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Home My WebLink About57114_CORBETT, JAMES_20110209❑CAMA / ❑ DREDGE & FILL If ? 11 GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue El 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_ Pro'ect Location Coun Address City Phone # ( )_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax # ( ) ❑ EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no Type of Project/ Activity Pier Platf, Fing Groi Bulk Basil Boat Boat Bea( Othi Shor SAV: Sand M o r! Phot Waiv ❑ ES ❑ PTS ❑ U BA ❑ N/A Crit.Hab. yes / no I tY Street Address/ State Road/ Lot #(s) Ti Subdivision City ZIP ' � r Phone # ( ) 'I {.�' 5�:12 River B OJ Adj. Wtr. Body �' K (nat /man /unkn) Closest Maj. Wtr. Body T� _ Ow is (Scale: i 2� ) r pier(s) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■i��1�� ■ length ■■■■■■■■■■M■W■�■■■■■■■■■:■■■■■■MEM 1number NONE distance offshore max distance offshore ,channelavg SASli■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■CAI■■ cubic yards ■ ::::':�■�■■■■■■■��■■■■■■::�■D�■�■■ ramn par il Bulldozing ■■■■r/%■G■■�■■■■■w■■ ■tll�■■■■■■ f�■■■I■■ ■■■■■■■■■■■■®■■■■■■■■■w■■■■■■■■■■■■�I■■ bline Length ■■■�S�i�%■■a:[1■Y■■■■■■■■■■■■■■■■■■■IJ■■■ not sure no yes Lgs: not sure yes no orium: n/a yes Rd ■■■■■��■■■■�■p■��■fin■■■■-��■n■■■■■i��■■■■ A building permit may be required by: V')-•' 1 Notes/ Special Conditions L Agent or Applicant Printed Name ❑ See note on back regarding River Basin rules. Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** Issuing Date Expiration Date Application Fee(s) Check # 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 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) Revised 08/09/06 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: James Corbett Date: 2/9/11 Permit #: 57114C Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts), FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp im act amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount High Ground Dredge ❑ Fill O Both ❑ Other ❑ 1200 1200 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST :: www.necoastaimanagement.net revised: 02/03/10 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT'_ EB 2 ZU11 w�S,lsir �r� I hereby certify that I own property adjacent to -J "^ '� �R Ar�ces & Rs (Name of Property Owner) property located at -�o ;Z -!) F,�� R1 Q-- ' (Lot, Block, Road, etc.) on I��i��c Oa -le. RiU22 S0p,,,sbocro �'�S�Uu� _,N.C. (Waterbody) (Town and/or County) Applicant's phone #: 9ib- 10 Mailing 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) (Information for Property Owner Applying for Permit) OD &-�- �2 Mailing Address �Lo Q,,,V tee, ags$ City/State/Zip 91b— e-�c -blq 9 Telephone Number Signature Date (Riparian Property Owner Information) T ' Signature /--: A Print or Type Name :2 a `R— r) Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to J �0j ZZ;. ' �ieAniCES 's (Name of Property Owner) property located at LDC / e (Lot, Block, Road, etc.) on () H I ('E OAK I [� , in �, ��.►r�R. ;P.D % 7-7— LS 1.d tJ Z n , N.C. (Waterbody) (Town and/or County) Applicant's phone #:�r9 �/Qzr�-o/Mailing 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) CJ A Lt-(5') SQL A- —(I t44:C-fl fZAL,)) tj (Information for Property Owner Applying for Permit) �x 23 Mailing Address r 5 zo �C zsss� City/State/Zip (Ripari Property Owner Information) Signature Print or Type Name IZD -(,Zo -6 / q1 I/C) b-/33fj Telephone Number Telephone Number (b Date Sign re / D to 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 %d�2"/-2�lo Name of Property Owner Applying for Permit: J/^A iT—cr C eS Mailing Address: ! 5 F )�r - S'w4nS6vr1--.1 AC -- I certify that I have authorized (agent) �G G� "�S to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) 4 " { — 2� 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastaimanagement.net An Equal Opportunity \ Affirmative Action Employer - 50% Recycled \ 10% Post Consumer Paper SHORELINE PIERS & BOAT LIFTS, INC. DBA SHORELINE MARINE CONSTRUCTION 580 PEARSON CIR 252-393-7934 NEWPORT, NC 28570 THE OR %� % � /E AY l/L/ Ci ORDER OF f.IR -MC 1123 DATE 1�— 66-30/531 341 $ First Citizens D ' �i Bank FORtirstcitiz ns.com , 11'00 1 1 2 3u' 1:0 5 3 100 3001:00 3 4 1 Z 3 8li