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Home My WebLink About59637_EDWARDS, DONALD_20120316❑ 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 15A NCAC ❑ Rules attached. Applicant Name_ Project Location: County Address City Phone # (,)_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS ORW: yes / no State Fax # (`_ ) ZIP ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # () River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) (Scale:1 ) .ems i i Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other f '' ri-- _. i Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no # Photos: yes no Waiver Attached: yes no t A building permit may be required by: Notes/ Special Conditions Y — t i I —'I, 4 ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name PermitOfficer's Signature Signature ** Please read compliance statement on back of permit ** Application Fee(s) Issuing Date Check# Local Planningfurisdiction 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, 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/ 1-888-4RCOAST 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 B PRESCOTT MARINE CONSTRUCTION PO BOX 874 252-249-0149 2891 ORIENTAL, NC 28571 66-30,1531 . DATE A 472 PAY TO THE ORDER OF-7) G $ DOLLARS First Citizens Bank FOR 1100021391iin 1:0531003001:004712020497o 4 Authorized .Agent Consent Agreement I b.()Y1Q A V j r, CV 5d Wrt rds _ , hereby authorize 9. P tq* PIQYi n c (t3h1 w• -6to act on (Property owner) (Authorized Agent) my behalf in obtaining CAMA permits for the location listed below, This agency authorization is limited to the specific. activities described above, Property Address: I LiDAM lL APBRb)r-_,__4C, 255t0 Property Owner's Mailing Address and Phone Number /.r (G7)- - 71 / & L-Jo2K Property Owner's Signature: �2e�9_' y � Authorized Agent Signature: Date: Fora:: Authorized Agent Agreement as developed by NCDCM revised 7129/Q9 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to T)C)Vjat i V kkk- CGi LVOLV c�S 's 11 (Name of Property Owner) property located at � � I � �� -� t � f� i j--f , (Address, Lot, Block, Road, etc.) A� l on I�t'V�� (L'�t— ,in E`C(t�/A�IU-E-� Gtyl-)II(U ,N.C. (Waterbody) (City/Town and/or County) Agent's Name #: '641104 kobry lw) Mailing Address: �0 BoX -374 Al(-Gl// rr ,t Agent's phone #: a5cj�`c�r_G, f �Cl tJ(�1eo��, a2 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. -------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) �C.h It1P► i d `�' �'1(1(ky propa+ V If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Cerffled Mail. (Property Owner, nfo ation) Signattffe Print or Type Name r % 7. Mailing Address CitylStatellip Telephone Number Date (Riparian Property Owner Information) Signature Print or Type Name Mailing Address City/State`Lip Telephone Number Date u'r 'o Ln F F Postage $ C` O Certified Fee O O Return Receipt Fee 0 (Endorsement Required) Restricted Delivery Fee O (Endorsement Required) C`- 11� Total Postage & Fees $ id,wavIll)— Postmark Here i/ PS Form 3800, August 2006 see Reverse for instructions . Certified Mail Provides: ■ A mailing receipt ' ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class WKS or Priority Mail@, ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is j required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. i IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047 ■ ComAle.e items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to:VJ � a-6sto A. Signature X ❑Agent ❑ Addressee B. ecei d by (Printf d Name) / C. Date of Delivery J— Cr , yt4 CL, D. Is 4felivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ertified Mail ❑ Express Mail Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7 011 0470 0000 7751 0600 PS Form 3811, February 2004 Domestic Return Receipt /��G 1025s5-02-M-i540 UNITED STATES POSTAL SERVICE ermit No. G * Sender: Please print your name, address: �D f�K � �`� INC 24?S7 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: fi C 0-?c4033 A. X J / �w X /f ❑ Agent l ✓ (! ❑ Addressee B. Received by ( Printed Nam C. Date of Delivery /L 17 D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. S ice Type Certified Mail ❑ Express Mail Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number ` (Transfer from service label) 7 011 0470 0000 7 7 51 0 6 5 5 PS Form 3811, February 2004 Domestic Return Receipt �� n� / ^— 102595-02-M-1540 UNITED STATES POSTAL SERVICE First -Gass Mail Postage $ Fees Paid USPS Permit No. G-10 . • Sender: Please print your name, address, and ZIP+4 in this box • I� J by I1IIfliIIIIIIl!III 111111111111111)Ifiliflfi1f11111III tilllfIII DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to PDIIA« V K64c - Ed UUO-y-(AS 's _ (Name of Property Owner) property located at -7 i I n u 1 x �-� (R ,m L, (Address, Lot, Block, Road, etc.) on in ik /.��'Ii/I�GsI?1 N.C. (Waterbody) r (City/Town and/or County) Agent's Name #: G J ;i�,( pC�fJft. JOI-) Mailing Address: ��' Agent's phone #: g5c7 - j-ilq -C 1 ' � ��`/ �G1 ��; / � � l He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) ay(� o9e�.+y JWaret5 prt)p(av If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by CerWfied Mail. (Property Owner Information) Kas-t-,- Signature Print or Type Name nn 1 `7oN Mailing Address �, i , �e �-7 6 o City/State p '7773- lam$ ehoone Number Date (Riparian Property Owner Information) Signature Print or Type Name Mailing Address City/State2ip Telephone Number Date