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Home My WebLink About59333_FRED BUNN TRIPLES MHD_20111122t GCAMA / ❑ DREDGE & FILL 4_ GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Previous permit # 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 17 P..1— oft— .rl Applicant Name av1 Address City ,� State ^ ZIP i Phone # (�) Jt �y( "';Fax # () Authorized Agent ?r,) 7i 1 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 Project Location: County Street Address/ State Road/ Lot #(s) i� Subdivision City ZIP "� , i - Phone # (�) River Basin—,. Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ -.. ... - - . - - I1► ■■■■■■■■�li�fr�ii�liil�r�I��ui111■■I!�■�\I■1�riiriilii�►�1t��1i ■■■■■■■!!'�11\'riiil��'�rl■It�'�`.ilil�®i■Li1_F■■ItlliPii �■■■■■■■`�%I�i1Tl�i�(+til�.Ili■Ii1�/■■■rl■!�l�'fi ■1� ■■■■■■■■EVINV MOL 101RIEVENTAINUREEffiri1 l� wJ I� ■■■■■■■■■1�1��11��11t�1/i�l■�!i\\If 1l�ll[�'Li�i`/Ji�'l!►LI ■■■■ ■■■■��:�' .i■I�1■■�/.:'■■r�l�■ram■li■■'1 ■■■■ ■■■■■■■►:��1i117��i�lrl ■■■■��1��T�1f�u ,1/R�./I�tl� \iiiisi'�/j■�ir�!■�i 111■I�1�I�D■11�. _ • ■■■ ■■■■■■■■■■■ti�1_rl■�t1■!�■■■ ■7■WMtlDl1■ ■■■■■■■■■■■OVIA tl fimffMW No ME OMM ME Agent or Applicant Printed Name _r I JZ Signature Please read compliantstatement on back of permit Applicatio'n'Fee(s) Check # PermltOice'r's Sign ture Issuing Date 'Expiration Date 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, certifythatthis project is consistentwith 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/ 1-888-4RCOAST 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 s A14 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 Applicant Name Ere tj a-im / '�lJ� r� F�2-i Mailing Address 1511 �, Ali qtvlc 8 (} N I certify that I have authorized (agent) )i�r71�' �� °/ t__ to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) rye- at (location) '�-1 40 7f � P fC J .. 'M VILE This certification is valid thru (date) Signature 4 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www,nccoastalmanagement.net • An Equal opportunity %Affirmative Action Employer — 50% Recycled l 10% Post Consumer Paper F01,111J B — I!aj t PROJECT ADDRESS: TOWN OF ATLANTIC BEACH Inspection Department PO Box 10, Atlantic Beach, NC 28512 BUILDING PERMIT APPLICATION nAlFaeaA!-Aj U -IAv'✓ OFFICE (252) 726-4456 FAX (252) 727-7043 Flood Zone ❑X ❑AE ❑VE Owners Name, 2 �� Phone: ZSz-3<« -Zy�. Address: !) S i I j-: • Mn C o r'I CA Mobile: City/State/Zip: �_� ��, f�t�L 2 12.-�• Email: Structure Classification: ❑ Single Family ❑ Duplex ❑ Triplex ❑ Quadraplex NeManufactured / Mobile ❑ Modular Home ❑ Condominiums ❑ Commercial All Other = uescrlption or vvorK: I otal (Including Material) Estimated Project Cost: $ :e,, v 06 FR (Z- S��Rbv� l) M itCl z r� C 10 .Sn QW 'Tj �_Pqz t'kA Is project exterior? VYes ❑ No .Is project within 160 feet of ocean or )(Yes ❑ No 75 feet of water way? Is project increasing ❑ Yes V No number of bedrooms or changing occupancy class? Is Project including ❑ Yes �( No Demolition of existing structure? It yes Zoning officer Signature Zoning Approval: Date If yes Local CAMA Pennif ing Officer Signature CAMA Approval: Date If yes Health Department Approval must be provided with this application, If yes Demolition Permit Application must be submitted with this application, (Form D-1) Contractor Information (If Home Owner is performing work, write "Self') Name of Business: }g cq tic e- Phone 3Q'Z Z Address: 1'� t� 1-r-s`h� � � Mobile City/State/Zip: C� Me 7C 5 S Email North Carolina General Contractors License # VNllA Class: This permit becomes null and void if work or construction authorized under this permit is not commenced Wthin 6 months or if after commencement of work no required inspection is requested and approved within any 12-month period thereafter or for substantial deviations from plans. Permit may be Wthdrawn if occupancy occurs before a Certificate of Compliance is issued. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulation construction or the performance of construction. When properly validated this is your Dermit. h• /Y1 • lt,,N n/ �/A-n1 to ,� 4�/ cl patumflAppi PrintedFull Name of Applicant a - icant Date Duiming rermit no, t i issue uate: l I Approved For Issuance - Building Inspector Date a i