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Home My WebLink AboutGrainger, Chucka. ". n - . + I i.;, r•�i -.^..r ro. _ t ' :ti n ::;"t fi _ lw`17'j � �( ,�.i`r fir; ��t� ry Y r;' �. j' f t -, t y ir -. _ '.-, :. ..' ^ \ r L �CAMA / ❑: A'WGE A FILL` i, NO. fi118 EN ERAL ; PERMIT... Previous pe'rmit # C lew ,: Modification - ❑Complete:Reissue' •' ❑Partial Reissue t `: Dateprevious.permit issued As authorized bythe State of North•Carolina, Department of Environment and Resources .' Natural Resources {�� and the Coastal Commission,in an area of environmental concern pursuantao 15A NCAC {r►".: . a �^ ^ 4 " rules + ✓' ',Applicant ' attached Name' �, , _! Project Location County .., iAddress , • s '; ' # '}}' R j / t Street Address/ State Road/ Lot #(s) jCity { i �. State `LZIP Phone # (� ` «� .f.� Fax # (�) i ' Subdivision r. Authorized Agent # a ., City k: r _ t ZIP Y . Affected ❑CW° I,,EW i ..Ly(PTA ❑ES..' .: pPTS Phone # ( ,� .;ate�River Basin. i~i' d OEA " O HHF" ❑ IH ❑ UBA ❑ N/A AEC(s): '' ��• {{'?� Adj. Wtr. Body k_, UT)C L X� s W Yt�nat% {an unkn' ❑ PWS. ❑ FC• ORW: y srl no PNA yes /(no' Crit.Hab. yes / no Closest Maj. Wtr. Body MEMNON EM M MENEM M mom ME ME MOM M FA mom ME INEEME SMIMME iWAW ■MOM NO MEN �Agent�or Applicant Printed Name Permit Officer's Signature Signature f?le�se read compliance statement on.back of permit's Issuing Date Expiration Date r Application Fee(s) " Check # Local Planking Jurisdiction * Rover File Name .. _,.....;.. _ ,•3..�...+.,..`ra.1s.' if •. ,.... �3t,...ta+c.. ,....r .. ,�.:aiika:,. v.•Y?...s�� •. ..� .., ,....� ..�•: c� ... ,. .,._. .. . _ .... •�Y:�+. �.i,.. :W s_r ... ...,: o,. �. _ ,. _w. ,.. •. � , - .. .. _ 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 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 (252-946-648 I) 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) Applicant: Date: Describe b ow/abitat e HABI isturbances for the application. All values should ma ch d found in your code sheet.. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp, i acts) 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 ount Dredge ❑ Fill ❑ Both ❑ Other VV IV 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 ❑ revised: 02/03/10 WOENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Governor J G aH mes regson, Director Dee Freeman, secretary Date Applicant Name � !Y Mailing Address I I certify that I have authorized (agent)--,—V. 'A., to act on my behalf, for the purpose of applying for and obtain g all CAMA permits necessary to install or construct(activity) 1_7 /� ter` at (location) This certific ti-o is 'd thr Signature . c'4 t 400 Commerce Avenue, Morehead City, North Carolina 2859 Phone: 25208-28081 FAX: 252.247-3330 l Internet: www.nccoastalmanagementnet An Equal opportunity l Affirmative Adion Empioyer— 5o% Recyded 110% Post consumer Paper XDJACE-Irm '+ PRPR" :ti%r1'E:STA,?£1IE'T (fF4R ILRICt4RiNC�ILIiY _ Q?Gl.. OATfft? LOA .. I hereby a i� thatj.ocm ra rt ad' P Y lit to ,$ Prapertr.4xner� prgperty located at- = . i . . . :: - - iLQ� Blcck,:Ronit;•etrj==-_. -_ _ •::_ :'_ - - - , •- .. -. - - - - (�Vateib dy) N: aotivn:anillor:Cot rl ) - :- Ike has desert tome; as shOm beiov�, flee decrfop;neat he is ro and, F have:n6 ebJectio s to-bisprapomd. I e nderstaad titst a ieitmgp : P posing at ti t-location; must beset back .a n ' e wii distance of f fi�en feet I3_ from xn rtn�Pllizg,'boatiihboathoc�se waiv y ') . - . Y aria of riparian acten unless ish to 'Waive ihe-setback rrquicerrient: _ I dg W . to imin-tha! seti�ack ei . trQ i?EiE�:k AI.ID!•tiR'I1�� iF�tQpoSE DE«iap� IEN-?; ' •• _ - Cl�o be fllledfir L}�i�iii!•u��ual proposiri$=dsreJop�neri . - - � _ .. eAr .i •• - .' • •�� - - ' �=Pint I�trriiber µ t�bJCE. Rin PR ' =ST,�i?E1IE1'T TY�tR.� IERhiIQBRiIYO�'�I'Y I.hardby cer�i thialown pro*y ad,[acent to a (iwume of Pr pert •ti+rner) =p!°.Pecty Iocated at - .' .:. - tL4t; Blbck,:R��id;�etrj:=. � r- - , -. � - .�• -• . '. � : � - � _ : - oviteibody-)l In �'t°�sn:a�cUor:Cotn �= • �i is � - - • - • -- - - - _ #} •• � . - - - - . - -: "►'� to. me; . shorn be_ tow, deiefcpinent i r is: ai:d,_ E ha�re no flb,�ectio s to -his io pose!. I PrOP�iu at tiiat:3acatien; ' i i P. P. , under caad tt t a ialydooft r�sboatiif�boathoc se muSi be set b�ci: a in' ' uni distsnc� of frft�en feet (t3') from xa" waived by me. y eta of :. OP2ri aecesj unless j MUMish to naive -1. zhG-Setback rrgw�em_ eat:: - - Id. u` • .,,g � to Clog be= Veit fi ,: FiQP4SE DEZ'Ei:9P777 - _ t 11 L,�_itiiff-ui�uAl�roposiri��rplo • • - _ - IE�"I',': VS _r a-k 7 At vp - _ - • � -_ - - - ode: _ �_- - .. _-- - poae YA�u -: