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Home My WebLink About61054_BOOTH, WILLIAM J JR_20121001J CAMA / '- DREDGE & FILL CL N O . 61054 GENERAL PERMIT Previous permit # -New -Modification -Complete Reissue i-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 # O Fax # (_ -) Subdivision___ Authorized Agent City- _ ZIP Affected -I CW - I EW E PTA ES E PTS Phone # () . _ River Basin AEC(s): OEA 1 HHF J IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) PWS: 7 FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body 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 Other _ — Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached es no (Scale: ) I ;- - —� I _,f _- y A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date 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, 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/ 1-888-4RCOAST 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) FIRST CITIZENS BANK (DUTER BANKS MARINE CONSTRUCTION, INC 1501 FIRST AVE MOREHEAD CITY, NC 28557 (252) 240-2525 c� [)ER OF D.E.N.R. 5018 66-30/531 137 9/25/2012 **200.00 **r*�k*******:�**�******�**:k************�**��*********�:*�:k**�k:k** DOLLARS Two Hundred and 00/ 100 D.E.N.R. � MEMO u'00 50 1811' 1:❑ 5 3 100 3001:00 13 1 2 18 22�y(p711' ,zf!•:yA'.A��' W�;Y'..' POW }% FIRST CITIZENS BANK 3 OUTER 'RANKS MARINE CONSTRUCTION, INC 1501 FIRST AVE - MOREHEAD CITY, NC 28557 (252) 240-2525 FAY TO THE ORDER of—_ D.E. AUTHORIZED SIGNATURE 0 w .q >v 0 W 5028 66-30/531 137 10/l/2012 m **200.00 Two Hunndred and 00/100********************************************************* DOLLARS ~ _ D.E.N.R. / MEMO JAITHORIZEQ SIGNATURE u'00 50 28►1' 1:0 5 3 100 300i:00 13 1 2 18 � 1 2 fin' c N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date l Name of Property Owner Applying for Permit: Mailing Address: 50U.o� I certify that I have authorized (agent) l ! M a 1Q. 1 W ):E S to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 5e a- �-(—) c.- at (my property located at) I O ( S ® u-- t13 b I) 12�- This certification is valid thru (date) l () 10 1 1 -L� Property Owner /bh() �7 Date Describe below ,he HASITAT disturbarces for ti-,e application. All values should match the name, and units of measurament round in your Habitat code sheet. Habitat Narrie 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 impact amo ) 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 ❑ .;302 - 2 S08 '4•0,,.,,1 ;"tC, 0A:ai +ar,kr:•r.;•I Cr__�3-, .Ll.. f j?L1.pw 1. . .n.•a} r.U�...:_,...�, s:) r•t �,r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to L J i a,wt S —13te TN -TR (Name of Property Owner) property located at y,/ �'1 �6-�+..ju D _b!z • —(Address, Lod,� Block, Road, etc.) � on AJ r4 L- �, in i N ,�-gg _-----N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) (aceA4,UJ WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 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 wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) 1dG— Sig ature"`� Signature `` 1-1 t I k i a Kn �". �0`�21 �"� _ Q C K K ; � 1" C-I I Pri K Tygp Name Print or T pe Name Ma ing Addres Mailin Add sus Cit I State Zi Cityl StatelZip Telephone Number Telephone Number Sep 24 12 12:42p Colhoun Real Estate LLC 919-362-5907 p.1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that 1 own property adjacent to 1 i ':�- y.4 -3-, e c'-H, (Name of Property Owner) property located at 1 t� `l S� +.+�,� �_�,'�_ _ (Address, Lot, Block, Road, etc. on CA 1'� s , in 7- L,A 0 7sC _ _, N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal_ DESCRIPTION AND10R DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 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 wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner information) Si�nansre Prins or Ty e !Name MW,Ving Addre Z- Crtyl Sfaieltp Telephone Number (Adjacent Property Owner Information) ure Print = . _ me. C Address 01 fatelzi — � -V J to L3------- Telephone Number