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Home My WebLink About57144_CROWS NEST YACHT CLUB_20110304plzq 9�117/11 ❑CAMA / ❑DREDGE &FILL i r. GENERAL PERMIT Previous permit # ❑New ❑Modification El 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 1 City State ZIP Phone # O Fax # (_—) Authorized Agent ❑ CW ❑ EW ❑ PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no El ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # () River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr, Body ■..■■■■■■■■■ :■■■■■■■■■■■■■■ :■■dam ■■■■■ ENE ENE ■■■■!■■■■■■■■■■■■■■■■�I■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ....: - - �■■dill■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ IL f.. Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Permit Officer's Signature �i 1 Issuing Date Expiration Date Application Fee(s) Check # Local Planningf urisdiction 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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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:910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 Applicant: Date: =✓'". 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 impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or ternimpacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount , r ge ❑ 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 ❑ =;=,i,.'•.'..O,w.:��;� ... �•s-s„',�„?uUASi ..+,r�r.•r...Lr_�-�_,#.,t.,�:a:i,.�>,•.aars?�_n,;af ,.,_,,;t.:._,..t,n�r;•:t;.�,� HCDEHR North Carolina Department of Environment and Natural Resources Division of Coastal'Managerr*nt BevedyEavesPerdue, Govemor James H. Gregson, Director Dee Freeman, Secretary 1)atc -42r `/ Name of Property Owner Applying for Permit.- Mailing Address: 06)e ;�6� I certify that I have authorized (agent)RUL6,I, \G-�(33V\, \ ,i1_�fiSLIC�' GVNto act on my 'j behalf, fnr the purpose o(applying for and ohtainia ti all CAMA [Permits necessary to install or construct (activity) at (my property located at) c- This certification is valid thru (date) t 'tom (3 Property OwAr Signature Date 400 Commerce Avenue, Morehead City, North Garelina 28557 Phone_ 252-808-2806 t FAX: 252-247-33331 Internet: www. nocoastalmanagement.net An Equal Opportunity 1 k'Wr Rve Acton Ernpbyc r- 50%Recycled ,10% P351 Consumer Paper Z d C888 67Z ZSZ ucoyeo e9eael eSe:80 � � ZO jeA Z d 09EZ-LbZ-Z9Z /aid bleao 290 60 l l ZO JeA Feb 21 11 10:45a Becky Couch 919-220-8079 p.1 CERTIFIED IV1! AIT, — RETURN RECEIPT REQUESTED DMSION OF COASTAL MANAOENI) NT AD"ACENT RiP'ARiAN PROPERTY OWNER NOTIMATFOKIWA»iER FORM Name of individual applying for thepertupit:_ C tin-% S Address of property: i �� st��[. st rrrc or raaa) (City & c Rtr) I hereby certify thatI own property adjacent to the above referenced property_ The individual applying for this permit his described to ate (as shown on the attached drawing) the development they are proposing_ A description or drawing, with dimensions, should be provided miih this letter. T� I have no objections to this proposal If yvu have objections to what is beiag proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call M2) 808-1908 within 10 days of receipt of the notice. No response is considered the same as n a objection if you have been notified by Certified Mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, boathonse7 lift or sandbags mast be 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 mast initial the appropriate blank below_) I do wish to wane the I5' setback requirement I do not wish ro waive the I i' setback requirement i '''/f Pratt Name Telephorte mmkr vrAh area code 7` L-d 09£Z-L17Z-Z9Z Ae1 j bieJC d99 Z0 L 1 9Z qe_� CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for the permit: C /^ U w 5 AU e Sf 1. h C. Address of property: f tt kQ -t � L & a Q-C� S < (Lot or street#, street of road) N C— (City & 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 drawing) the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. �_I have no objections to this proposal If you have objections to whgfis being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. No response is considered the same as no objection if you have been notified by Certified Mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags must be 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.) I do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement Sir�Signaturere n Date /" r ,j uhn Print Name Telephone number with area code mqm-A A*l Ott rf ou-P eve, Sao6rr Piups PAY TO THE ORDER OF CROWS NEST INC. 08-07 OPERATING ACCOUNT PO BOX 267 ATLANTIC BEACH. NC 28512-0267 �U^u�e— RBC Bank' RBC Bank (USA) FOR 00000 284 to i:0 5 3 L008 50i:0 74 1. P. DATE r �� i 2843 66-85/531 I$UUJ� DOLLARS B yea