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Home My WebLink About59794_CAMP CAROLINE_20120413,i]CaN1A / DREDGE & FILL 59794 GENERAL PERMIT Previous permit# [--]New ❑Modification ❑Complete Reissue ❑ artil s% Date previous permit issued As authorized by the State of North Carolina, Department of Environment and ources /� o 'sin 'n are f environmental concern pursuant405A NCAC 7 14 A� '�'��✓ and the Coastal Resources Commission • i an a • e ❑ Rules attached. r 1 Applicant Name. Project Location: County Address (_ Street Address/ State Road/ Lot #(s) City --;��?1(;( _ _ _._ State Phone # () ri Fax # ( ) Subdivision Authorized Agent -�^' P '-`" City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body gnat /man /unkn� ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ' ■■■■m■tl■m ■■■■■■■■■■ . Ri ME :.. ■m■mm■a!ovirm■■ m■■■■■■kMr►V. ■■■■■■i■■■im"mioiii■■■MOM ... mmmmW■■■■■■■■■■■■■■■■CO iN ■■ ■■■■■■■■■■■NEON ■■ MEMO ■■■■■■■■�■■�®■■■�■�i�'Zll■■■■■■ �■I�■i1■ ■■Irv��m■■■■ Rom■■■■ ■■■N■■■■■■■■■■■ m■■m■■ Room■■ ■ ■■ m■■�ii■■ ■ WE ON ME miss AME■■■■■■ UILIWAillikIMMEMM .51.4.04�mo■■�■■■�■■mm�u■ ■�i■ MOM■ #,':R% � �mm■mm■m�,9■11m■omom■■■omA 1 ■■mm■■■■�c �►� �r■ ■■nzo■■■.r��.....■■■■m■■MEN ■®■ ui■000mi■� ■■■■■■■■■■■mm■■m■ma c`omm■■■■�iim■ ■■■ ■■mo■mRmmm■■■■■■■■■mi ii■M■■f■■■■r11■■■■ ■AMEMEMEMEME MEMMOMME.. �mumeMi■■■■■■■■■■■m�ii ■■m■■■m■miim■ ■nmmm■■ ■■■■■■■■■■■m■m■ oom■®oommmmm■■■■■m■ o:o ■oo■:o■■■■.'�■■■o�C■.■:: ■■�■ Agent or Applicant Printed Name Signature Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Issuing Date Local Planning jurisdiction Expiration Date Rover File Name L� 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 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) M Revised 08/09/06 04/02/2012 13:06 2522913338 CCNC PAGE 01 APR-02-2012 02:12 FM JANE 2529468840 P. 1 CERTIPff �D MAIL REtURN REGLIP_T, SIQUESUD DIt WON OF COASTAL MANAGEMENT ADJACENT RIPARIA N PROPERTY OWNER NOTIFICATIONIWAMR FORM Name of Property Owner: & �6 4 " a y` old(�,r�w+{• i ,n Addreew of Propertic 3!9— .140 9d 4 C�g_�.,�,��e�,,, �,� � Cr.� 02les t � (Lot or St� M, Street or Row, City & Cdurq) Applicant phonnee * 92A& - ?,� i+ qoq!: Mailing Address; 20 R)�I 6 /n J _ 1Ama 1tL:q aJ"''A11 'j'�171+tb 111;��s.�b ,Y1c, I hereby cerbV that I own I property adjacent to the above rate enced property. The individual applyiro for Ift pem* ham 4 le ribed to me as shown on ft ached draw ilL to development ftrey ore p"P¢oeing. Am or dmift, ydth 4M*a*=jxm8 ba amvk- ad web Mk ter. I Have no objeWc ns to this proposal. I have objections to this proposal. ffyvtt nm oVecllons to who -is belry it►*oasd. yeu fflu0 notify the Division of G wwW fitanageerent (DCAD in wMm within 10 d rya of +em*t of this natlae, Contact brforn"an fbr DCM of lbse to avariloble at www.nccaeadri nengenw*nWaonf W dem.htm or by calling 140;4RCOA.2r. No raara~aneo is Con owed do a wx as no ob(wMw if you haw bean nailed r G wW*d Mail. Ir M M f WAIVER SECTION I understand that a pier, dot k, mooring pilinpe, twkwtater, boathouse, or rift must be set bad* a minimum distance of 16 trot n my area of riparian aoceam unlem waived by me. (if you wish to waive the setback, you MW t Initial the appropriate blank below.) 1 do With to, valve the 13' setback requirement. :73 l do not wh h to waive the 15 setback requirerrrdrrt, (Property Owrwr hrtormati i V S �4AJ G WA-) Prlttf or 7yp# Na m ' D. G �..._._ r Siting AdUAW A.) ilv n, 4)C d,70 rAy)shfp TeMphone Number Daw fl (Riparian Prop wty Owner Information) Signaft" C , �< pnw or W Name J72v BSc MON09 Addmw (Za, � ; � N(- C1L�—7c7-aIS-3 rekpt ne Number - - -- L- I LA a 04/Q2/2012 13:06 2522913338 CCNC PAGE 01 ANZ 02--2012 02-'12 PH JANE 2529468840 P, I mof m- MAIL • MU NRe�iel BMESTED DP WON Of COASTAL MANAGEMENT ADJACENT RIPARIA N PROPERTY OWNER NOTIFICATIONMANER FORM Name of Propwty Amy" & U--t 1A.C.*'r j•6 61E ' ;g6 l i g% (Lot or sheet 0, Sbvo or mac, Clty a Cam) APoftnt phone 0: 02-9.z+'•+ 211, 4614 `4 r b� ii - j*, Sates„ �l ,q ,As-q•ij��ilb .. ► ► Lmm _. m. Ira• I hereby em" that I own I imperty adjaceM to the above raiwrvad property. The individual appift for #6 park has i kecailfa'sd 10 me ae ShMn on tlta ztVm&Wd drawiWIMe daralopnW t ffY •m tmpm* A alien or dratii4a wltksa, mt bs nraryied wktijktemK I have no objectio ns to this proposal. I have objections to this proposaL tl you tw at oVcttom to wfm • is bafnp pnopomoA yw nwat noft tiro DhiW n oiO&iww Ahmego wm! (Dc1V in rwfting wtthh 10 d We of re0o t of 0►b notlaa cordsat M*#nmr i m for Ow oft" to amombb at wwwjpccomtxA,mV@,. ark nWeontrae dbmJ" or by cefft 14M 4RCOA$T. No mgou16 to MM bnd on 4 my its no 04 0m N tau have boar raid z 9grid AM. WAVER SECn0N i Lmdersmnd that a pier, dot k, mooring pllft , breekwe►W, boattmm, or M must be eet beck a mMimum dlatance of IF f xm n "q arm of rlpSAm soceee LrAem waked by me. (If you wish to waive the aetback, you mm t Mal 1he Opp biardc below.) t do wtan to, valve the 15' setback mquhvment ! x _ 1 do not wh h to waive the 15 setback r" irerrtent, (Property Owrwr informatl��-- Pt" or Typo N nra addass G�� ` �C a TbWvm ( pmft-i Prop" Owner In, lbnnoftn) f l t r OrType �L � i 7 J-/ �f/r�� t' �l ►'1 i h� � kai t+ a pd&m Number P