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Home My WebLink AboutHutcherson, RodneyLnJ CAMA / ❑ DREDGE & FILL _ GENERAL PERMIT Previous permit# New- ❑Modification ElComplete Reissue ElPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources . r and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC `� NJRules iattached. Applicant rNµ� ~` ��r: t 1 Project Location: County C. i?,;� Address f rr IXr, > i"; �` r Street Address/ State Road/ Lot #(s) City r'. j, States°-- ZIP I Phon�e#= 1'71 Fax #O Subdivision F.{ d. fCity, Authorized Agent i `{ , :�'(� �'i t � , i � 't { r . T • �,: ❑ CW L§EW C PTA ❑ ES ❑ PTS Phone # River Basin 1 ! On. 1: Affected r ❑ OEA ❑ HHF ❑ H ❑ UBA ❑ N/A AEC s : 'k � E { I � (nat (an./unkn) ❑ PWS: ❑ FC: Closest Maj. Wtr. Body— ,, ORW: yes /'n� PNA yes /` Crit.Hab. yes /"nor` j Type of Project/ ActivityV✓ �j Pier--- Platf Fing Groi Bulk Basi Boat Boat Beac Oth (Scale: ■■■■■■■■■M■■■■■■■■■■■■■,lriu7m■■■■■■■■■■■■■■ !rpier(s ■■■■■■■■■��ilr��r�l itllll..l.■■■■■■■■■■ number ■■ ■■■111r1■��i1�ira�il��i11i1�ir��i��ii�ir�i�7■■■■■ rrrrrrrrrr�rrr cubic s ■■■■■■■■■■■■■■■■■■■■■■n��■n■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■nn®■��■■■■■�rn� t ■ ramp Bulloozing i {• `t i i�_.i `h •al A f L•�'^k y I,.i �;r� !l. l.� f yy �.�� 1�� 4 ty 'Agent'orAppticantPrinted-Name PermitOffTcers ignature J ¢ Signature Please read compliance statement on back of permit * Issuing Date f �,-` Expiration Date Y- t� l Local Planning Jurisdiction Rover File Name ApplicationFee(s) Check# 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 ancivoid. 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, certifythatthis 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 [)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. Washington District Mailing Address: 400 Commerce Ave 943 Washington Square Mall 1638 Mail Service Center Morehead City, NC 28557 Washington, NC 27889 Raleigh, NC 27699-1638 252-808-2808/ 1-888-411COAST 252-946-6481 Location: Fax: 252-247-3330 Fax: 252-948-0478 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above (Serves: Beaufort, Bertie, Hertford, Hyde, Raleigh, NC 27604 New River Inlet- and Pamlico Counties) Tyrrell and Washington Counties) 919-733-2293 Fax: 919-733-1495 Elizabeth City District Wilmington District 1367 U.S. 17 South 127 Cardinal Drive Ext. Elizabeth City, NC 27909 Wilmington, NC 28405-3845 252-264-3901 910-796-7215 Fax: 252-264-3723 Fax: 910-395-3964 (Serves: Camden, Chowan, Currituck, (Serves: Brunswick, New Hanover, Dare, Gates, Pasquotank and Perquimans Onslow -below New River Inlet- and Counties) Pender Counties) Revised 08/09/06 1=10 •,ER: COMPLETE THIS SECTION ■ 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. 1. Article Addressed to: 1 �ze-n , Z6 cV,, J OB-70 3 2. Article Number (transfer from service labeq PS FormZ811, July2013 - L__�` ❑ Addressee B. Received by (Printed ame) C. Da ,bf,E ery D, Is delivery address dierent fwn item 1? ❑ Yes If YES, enter deliverddre•`s� beldw: [3 No W � W p y c � 3, Service Type E3 Certified Malls A Priority Mail Express'" ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes ;7014 2120 ❑000 5305 6404 Domestic Return Receipt *UNTm STATES PoML,SERVICE First -Class Mail. Postage & Fees Paid USPS Permit No. G-10 • Sender. Please print your name, address, and ZIP+4® in this box" � e saj-'�.O . csYLS�xus ion, L LC i&CLQ 6141 11111i1iIII ,11111111111'1]+11l1111111311,11111)1111111�1111111' AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: kInQ� LL-� Mailing address:- to ��/�° ,ems Dr' (C 2 7537 Telephone Number: qy 1 2, / 6 - / '7 75 I certify that I have authorized ct)" T O On; (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of I Doc at my property located at This certification is valid through ��' ✓ is/� (date). (Property Owner Informatio ) Signature o itl Pri t or Type Name RECEIVED MAY 0 7 1015 Title, co. owner or trustee for property PCW--,v,nn QTy 7 Date C'/9 �/ Telephone Number ro al4oAci ey'p 40.2 h2cc,.eo+- Email Address DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED hereby certify that I own property adjacent to '� t -} tl h n,(.2r's Name of Property Owner) property located at W?> 6 : SeSL Lane - (Address, Lot, Block, Road, etc.) on CU-) , in P{� 1 r.T.. , N.C. (Waterbody) (City/Town and/or County) ~� Agent's Name#: W&CLrn`pn6l--s Mailing Address 16q �PC�hor�e J �Ir Agent's phone #: ill aqi-(,nc?cQ_ .Q(i �,1_ r-�-T&) C . C9 51 h He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. --------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill In description below or attach a site drawing) lb - If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available athttp://www.nccoastaimenaaement.nettweblcm/staff-listinaorby calling 1-8884RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) (Riparian Property Owner Signature Ccdrl t_a u C�1 e1^5�1 Print or Type lWme Mailing Address City/Statemp Telephone Numberl Email Address Date Signature 4ov--s S"Ok, (tc !!exi TW, Print or Type Name Mailing Address City/State)Zip Telephone Number/Email Address Date RECEIVED Y 0 7 2015 i:--; o ow. (Revised: Aug. 4}