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Home My WebLink AboutA B Cooper7 'CAMA/,(DREDGE & IF ILL GENERAL PERM IT Previous permit # 6 2 2.0 Q*ew ' IDMoalfication ElComplete Reis 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 -E Rules attached. Applicant Name i Project Location: County Address. Street Address/ State Road/ Lot #(s) City Staie�\\ ZIP T.� n ,Phone # Fax Subdivision WA A CV' Authorized Agent Ci ZIP -11 0 Cw W 'E� DES El PTS Phone # Affected �) A I r 'A I I ver Basin C, �(nat .man / nkn) OOEA D HHF 0 1H 0 UBA D N/A AEC(s): Adj. Wtr. Body 0 PWS: 11 FQ � ORW: yes ' PNA yes 0 Crit.Hab. yes no Closest Maj. Wtr. Body- 0( Type of Project/ Activity 1/0 n Pier &POW Platf Finger Groi Bulk Basil Boat Boat Beac Otho 'Shor" �SAV: �Sancl M0 Ph0, Maiv (Scalle- ••�■�� MEMEMN man MEMEMEM MONMEME MEN n length number ead/ Riprap length avg distance offshore max distance offshore �1■�!l■�i' ■■�■■ii��l��/r�lr�lr®!■i■■■■■1!�■■►/i(i1�i'�/ channel cubic yards ramp -iouse/ BoatliftMOMEMMEO= INN NEM■ ENNEoM ► ago [ li MOMOM EN M MEMEMOMME■MENEMM EYAWWWMEMMMMMEMMMMMMM■ME M MEEN MENEM MENEM MMMMMMMMWM= N-- --mmlmmmm��mmum g RiM 0 N" UNNION—NOMMOMEMOMM I MEMINMEMENNEEMENN MEMEMEMEMEM A building permit may berequiredby: uies. L -J See note on back regarain g ver as, Not1s/ Special Conditions A. r • F]i 'Agent or Applicant Printed Name PermitOfficer's Signature Signature ' Please read compliance statement on back of p_wjn Issuing bate Expiration Date A Application Fee(s) Check# Lo6d 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, certifythat 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 0 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/ 1-888-4RCOAST 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 4- !01`0:.=Vluu Yhu' c '� �. i'•'K?:'T r1�:._ .i:�`. C t`�7 vs? eti 3`a �� Applicant. Date:AZT n % 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 impact 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 terhp impacts) FINAL Feet . (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge)( Fill ❑ Both ❑ Other ❑ 40/ Dredge ❑ Fill'[] Both ❑ Othei ❑ 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 ❑ 252-80(8-MW0S n 't-f ,38-430T,0513 a .: vaASe-d-.021C U N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 6 • C(. 13 Name of Property Owner Applying for Permit: Ae> L ", 9 -c-/Z- Mailing Address: ,12,0. 3ox 2 SU I certify that I have authorized (agent) rnV d 1C? PtEC.Sln.K fXXto 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) Iva n.L in -5 j6-vc c qThis certification is valid thru (date) Ia - —13 Property Owner Signature Date r: RECEIVED z� JUN 0 5 2013 DcM-mmcnT hi�ereby certify that I own property adjacent to ,> Goy pf f— 's (Name of P Owner) property located at 2 1 (Address, Lot,/lock, Road, etc. on ( , in ,� .�d-: 1 o �� , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) a2 1 Eff; 5RECEIVED � 2 m JUN 0 5 2013 DCM MHD CTTy 13,q 13 J (.5 = Z S 31 2-'7 WAIVER SECTION 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.) (P I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 15 e-o0 it 1 Print or Type Name T .0. i3'>'/25to Maibg Address T�La�c�c.h City/Sta1-7 Telephone Number C'. Z), - /"% Date (Adjace Pr erty Owner Information) Si tu�rje AUotK P- n or Type Name MA4E&,4,',e- CitylState&ipiling Address zql ---dUS Telephone Number Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's me of Property Owner) property located at 1 (Address, Lot Block, Road, etc.) on Cin h c-o cAl , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 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) �.5 E% vet' nx IEC� o z JUN 0 5 2013 v I S s2s3 2'? Dr-M�MHD Crr q • 3 1 (17 S 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) Sigltature Print or Type Name Pa rj�,�2So Mailing Address City/State/Zipp 252 ?2� Telephone Number r„, 3•/3 _ Date (Adja nt operty n r Infor ation) Sigpature Print or Type Name n MaIrg Addressqq�� City/State/Zip �2& Z(.6 S Telephone Number L • 1� 1 13 Date (Revised 6(18/2012) MUD BUCKET DREDGING INC 507 HEDRICK BLVD 6362 MOREHEAD CITY, NC 28557-3045 1 66-112/531 Date a� I Pay to t,,,, Order of $'Z ao � I Dollars - BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT. BBT.eom - FOR ' 1 1 ,l�C..C*f�++ nor 1110000636 211' 1:0 5 3 10 1 1 2 0:000 5 2 9 3 2 1B 34 1u■