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Home My WebLink About56935_BRENDLE, STEVE_20101102❑ CAMA / ❑ DREDGE $ FILL GENERAL PERMIT 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. J Applicant Name Project Location: County Address City State ZIP Phone # O { :: j i f Fax # O T Authorized � `� Agent � !�A Affected ❑ CW ❑ EW ❑'PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) T f f River Basin 1 ? s Adj. Wtr. Body ! (nat /man /unkn) Closest Maj. Wtr. Body A NMI - ®®■■■■■:■■:■■■:■�■lam:::!■:l��d��: M■■■■■■.■■■■■■MEN �lir■�■M■■■M■MliiM■M■..■ M MEN ire man on -MEMO ■■■UNNEEM■■■■■■■■■■■!■■■■ M ®ii MOMMEWINI a'E■OMM■i �i i i O� !MM■M■MiaMMiMiM■lMMM■E■■M■Ww�■■■■■EmE ZZOWN MM ■M■�i■� ■lMMMMlIMMOl�1l��wii�ill�iiii�i�_ !-i M■MU■■■M■■■M■■■O■MOM■M■■M■M■Ii��1M■■ • ®�■M!■MMM■■MM■MOM■■®■MMM■■M■■MMMMM[NON M■rl��■M�lMl�MMMMMM • ....: - - MMUMM■MMMMEMMM�MO■M MEN MEMO ■O■■■!: MMMM■MMMIiM■MM■■M■M■f�fG�l�ii1�1■iM■MMM MMMMIMMMMMMMMMENEON®MMM■MMMM■■M!■M!■■■I MM■■■■MMMMM-�M.►.MMMM�M■M■■■M■■MOM■MMMM■ Agent or Applicant Printed Name PermitOfficer's Signature Signature ** Please read compliance statement on back of permit ** Issuing Date Expiration Date Application Fee(s) Check # Local Planning) 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 howto 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 Oct` 15 to 11: 11a Brenco 3365263124 p.2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 . (FOR A PIERIMOORING PILINGS`/BOATLIT-T/B'OATHOUSE) ` ' _ 11Ci 28 ZO I hereby certify that I own property adjacent to �-� V r 6 �T j b 1—L= `sMojgnoUd,CltyDCM (Name of Property Owner) property located at (i (Lot, Block, Load, etc.) on �366 V L �0 �/w.� . , in �UhL'� f1=��" Ci , N.C. (Waterbody) (Town and/or County Applicant's phone #: 3 a — ! 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.) ft=— I do not wish to waive Ido wish to waive that setback requirement. wGe- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) r (Information for Property Owner Applying for Permit) �J AJ_t ~✓` Mailing Address JAJ City/State/Zip ---------------------------------------------------- (Riparian Property Owner Information) Signature LU oi., ci—t ti Print or Type Name Telep Telephone Number Signature Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) r�t'a`Fl p�bJ Or I hereby certify that I own property adjacent to J' V r J P-F0 .b LC- 's 9pe®tQ fe� <_ (Name of Property Owner) oocici�Oe4f property located at % �) 9 U/V.6 L)Ir . (Lot, Block, Road, etc.) on �6 �s V L '50 UA,� , in C, N.C. (Waterbody) (Town and/or County Applicant's phone#: 3 a - �t`Z Mailing Address: l N- Bz-a, �T- 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 proposing development) �-- *--A I �. (Information for Property Owner Applying for Permit) / 9/ � /ti- �,e� � 4T Mailing Address (Riparian Property Owner Information) Signature City/State/Zip Print or Type Name t • Signature1.te Telephone Number Date U ,M 3 3 % -_�;A(® ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) UC a 2 8 2010 I hereby certify that I own property adjacent to 57�_V1= LRelv J �---;s01011trrit il`1 Dow (Name of Property Owner) property located at Ur✓� 1 iktuC_ (Lot, Block, Road, etc.) b on U �pl/L c50UA/b in �� =1<}� "T , N.C. (Waterbody) (Town and/or Cou 33a 5 dl /� Q216D ?Lr .ST, Applicant's phone #: (o —! � `1 % 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.) 19, 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 proposing development) A �hw 4 (Information for Property Owner Applying for Permit) 2,bG�� Mailing Address, f 1:1 / / G Q_ (C9Q_ City/State/Zip Telepho �ilw Signature Date ian Property Owner Information) Mr Richard K Gambill Signature 4111 Sound Dr Morehead City NC 28557-2859 Print or Type Name Telephone Number Date Nov 04 10 04:37p Brenco 3365263124 p.2 NOU-04-2010 15:49 From:DCM MIDCTY To:913365263124 raee:l l N+CDENR North Carolina Department of Environment and Natural Resources Divislon of Coastal Management Beverly Eaves Perdue, Governor Jams H. Gregson, Director Use Freeman, Secretary l Date hi t 1 i I �r- Applicant Name r —"� = L Mailing Address % l %'8� 3 certify that I have authorized (agent)1=^- J� to act on my behalf, for the purpose of applying fora obtaining all CAMA permits necessary to install or construct (activity) at (location) `� 'G-z .�� / c CI -t4 This certif Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 'i 252-247-33301Internet: www.nccoastalmanagement,net An Equal Opportunely IAffirmauve Action Employer- SOY. Recycd¢d 1107E Post Consumer Paper Nov 04 10 04:37p Brenco 3365263124 p.1 r BRENCO REAL ESTATE MANAGEMENT COMPANY, INC. 1919 NORTH BRIDGE STREET ELKIN, NORTH CAROLINA 28621 Kent H. Cockerham, President Linda N. Richardson, Secretary/Treasurer Doris A. Williams, Administrative Assistant Telephone (336) 526-2434 Facsimile (336) 526-3124 FACSIMILE TRANSMITTAL SHEET TO: FIRM:~ DATE: (( FAX NUMBER: FROM: <zs Number of pages (including cover sheet): Other Comments: CONFIDENTIALITY NOTICE: The documents a ompanying this transmission contain confidential information belonging to the sender. a information is intended only, for the use of the individual or entity named above. If you are not the intended recipient, you hereby notified that any disclosure, copying, distribution or the taking of any action in reliance in the contents of this telecopied information is strictly prohibited. S. FLOYD BRENDLE INVESTMENT, LLC T- 1919 NORTH BRIDGE STREET NORTH CAROLINA ELKIN, NC 28621 (336) 526-1997 66-112-531 PAY Two Hundred and 00/100 Dollars TO THE ORDER NCDENR OF 400 Commerce Ave. Morehead City, NC 28557 DATE Nov 4, 2010 2067 m a 0 d 0 �QID ..-E"-DAkS n AUTHORIZED SIGNATURE 11'0000 206?o 1:053 L0 L L 2 0:0005 2 L4045 29 10 AMOUNT 200.00 ,O NOU-Q4-2010 15:49 From:DCM MWCTY ►''SPAS WDENR North Carolina Department of Environment and Natural Resources Divislon of Coastal Management To:913365263124 Pa9e:1/1 Beverly Eaves Perdue, Governor ? James H. Gregson, Director Des Freeman, Secretary i Date t' Applicant Name Mailing Address I certify that I have authorized (#gent) '��--.1=- G�q , L-� to act on my behalf, for the purpose of applying for agii obtaining all CAMA Permits necessary to install or construct (activity) at (location) This certification Is Signature.' A . /,— _ A % '-- 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 - 54Y. Recyckad M% Post consumer Paper _< La Applicant: �l Date: i I I I oq'�'r 1'L6 ° 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 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 Redge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-302-2208 .. 1=33Z-4R-CO ASS