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Home My WebLink AboutFaulkner, AnnetteN CAMA 0 DREDGE & FILL GENERAL PERMIT Previous permit # �New OModification El 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.environmentall concern pursuant to I SA NCAC U Rules attached. A Project Location: County f Name Applicant Address Street Address/ State Road/ Lot #(s) f City i 0--,SQ zip 4 'Fax Phone # Subdivision Luthorized Agent � City— ZIP i Affected 0 Cw DEW D PTA D ES El PTS Phone # 211A hver.�asin AEC(s): El OEA 0 HHF DIH ❑ UBA El WAAdj. Wtr. Bocly.-(O )/1 1) -If hn at man /unkn I 11'l F # 0 PWS: El FQ 'B r 0111W: yes / no PNA yes no Crit.Hab. yes noBody Closest Maj.wt Type of Project/ Activity j i (Scale: r pier(s) ramp -iouse/ Boatlift Bulldozing INES .I MMMMIMMMMMMMMMMMMMMM MEESE IS 11MOMMEMEMEMMEMEM��i■■■EM MMEMEMINESIMIC1111aw ::::::a::::::::�.a�:::::::a::aa slinel-ength not sure yes �nc iags: not sure Yes 0, torium: n/a ,yes inQ'IMEMEMENMEM ,Ml V ■MEMMEMEMEMEME SENSE MINME lim SMEMEMEME Attached: cr ,,�yes no:", See note on back reearding River Basin rules. Notes/ Special Conditions 'Agent or. Applicant Printed-Name Permit pffic r's Signat HEe f ,Signature Please read cornp! liance statement on back of permit" lssuin,r,,i Expiration Date ? l6n]Fee(s)— Check#,, i Local PlanninR Jurisdiction RoVerFileName 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 andvoid. 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 [)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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar -Pamlico River Basin Buffer Rules Other: 0 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/ 1-888-411COAST 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 ISLAND MARINE CONSTRUCTION, LLC Visit our website at: Cell: 252-725-0132 www.imc-nc.com Office:252.728-3419 Thomas Lawrence Free Estimates tiawrenceO460C@gmail.com • EROSION CONTROL SPECIALIST• • BULKHEAD 119P.AIR REPLACEMENTo • INSHORE AND OFFSHORE ROCK SILLS • • PILE DRIVING* BOAT LIFT REPLACEMENT• • REPAIR AND SERVICE • FLOATING DOCKS• "if you have a problem., we have theAnswee 'A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director Date a' N — 1 5 Applicant Name t� u F/kk der Mailing Address D & l= i 0.3 f- A-H ct&3 - i c. Bead. P G AS 51 2. John E. Skvarla, III Secretary I certify that I have authorized (agent) --�Ik 0 " A--S � Ar u=- r e rN c �e— to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) t5 to r : P. S+ 5 4 , at (location) A -H a,*,4- , L 3 e -.c L N c- ; .Ts s 1 2— This certification is valid thru (date) Signature o�G�rZ' 400 Commerce Ave., Morehead City, NC 28557 Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net RECEIVED APR 17 2015 RECEIVED APR 1151016 One NofthCarolina An Equal Opportunity 1 Affirmative Action Employer ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that. I own property adjacent to ANti �,u e,r 's (Name of Property Owner) --property,- �� (Address, =4(Ci9ty1T9ow zandforCounty) �y on N 4 S. h4 N.a l in t�.4r e.� , N.C. (Waterbody) The applicant has described to me, as shown below, the development proposed at the above loc�tp. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ARID/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) luo re +ka, w J D RECEIVED APR 17 1015 DCM-Mjgb CITY 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.) . RECEIVED I do wish to waive the 15' setback requirement. APR 161015 I do not wish to waive the 15' setback requirement. t r e (Property Owner Information) (Adja ent Property Owner Information) A AJA A It 14A-1 i2r ature,, „� Signature Print or Type Nam tb& %=iks- 5-1— ItRii Ad ress itpl tatelZip 1!52-?fib -7'71`� Telephone Number �- 19 - 15 Date Print or Type Na e p '� k k� >J -eI �� Mai(ig &�rqs , ,� 2 Citty/)�Sta elZip o � y e3 .� 3 Telephone Number (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that.I own property adjacent to -�NN� F'hu �N2R 's (Name of Property Owner) :.__ ...._..._._�.__._..... (Address, Lot, Block, oad, e� .) C- on' �.S-nl� , in �� , N.C. (Waterbody) (City/Town d/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 mast fill in description below or attach a site drawing) cut r le 1.3 APRzi2015 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. RECEIVED ( I do not wish to waive the 15' setback requirement. APR 16 1015 (Property Owner Information) 'acent Property Owner Information 1601 nr 1A, t e Signature �. Signa Print or Type Name Print or ype Name Mailing Address Mailing Addres �C City/State/Zip 06 Ci to /Zip I ;L; I - "7 A( T7 7 I S el hone N mbe Telephone Number �'�� - �a7-yio�r �.. t - 1 5.= _ / Date Date (Revised 6/1 NO12)