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Home My WebLink About59665_CAMPBELL, CARL_20120125❑ 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 I SA NCAC ❑ Rules attached. Applicant Name Project Location: County Address City Phone # Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax # ( ) ❑ EW ❑ PTA ❑ ES El PTS ❑ HHF ❑ 1H ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City ZIP --'t- Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body •. •. ME M . .. • ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■ri]■■■■■■■■■■■■■■■d,■Lr MEMEN ■�■■■■.....■■■...■11■....■■........■.. ■■■■■■■.�J►'�'J.'■■..■11.....■®..■■.■.lA■■.. ■■■■■■■■■■■■■■■N I■■■■■■■■!■r.■■■■ ■■■■■■■■■■■■■■■■■II�� ■N■■■■■■■■■■■■ ■■■■■■■■■■■■ ■■■■■■(I��lli■■■■■�M r■■■■■■■■■■■■■■i■■ii W■■■MMMENS RA ■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ iL■■■■■■■■■■■■■■■■■■■■■■■■■■■■■®L■■■ JIMMIMEMMONow ■1YNN■■�■■.o■ME Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit**_ Application Fee(s) Check # PermitOfficer's Signature / f Issuing Date Expiration Date Local Planning Jurisdiction 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 [)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/ 1-888ARCOAST 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) Revised 08/09/06 DECKS N' DOCKS CONSTRUCTION, LLC ifs ' rN~ D NEW BERN, NC 2 562 (252) 637-1595 DL 8929001 # Construction, LLC i� ! NAY TO THE II ORDER OF ��i p BRANCH BANKING AND TRUST COMPANY 800-BANK-BBT bbt.com FOR Cw--L" ! ++00a193111:053101120:0005195626296++ k a m 8193 20 / 66-112/531 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Govemor James H. Gregson, Director William G. Ross Jr., Secretary Date Applicant Name 8V�L Mailing Address t�lq taf�LEL'r (j�/( �o►�-lr�C—r P1� IS�SD I I certify that I have authorized (agent) , N I -OocgL - I I /11 G to act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or construct (activity) RIPC-- 4, ()201611— at (location) _;1 N '! -t g-ew NE UPYE ' (�f !✓12�J�T(� This certification is vali u (date) —1 — 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 110% Post Consumer Paper 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to L��l✓ L�AFOfl L.,'s j p (Name of Property Owner) property located at `7 L'lNC 19f--1 VF , (Lot, Block, Road, etc.) on 11�[:%% 1 �� VE--f- , in /N)q VL-7Vt , N.C. (Waterbody) //��, (Town and/or County) - Applicant's phone #: � 1-7-t It f l j - OLr> t vm Uiling 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.) 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) XQU �.6-6Dt1;�, �h--0Pe 6EAf - VE (&AT-U1Pr PVW►NjEl. (Information for Property Owner Applying (Riparian Property Owner Information) for Permit Nat:a,Rfte-- - /-Jft LA N, 0pye Mailing Address %Signature 1�;E OE -IQ ,1C. 22� City/State/Zip Telephone Number t, &N f-,j i l: co"MF &qy\1 &(Fl- Print. or Type Name 2SZ- 229. 39b6 Telephone Number 1-I��ZOIZ Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to OW t, NO &- Z.� 's /n (Name of Property Owner) property located at 2-70 0�9-eu e rp \°IE, ,�pp (Lot, Block, Road, etc.) on �}� C �iG�- , in N.C. (Waterbody) (Town and/or County) Applicant's phone #:-111-o1,q,-(bg0D mailing Address: 019 e7&-E&910�77- LAN `zp0 ez -fur 19A 15501 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.)) V 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) xL4U' C gDCUtV- R1--T-1 06 GEC 91Z1 VS f 72oA-r /XCA�t4�t4e? WA[ti i N&i . --------------------------------------------------------------------------------------------------------------- (Informatioor Property Owner Applying (Riparian Property Owner Information) for Permit)&, we-1 Q-1(P OPAvC-, Mailing Address City/State/Zip Telephone Number Signature ant or Type Name "?s � 6 3 ? - y� y`3