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Home My WebLink About61108_EDWARDS, LOREN_20121115DCAMA/ - DREDGE & FILL NO. 61108 -. GENERAL PERMIT Previous permit# New ❑Modification ❑Complete ReissuePartial 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 # Authorized Agent City _ ZIP __-__ Affected ❑ CW EW PTA ES PTS Phone # River Basin AEC(s): ❑ OEA HHF !H UBA N/A Adj. Wtr. Body (nat /mane ❑ PWs: FC: ORW: yes / no PNA yes / no Crit.Hab, yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Finger pier(s) Groin length number- t Bulkhead/ Riprap length avg distance offshore — max distance offshore_ Basin, channel cubic yards __ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length _ i SAV: not sure yes no Sandbags. not sure yes no —� Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Nana Signature *rr Please read compliance statement on back of permit Application Fee(s) Check # (Scale: See note on back regarding River Basin rules. Permit Officer's Signature } Issuing Date Expiration Date Local Planning Jurisdiction Rover File Name . A 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) 11/14/2012 06:06 1-252-523-3884 CORPORATE RESOURCES PAGE 01/01 fA Afflj w.r+rwr. NCDEN North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James M. Gregson, Director Dee Freeman, Secretary Date 1tECBIVFD Name of Property Owner Applying for Permit; Mailing Address: pGMMHDCITY I certify that I have authorized (agent) //--fc � 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) /'7&0 —z 3 r Y' This certification is valid thru (date) property owner Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet; www.nccoastalmanagement.net An Equal Opportunity I ATrmativo Actlon Employer-- 50% Recycled 110% Post Consumer Raper Page 2 of 2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to� J T, (Name of Property Owner) property located at — __ t 1? C f, --�7— 1Uc`7 (Address, Lo Block, Road, on i�b� in a� A N.C. (Waterbody) (Cityrrown and/or County) The applicant has described to me, as shown below, the development proposed at the above locatio rG have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) i WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.) ✓___tC2:'-A do wish to waive the 15' setback requirement. ••a 1 do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Y n ti[r'e �-�-�— Signature TZrrrdt or}�Type Na�e, TZO Print or Type Name Ma#ing Address Mailing Address _ CiWstatel2' , � t � � o'er— citylstatelzip ---- Telephone Number ( It , ti / 1.�1- Telephone Number Date Date 3GEIVT (Revised 6/18/2v7[) NOV o s z�iz i1C?t MILD CITY 11/8/2012 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to LIca-512:1 xLD 's 11, i , _ I1\_ ((dame of Property Owner) property located at _ 1'J i--l� C��iL `�1 U6 (Address, Lot.Block Road, c' on �'� — , in al— �^�_1W , N.C. (Waterbody) (City/Tcam andior County) The appl' nt has described to me, as shown below, the development proposed at the above locati 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANIVOR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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. n I do not wish to waive the 15' setback requires (Property Owner Information) Signgture Si t'ript or TGp Name ,�� Ptin N �r I3ci i3e� ll�S _ rling ddness � � Mailing to ity c ryl&'tate2ip Telephone Number %lephone Number J�T Date 'flare (Revised 6/1812012J RECEI�IED NOV082012 MU- MHD CTfSi` OUTER BANKS MARINE CONSTRUCTION, INC 1501 FIRST AVE MOREHEAD CITY, NC 28557 (252) 240-2525 FIRST CITIZENS BANK 5068 66-30/531 13? 11/8/2012 PAY TO THE ORDER OF D.E.N.R. $ **400.00 Four Hundred and DOLLARS D.E.N.R. MEMO Ifl005068112 11:0531001001:001312162 CUTER BANKS MARINE CONSTRUCTION, INC D.E.N.R. ? TIA 3 12 400,00 First citizens 400.00 ----------------- -----------