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Home My WebLink AboutA B Cooper (Leesee Wayne)/ ❑DREDGE &FILL r� "+1� QC'AMA GENERAL PERMIT Previous permit # N,t4ew:- ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources 15A NCAC and the Coastal Resources Commission in an area of environmental concern pursuant to y Applicant Name �' t .t_ , 4IJ- [Rules attached. Project Location: County. ddress ! ) -�1 J .- _ Street Address/ State Road/ Lot #(s) City ,4 ,t3 l' 1�'=�i iE'� State ZIP Phone # j : Fax # ( —) E �j .)4 Subdivision i 1( 1 v - Authorized Agent f�` 7! 1 j City t _ ZIPS ElCW �`,EW XPTA ❑ES ❑PTS Phone #. (. Jr °{-� �- ` - River Basin Affected ❑ OEA HHF ❑ IH ❑ UBA El N/A Ely' AEC(s): i•. Adj. Wtr. Bod T ❑ PWS: ❑FQ 'l ORW: yes /;no PNA yes /l60 Crit.Hab. yes / no f., Closest Maj. Win Body r ` >> < r t ► 1 n' �- m■■■■■■■■■■i■�■■■■■■■��■�■�s■■■■■■i■■■ ■■ ■■■■■■�■■■■■■■■■■■■■■■■■■:■■■■■■■EN 1MMI►■..........■■.............■...... aim ■■■►y��■■■■■■■■�i■■■■■■■■■■■■■MM■■■■■ a■■■■ a■■■■■■■cubic ■■■■■■■■■■e■■i■■■■i■■■■■■■■■■■ yards EMMERVEM!NEM ■■■=■■■■�� ■■■ ■■ i Bulldozing NOMINEE 0 ■■■■w MEN ■■. a■■ •B ..l ■�,. �.■■.■......... am not sure -M ags: not sure yes • ■■■ ■■■■■■■■ ■ nu �■� �►�■ ■■■■■■■■■■■■■■■ ■■■■■■■■■■■�■ 0 I W■■■A■■■■■■■■■■■ vpm 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 I) 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules 0 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 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. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 (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 DivislDn of Camstal VA Applicant: Date: V ` `' 1?D 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. . Disturbancetotal 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 temp impacts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount` 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2308 :: 1-338-4R;OASi revised:02103/10 11 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 7 - 1 j — 13 RECEIVED Name of Property Owner Applying for Permit: Eg 21 2013 DCM MUD CITY Mailing Address: Po .444,d , 4AC,*,C A )UX _ Z1512 I certify that I have authorized (agent) 1y) vA 13i.��?�� „�,��`,.� to act, on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) :1 21 Z,,- Gt •, at (my property located at) 2 t 4 ijo a-4b i iux c- -T This certification is valid thru (date) ADJACENT RIPARIAN PROPERTY OWNERAT�E�M ENT {FORA PI ERIMOORI NG PI LI NGSBOATi-I FTB i Is 1 hereby off* that I'a n properly s4aoert toO�.� : (Name of Property Owner) prq)aty located it _Zt �o d h S a rZc 0R (Lot, Slcoi Road etc) -N.C. m*�t,�''�- (Town and.for County) ocadM !"18� ibedtame asdiombdO1Af. N�Opr llBlS�1rQQ081[1Q t bd arid; ! 1rah+anaobJjeclior�stoHspropoe�t.1 c ar thatapraMmongpl�t • ... - .. - .. . from-my'are�fti�i�n-aooees�e�s: wrdived by ma 149rd wish toy+r4vgfta9tba*.r+equir+errrent �..___=___.--- _.._...,.--'•---..._........_� ..._� 1 dowishtowaiVethaisdbericwirenner�t: DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPM ENT: (Tobiefilled in by:lndviduaE_Pcoposin9. ) �- 2013 .Q ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIERIMOORI NGPI Ll NGVBOATLI FTIBC'ATHOtJM t° �',' / ,� �- 1s • i hereby certify thak I awn prey �1� - . (Naof PrOPertY Owner) _ me . .. p q)Wy looted at (Lott Klock, Road, eta) • on�•c • N.C. • (Watert�ady).. (Town and/or CQuntY) j*hmide0aribe ADMA:; aaf�oambdowjhedevela he.ts prnpcelr�g of that loc2tan, arid, I havenoo6jec6rxafi�hlspro• Ia°Q .• - . .warred°til►.� - - is -, .. - :�,- dQ1N1ahtoVlrdllettlmbdc ' . . DESCM PTi ON AND/OR DRAWI NG OF. PROPOSED DEVELOPiuI ENT: (To befllled In by IiWMdual. prapos!n9 duel t} --. E4t4IZ's4.0 RECEIVED v -4s W vw-- 4Fi t owime _ .. _ _ .._. �..��.._- ----{�pl[ear�t-l�grirwtia�} .-- . ... . ... _ ::i�!. ...=•>-�:•-�-�:-._..::��..�......_• • ---•..._ - _._ - __.. . Tdep mN`ntier robe