized (agent) m l-,0 P,,� (Cz / D"E&5l►-s 7'-c-to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) P jZ R P S 1 at (my property located at) Z 2 o O i4 (�16., F ��, �� ?KS i-; L . This certification is valid thru (date) E��PR,6, Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/ 100RINGPILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to `7 h Q ►J v-3o0+ 'IS ' IM4., s (Name of Property Owne ) property located at Z2 a 0V 1C k lsw f ` t"v E- (Lot, Block, Road, etc.) on �`� L--ef in T KS , N. C. (Waterbody) (Town and/or County) Applicant's phone #: 25ZQo4 3305 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 inust be set back a minimum distance of fifteen feet (IT) from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) o 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 proposing development) Ov S rod l` (Information for Property Owner Applying for Permit) 2'1 1 Sa ,,+ti LAr o J)c) tL Mailing Address City/State/Zip 2S2 e a 3 `3oS Telephone Number Signature Date -,- , �%, s v .fl n J �rvd (Ripar' erty Owner Infor ation) __ fiz�..-ems � Signature Print or Type Name - 5, 9 Telephone Number 5�2�1Z Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/1YIOORINGPILI-NGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 5 h A).iiuo NB A 1 I � t-, 's (Name of Property Ownet~) property located at 2- 2 0 o 4 V- Le-" 1/ r e v G- (Lot, Block, Road, etc.) on LME- 50vZ—.O , in N.C. (Waterbody) (Town and/or County) Applicant's phone #: 252 613SJS Mailing Address: lAt� n Qc I-Ie 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/rnoo.ri.ng pilings / boat:lift / boathouse must be set back a minimum distance of fifteen feet (IS,) from nay 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 �7-4- I do wish to waive that setback requirement. --=------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address Signature a re City/State/Zip Print or Type Name Z`-2 ciO 33�5 ITepone Number , Signature Date �113�0 0�9/ Telephone Number 2atti Date