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Home My WebLink About58132_CROWS NEST YACHT CLUB_20110629❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # EJNew ❑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 15A NCAC ❑ Rules attached. Applicant Name �° Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # (_) Fax # O Subdivision Authorized Agent City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin AEC(s): EloEA ❑ HHF ❑ IH ElUBA El N/A Adj. Wtr. Body Lat /man /unkn) ❑ PWS: ElFC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body .■...■.....■■■■■■■■■M■MM■■■.:�i�l■■E■■■MEMO - - M. ME ■■■■■ ®■■■■■■■■■■ ■■■■■■■■■■O■■■■■O■■■■M■■■■■E■■■■■■■■OEM■ ■■ IMM1MM1MM1 ■■■..■■■■ M■■■■MAIM■■■■■M■M■E■■MEME■■■■■■ ■E■■■■■O■■'O■■M.�LOM■■O■M■M■■■■OM■■■■OEM■ ■E■■■■■■■■i�■■■�i7■■■■■!�■■■O■MM■■■■■■DEMO ■■M■■■■■■!m■■■f1 AIM■■M®■MiiIOM■■■■®■■■■■■ ■■■■■EOM■:aiiiiV'ISO■■■®O■■■■■■■■M■■■■ME■■ ■■■■■■■■■■■■■■■O■■■■■■■■■■■O■■M■■■■OEM■ . ..all.. .. Agent or Applicant Printed Name PermitOfficer's Signature J r Signature ** Please read compliance statement on back of permit e; Application Fee(s) Check # Issuing Date Local Planning jurisdiction Expiration Date 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/ 1-888ARCOAST 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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 . .:.✓ .»� ; :i � . >✓ +..b i s �:. ", ate... Y��'�,.a & J 3T applicant. Date: Describe below the HABITAT disturbances for the application found in your Habitat code sheet. All values should match the name, and units of measurement 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 tem2 impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount (Dr dge ❑ 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 'iwci�..u13..��3� .. '$•��.t-,-�1'C�Atai ,.+an:�r;�r.rrLcc_:�_r.2�,.:�.�,y.. .�r..�.�.�r..�t ,,_.;.t::,..i,��r:+ar.�,Y �v—ti—�:k111 10: 44 LAJI oW,1� I Y To : r$ 7266C� 9 PA %e: 1, 1 _ ! i� `+;wr�rwww NCDENR No,,!h CanN,'ra Department of Errironment and Natural Rasourcas i DMS,'On Of Coastal Management SC,,cr!i Eovos Perdue, Ccyerr,Gr J11MOO K Oraqw, Director Use Freeman, Sevsla; Date (0 JUN 22 201, Applicant Nay I �e -0CAf-Afjjj) CITy Mailing Addrf," I cardfy That I have autb rized (agent) L) 0 to act on niy behalf, for the purpose of applying for 114nd obtaiaiAg all CAMA rcrmits necessary to Install or consouct (activity) at (location.) This eertir, valid ihru W) Signature 4C.-0 Gor�,msrce Avenue, Morell,@�,d City, North Card;na 28557 Phone: �552408-28001FAX: 252-247-33JOIkIritamek.; ement,11e,, Art EqLal OWOioly k0rtnahe Action Epoeyer - Sj% Rsq,�10$ t 101/. pot p;jpor Jun 20 11 08:2 Tr, Becky Couch t- 06. 20/ 2010 08: 14 2527266079 919-2.20-8079 p.1 DEAN pA Ef- 01 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIF&M001UNG ?1LI G51,60A It IFT/RU-! TI-40 USE) 'tee I hereb cercif that) own y is crt ed acent to _ w � � fPiacne of Property Owner) 2 propeny located at CA40 w 6 I,�? a.,r a (Lot, dock, Road, etc.) clTy one 1 i _ _, in ��'►- a N.C. ( ataterboq (Town andAw County) -A�pp1irnal9s phone �:'Z52 ?f� � '4c-Afd whiling Address,— � � �' �� t••�i }!(:.taa:_desCuti6s� tR dTl ,.. S. Yis�wa.i below, the der"eioninent hs is prgx)swg at that location, rind: 7 huvt t: aLjGcr"ons fQ his i sroilaski. u�ui.erstanc! t'ia�. a pits 1:!ooritig piius 11g�iatiifi J l rsaC?t�u�t must by se; b ivk a rnitsstnum distan~e of Vften fce! (15" Eea(1} my area of riparian access is�Jsss wmved by me (if you wish to waive f11e setback, you must ia:fial the appropriate blank below.) -- I dv tFyt wish to waive I A wish to waive that setback requizemcnt. 1DESCRiYTION AND/OR DRAWING Of PROPOSED DEVELOPMENT: rra be filled In by individuui prpposlrtS develupmenr) :xN;-1�s11 s -X jjS f, p 'L`d ----- _----._.. _�.'..1�. ...._..___ . ---- . - `K_--- ---- I ............. (Information for Property Owner ,applying for Permit) nx R+311 ing; Address drys/5tate/Zip —7 7Z(0 4n4`d.. el _ ,C�tyr.. wur�bcr Sigroar.�re lla:c (Ii,iparian Property Owner Information) SignqUre Print o.- Type Name VI'-_..,.. Tcicprori�u:ntaoc I7atc 22 20,, i be property located at oLow`5 1�►c�`r `{ c �► I v fit+ 4 �Dcrry (Lot, Block, Road, etc.) on � N I �{ ►� � Y , in H't� t1t.:i- iS moral. h , N.C. (Waterbody) (Town and/or County) Applicant's phone #: � ZO'4 b+S Mailing Address:.- _ -11� ' C Ile has lest ri3etl i.o zne, as sliozv;r bolo%. the development he is proposing at that location, and, I have no objections to his proposal. I understand that a picrhilooring }pilings / boatlift / boathouse rrzt:st be set Lack a minitrnun distance of fifteen feet (.15') fron? ?�];✓ :zrea of ril�ariall acc�ss unless waived by me, (If you wish to waive the setback, you must initial the appropriate blank below..) 1 do not wish to waive I do wish to waive that setback requirement. _ ----------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be f rled in by individual proposing developtnent) f)10�� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ff ORA PIERINIOORINGPILI_IIGSIBOAIZIFTIBOATIIOUSE) I hereby certify that I own property adjacent to (Naive of Property Owner) o � ::X:N54411 L: PJ- z us z`3 ' ------ --�'--� - � ---------- (Ipfortn-won for Property Owner Applying (Riparian Property Owner information) for Permit) T Q , t Mailing Address +� —,"iry/State/Zip ele one Number Signature Date X Dot V------------------------------------------ - v U Signature 1— Print or Type :dame �— Telephone Number Date _ � ..4 x bw ' i3`` '•.ri; -"G a e - � � y ��;. � �.p_s�7,�'iY 4'`a!� �$'G Q . a. r MUD BUCKET DREDGING INC y° 66-7Q"31 '�•y 507 HEDRICK BLVD MOREHEAD CITY, NC 28557-3045 \� Dati a Pay to It fie order Of f BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com G' fR 1FOR / 1150000