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Home My WebLink About59390_BUFF, JOSEPH_20111201❑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. Applicant Name Project Location: County Address City- State ZIP Phone # ( )_- _.- Fax # O,---_-- Authorized Agent ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected 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 # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ii■�■iiii�ii�e■iii�iiioiii�i■■® - ii ... - : ■■■■■■■■■m■■��■;�■ate■■■■■w■®■■■■■ ■■■■■■■■■■■■G�i`�.ii%■Lllligli�iiliri�■■■■■■ .. � . - ._ MEMO��■��■�■��®fin®��v■�� ■■■■■■■■■■■■■■■®■■■■ Ifni/■■�■■■■■■■■■ ' . Elm MEMMEMMEME ME iia■MOOMMOMMEEM MOLWENEMEMiii■i ■■■■�■■■■011ii i�"ii MUNNOuiiiiii■■■M ■■■■■■■■■■■llii■■■ ��i■I��llll■■��■ �■ ..OEM■■■■■■N�■■■■■■■■■■■■■■■■■■■■■i■■ _ Iii111■■■■■i�■■■■■■■■■■■■■■■■■iriiiW■■■ii Agent or Applicant Printed Name Permit Officer's Signature I: Signature ** Please read compliance statement on back of permit ** Application Fee(s) Issuing Date Check# Local PlanningJurisdiction Expiration Date 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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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) Revised 08/09/06 LARRY G ARNOLD SR 2145 DBA LG ARNOLD DOCKS & SEAWALLS 66-112/531 PH. 252-241-2636 2779 MILL CREEK RD NEWPORT, NC 28570-6011 T 800 BRANCH H BANKIBANK B13TNG AND TRUST COcomMPANY -BBT. ':,o S 0112 11:000 S 29 S 798 IS T'00 2145 Hral,ad Clarke $ 0 41"m 1, 4 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 6 � .31) - D / / Applicant Name Mailing Address W109 �i� ' .. • I certify that I have authorized (agent) 12 C2 to act on my behalf, for the purpose of applying for and obtaining all CAlVIA Permits necessary to install or construct (activity) at (location) This certification is valid thru (date) 7--' 3 D — / / Signature _ 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 1 f 0% Post Consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR. !PIRR^M00RINYG PILINGSIBOA TUMBOA Tilt? USE) I " I hereby certify] that I own property adjacent to s I (varne of Propertv 0,wner) property located at ,�_� I°�.��.,�t�2 (Lot, Block, Road, etc.) I on in (Waterb y) U (Town ar3d/or County) -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/niooringpilings'boatiifLl;oathoase must be set back a minilmum distance of fifteen feet (15') from my area of riparisn access unIess waived b me. y I do not wish to waive the setback requirement. 199 Wish; to waive that setback requirement. - R -_.•.-.DESCRIPTIa1" AND/OR DRAWING OF PROPOSED DEVELOPMENT: _________. (ToI be filled 4z bj lurlit ideal proposing del�elopnrer:t) 4�-ANA 9-x,S11 m 'R w1. K.tf c w� .r fife w Q &4 1, it P ca fo Sw IM v +Y c Signature Print:or.Type Name Telephone K'umber Dare: �� D q4- (Z- -2 c9 t v 144 k tl 1 11 1 C� :L•=, A.Wrev ARNOLD r I t1D. ACE-tN.♦ WrARIANNMOPER Y OWNER STATEMENT E_1,2EN fFOR A iPlZ"100RIXG 1'IUNUSMOA.2 IJM,60ATHOUSE) I - I hereby certti that I own pmptrty adjacent to property located at�- iLot, JSiock, Read, etc.) r .I nn ,.j�i- iti 11terZj �'� - and/or 'Cv;�.ntJ'� i He has de-scri6bd to nie. as shown bdow, tits des elop.mernt he is proposing Fn; that tUc�:iuli. antd.ihave noobjectaa 'tohis proposal- Iunderstandthe apier/mooring pitft,'b'z)atj cvu;'c must be set back a .nu irnum distance of fifteen feet (iY) from my area of ripirian atcrsj unicss w ai vcu by nic- I no wish to waive the setback requirement. 9 wish to Iw ivc that setback mquirement. N. ANWOR DRANK IN.G. OF PROPOSED DEVELOPMENT- ( o bt jil/erf in by t�tiii-n�tdun! proptlSing`�l�e>Naiapnreu1) 5c�— 'VI):S1' T fIN i, G- AAA), RECEIVED SEP 3 0 2011 j f: DCM-,MIID CITY ` �n K' AtLJ1mad- .A J 1be v 3 k 1,. It- N CA ,1 IN Sign�s.� �-U I ' Mnz or Type Namt 7ettphr�zge ?�-.srtzbrr Date: