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Home My WebLink About58302_CARLISLE, JAMES B_20110804❑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 Address i-' City ` s , r IVI ..A ( State ZIP J Phone # O eI Fax # ( ) Authorized Agent 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) Subdivision City -�'ZI P Phone # ( ) River Basin j Adj. Wtr. Body /�. '� '} �' �� ' `' (nat /man /unkn) Closest Maj. Wtr. Body OEM MMMIMMUAW MMUMOMMEN 0 NONE - . - ME■ INN ■■■..■■IN ...ii..�.�.«:�..■.... ■■ M■■■■■■. ME IN loom - ■ ■■■ ■■■■■■■■■■■oI■■■■■■o��ia■■■■■ No EMMEN ■■■■ ■■■■■■■loll■■■■I/I■■■■■■■■■■G!)�?■i■■■ ■■■■,■■■■■■■■■■■■■■iiq■■■■■■■■■■■■■■■■■ loll loll■■ loll■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■.l■■■■■ loll■■■ ■ loll®■■■■■■■■■■■■■■■E ■■■■I■■■ .l■A►1■Ili■■/�!►.7■■■■■■■■■■■■■■■■■l ■■■��■■■pia■�.r�■asma�ol■■■�n■■■ll■■■■l■ ■■■ Elm ■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■W ■■■ Elm ■■■■■■■■■■■■■■■■■■■■■■■ml■■■■l■■■r' ■■■■■■■■■l■■■■■■l■■l■■■■■■l■■■■■■■■■■■■ .■■■■■■■■■■■■■■■■■■■■■■■■■■■■■.o■■■■■■■■ ■■■■toll■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ •■■■■lolll■■■■■■■■■■■■■■■■■■■■■■■■■o■■■ll ■■■■■��■o ■■■illill..l�l:.......-----`----------_- ■■■■■■■■■■■■■■■■■■l■■■■■m■■■■■■■ MEM■■EMMMMMMM,==■■M:■i■■■ Agent or Applicant Printed Name PermitOfficer's Signature Signature Please read compliance statement on back of permit Issuing Date Expiration Date ApplicationFee(s) Check# Local PlanningJurisdiction 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 I) 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) Revised 08/09/06 BLUE WATER MARINE CONSTRUCTION INC. MOREHEAD CITY, NC 28557-0093 PAY TO THE ORDER OF f /V DATE 6984 66-112/531 DOLLARS � Faar�ie, L'J oauuc oo m BRANCH BANKING AND TRUST COMPANY Back I - 1-800-BANK BBT BBT.ccoM FOR Cci (is ►c�Aew, V ��'00006 ""' i:053 10 1 1 2 11:0005 2 1498659 211• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/AIOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 1,oke_j �Q� /1-3 le s (Name of Property Owner) property located at /410 ,0 HPI)e 6A 4Xf .fI Z- RCA 2 Fr/? (Lot Block, Road, etc.) on , in �i �� Ak 6", , N.C. (Waterbody) (Town and/or County) Applicant's phone #: WO- 639"142 F Mailing Address: 10040X 12C> /! 11- 2 F3-7,q .• �. N •C. I Ie 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 / boat.lift / 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 individualpr•oposing development) p Q�ip4� �� JUL 2 0 2011 DCM-MHD CITY O O ------------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying for Permit) Mailing Address City/St e/Zi 9 /9- 7q Z --2 S'e 7 - Telepl�o;91N�jmber Signature Date (Riparian Property Owner Information) Signature A111) Print or Type Name l� 9 -7 ?Z - 21-6-1 Telephone Number :7�r Date 07/15/2011 13:37 9102953792 SAM CARLISLE ATTV PAGE 01/02 f • CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Janes B. Carlisle Address of Property: 100 Hoop Pole Creek Dr., Atlantic Beach, NC 28512 (Lot or Street #, Street or Road, City & County) Applicant phone #. 910-639-1628 Mailing Address: c/o Sam Q. Carlisle, 11 c/o Sate Q. Carlisle, IT, applicant's PO Box 1209, Pinehurst, NC 28370 attorney I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawingrthe development they, are proposing. P dekriptiaii or dray4 p with dimensions must be br. Vidi d-with tit I jdt i'. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you mustnotify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices /s available at www.nccoastelmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response Is considered the same as no obfection if you have been not/fied by CerbWed Mall. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or' lift musfge set back a minimum distance of 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.) JUL 2 0 2011 _ I do wish to waive the 15' setback requirement. X I do not wish to waive the 15' setback requirement. (Property Owner Jnf r atIwo - ) 6, j Siinature James B. Carlisle Print or Type Name c/o Sam. Q. Carlisle, II, Attorney at Law PO Box 1209 Mailing Addrnss Pinehurst, NC 28370 city/ iatelZip 91.0-639-1628 Telephone Number 7/15/2011 DWa DCM-MHD CITY (Riparian Property Owner Information) Signature Betsy B. Brewer Print or Type Name 2907 Fairview Rd. Mailing Address Raleigh, NC 27608 CitylStatelZip 919-782-6167 Telephone Number Date �07/15,12011 13:37 9102953792 z Leland Vmm 101 Hoop Pole Creek Dr. / 100 Hoop Pole Creek Dr, Atlantic Beach 10 ft. 30 ft SAM CARLISLE ATTV PAGE 02f02 Hoop Pole Creek Dr. Owned in part by applicant 1.02 Hoop Pole Creek Dr, Betsy B. Brewer 104 Hoop Pole Creek Dr. All pier structure shown currently exists. Measurements are approximate and not to scale. �t t, Bogue Sound Existing Proposed new boat lift RECEIVED boat lift JUL 20 2011 r DCM-MHD CITN' NCDENR North Carolina Department of Environment and Natural Resources • ' Division of Coastal Management Beverly Eaves Perdue, Governor James N. Gregson, Director Dee Freeman, Secretary Date ?` / S // ApplicantName Mailing Address /` D /30)l /2 0 q Awe Ilw5' �`�'C• Z Y�7o I certify that I have authorized (agent) /A' (,(fain✓' �i�/ar�ii�� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) o'ccmpoc o,ve TNSWI at (location) /00 /%o,;D 1-41% xd-1- -' c • IV-C' This certification;ts valid thru (date) Signature r„- RECEIVED , ,IUL 2 0 "I'll s f DCM-MHD CT 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastaimanagement.net An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled \ 10% Post Consumer Paper