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Home My WebLink About59609_8 1/2 MARINA VILLAGE_20111121❑CAMA / ❑ DREDGE & FILL IV 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 Applicant Name �. Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP ❑ Rules attached. Phone # ( ) Fax # O Subdivision Authorized Agent City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin ❑ OEA ❑ HHF ❑ IH UBA ❑ N/A AEC(s): Adj. Wtr. Body (nat /man /unkn) 11 PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab, yes / no Closest Maj. Wtr. Body Type of Project/ Activity = '. M. ME ■■■■■■■■!■■■!■■■�■■■■■■■■■■■■fn►�i■G�lfl■ �■■■®■■■ ■!■■■■■■■■■■■■■■■■a■■■■■ ®■■■INM■■■■■■■■B■■■■■■!■■■■■■!■■■■■ M■A�rrnenil��lr��■i�r•�!! ME �:v�is i■�i all i►iWIN"VIINN■M■1■MM r MEN NEEMN won Monnim 'PON VIVEMERNMEN ■■I■■ �i■■■■■!�w■■■■'■■■�1■■■■■i�ii■i■ ■■� WE SOMM!■■■■■ �NMI ME i1ME MEMAi MMMMKMM MMUMMEHIMEM MEMO NMI ONE 0 mmo� '■ E::. �:1:1MM 1MEMMM :1::. Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Permit Officer's Signature 1 / Issuing Date Expiration bate 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 I �/ (� - � , 0 A.0plicant: q C)ate: ai Describe below the HABITAT disturbances for the application found in your Habitat code sheet. All values should atch the name, and units of measurement Habitat NameeChoose DISTURB TYPE 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 ct 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 edge Fill ❑ Both ❑ Other ❑edge ❑ Fill ❑ Both ❑ Other ❑edge 7Dredge ❑ Fill ❑ Bolh ❑ Other ❑ ❑ 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:i-i3v33•?�v�ti ,. ��,:3�•„t"!C't3r�:Si ..:ar•�i`.?r,•rter_,�.s.�a�:a'?,r.;,.�:�a:;�;..r:•:,;:n�t�_n.r,:�i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to K/A 's (Name of Property Owner property located at 1013 C—TA s3— E-0 k-i- v'?)Ac&,-.; R4 C-- &Ae k_ .� (Lot, Block, Road, etc.) on &I t.ta in P41P, re.&Aek , 6t�k "e4 19if 41q , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 70 & 1 Sal Mailing Address: -Plo r &?r- /QQ iK 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) RECEIVED A �i�t hed C 1 Pus,0A J NOV 21 2011 il)P-J) . t4 C`rAs A - A-,r 6 uektl r , e kJeJ YV C�7 Pre (Information for Property Owner Applying for Permit) Mailing Address &AZ4 A)C Q 8&4P, City/State/Zip Telephone Number Signature Date (Riparian Property Owner Information) Signature (,� /4 t/c J� 0 �QO ,✓ Print or Type Name r/5i0 92S d667 Telephone Number Date ,euht,0-3 r k IkA �.3 L'o,v/, ��e+�,� r deIN 4�4eA.Jjlat g-OL UJIA iPr' 7X, - ��A 16 � -�� 6 M -e— 1-0 � U A A p A z yam- e� a& 0q 519 C ey 1,� 0-1 YV3 K J� r FORT 1 T i ' v 2 4. k fi f ( 4 7 f.. e Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on Me reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, tior on the front if space permits. 1. Article Addressed to: A. Signat re X / All ❑ Agent /�"� ❑Addressee B. Received by (Panted Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Se Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7011 0470 0001 0452 6260 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES E.� PIMPFON-r TRIAD " • Sender: Please print your name, address, and ZI a 9s/ a •:.:` ii?1f1�Filtl�I{?i!!fl!i�l�i{f�1!)!!!3l�F�1}li!!31F11!?t?ti!li� box • ■ 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: . 4'd CIl`C� �crssc�if �d (9 -7A.: -, L - A. B. Received by ( Printed D. Is delivery address different from item 1 If YES, enter delivery address below: El Agent { Addressee ❑ No 3. Se ce 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 0 4 7 0 0001 0 4 5 2 6 3 0 7 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 0 Sender: Please print your name, address, and ZIP+4 in this box 0 0''fo 4� � A de" ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 8 1 's (Name of Property Owner property located at �C?/ �A sf � ki- y�cbx`' /4 <<E�C f (Lot, Block, Road, etc.) on ��C'�-17 tt 0- E%u.� � r � ic�r�l� ie r�y , N.C. (Waterbody) (Town and/or County) Applicant's phone #: f ;� Mailing Address: -.0 , r,- i6Q � 4k-UeAC k ILle 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) 15r—i—= A 7-P- t' heed ECENED �0V 2eA 20i1 -4�' OAX �3�' �-, d r QO' Oe i 16 L ;11 ,�e (iel )(V C6, A3 M r4-- (Information for Property Owner Applying for Permit) &� iea r�, Mailing Address A44xA c &AZ4 Ac Q 6 1!; 4;), City/State/Zip Telephone Number Signature Date (Riparian Property Owner Information) l/ Signature e- (k45WC— Print or Type Name 1/:Z4 g/z — 7 e)y o Telephone Number i z Date 1'r'4YbsE'� MA; v �, I —A et,C -e r-/,CIP j�W �/ 0A-) ,e-(A;Z�0-3 r i "'3 ir►� uj 7�- I U A a &S 40 q 6-le 0- of YV.3 1 EIGHT & ONE HALF MARINA VILLAGE HOMEOWNERS ASSESSMENT ACCT PH.252-726-1551 PO BOX 1028 ATLANTIC BEACH. NC 28512 TIM- io r/r air/ri• u� j'�'� `Jv- r 0 166 66-112/531 BRANCH 02201 �- � sec°•��y r..m�e. BRANCH BANKING AND TRUST COMPANY ✓�, o1Z1,1BT2Bl andT.com 6�el� �� /-rJe1� my 1:05310 1 L 2 L1:0005 L 9 9 3 3 5 2 2911'D0 L66