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Home My WebLink AboutRogers, Martin� CAMA / ❑DREDGE &FILL r :f- A B C D ENERAL PERMIT Previous permit# ew ❑Modification ❑Complete Reissue El Partial Reissue Datepre-vious 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 " s , ales attached. t Applicant Name ./ � Project Location: County t j Address 1 µX#!�, ' t Street Address/ State Road/ Lot #(s) 0 7 �% It ' City ti State ZIP Phone # ( E-Mail y "r Subd' ' ion Authorized Agent ^» ( : t"1. ' rrt1/ City ►' 4•- j iZIP� Affected ❑'Cw "�rEw - `ftA AEC(s): El OEA ❑ HHF ❑ IH ❑ MIS: ORW: yes. /(9 PNA yes Type of Project/ Activity ❑ ES ❑ PTS Phone # ( ) '" River Basin ❑ UBA ❑ N/A Adj. Wtr. Body" nat ma u n Closest Maj. Wtr. Body length— I'M Groin wmweiiw�isw�i�Iii�i■�■�r�•��ls■■�iiiwgii��s■iwii�i�i■�aw■s�i�■wiew�� number �Yrr�rr��I1�WY�O1YlYYlY^f'i1`M�IIIYIYiY�Y�Irir11�1�1OY��I�Y�I��WrI��I�lr��y"� Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel ■■■n��'J■■■■■■■■■■■■■■■■■■■■■1�►�y ■■fil■■■■■■■■■■■■■■■■■■■■■■■■■■ cubic yards Boat ramps r� y Beach B I zing Other Shoreline Length $AM not sure yes jno$ Moratorium: n/a yes Photos: yesWaiver Attached: yes A building permit may be required by: �� ►'`� ir,. ( Note Local Planning jurisdiction) otes/ Sp ial nditions 'f IAMr �f V',(w\rtA, P -rC Agent or pRlicaht Printeb Name PermitOffio Sign ture "Please read compliance statement on backof permit "� Signa re 11 AppicationFeels) Check#. Iss6ingD h ( Scale: ❑ See note on back regarding River Basin rules. 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 bestavailable information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Other: k ❑ 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules. Division of Coastal Management Offices Morehead Citv Headauarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of 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 - South of New River Inlet - and Pender Counties) http://www.nccoastaimanagement.net/ Revised 08/27/ 14 m N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date /% Name of Property Owner Applying for Permit: Mailing Address: C)-AYTD /t) d l'c_ 2-2-� I certify that I have authorized (agent) 1i4-(/ T O %{ M t P�5QA) _ to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) J) pC_ -A� dD�,,,pd j-iL �E-7— at (my property located at) 107 1I C.L p�, L c T fTt)L kA)0 L L �� 5 /("/C— This certification is valid thru (date) Property Owner Signature RECEIVED MAR 2 0 2017 DCM- MHD CITY Date RECEIVED MAR 13 Z017 DCM- MHD CITY 73 C3 f- m Ir Ir 0 0 a 0 0 m 0 rq 0 N ■ Complete items 1, 2, and 3. ■ 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. Ardcte I Addressed to: IZC- r� 5 d% I, Ci C- la 5 IiM; a 1C4V1*j� pj\ove.s gB3 OF X ❑ Agent Addre B. lveOy (Pri erne) C. li v CAA- D. Is delivery address di tfrorrt item 1? Y If YES, enter delivery ti�ow: No aN w S. ServicoType I'I'III IIII ('I I II' I I II I I I I I I I IIII III (I 11111111 ❑ Adult Signature ❑ Regiet aIIT"'• .II ❑ duR S g afore Restricted Delivery O Re�isterLeMllail Restrict 9590 9402 1878 6104 6870 77 tied Mail® ❑ Certified Mall Restdcted Delivery Dellyery ❑Return Recelptfor l7—f— fmm carv&xt laball ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise ❑ Signature Confirmation*M tall 7 016 0340 0000 4149 9370 flail Restricted oervery 0 Signature ConfinnOon AeshlctedAell"119 PS Form 3811, July, 2015 Fsrt 7530-02-000-9053 Domestic Return Receipt First -Class Mail Postage & Fees Paid USPS Permit No. G-10 9590 9402 1878 6104 6870 77 United States Postal Service • Sender: Pleaseprintyour name, address, and ZIP+4® in this box• i ZOj - 5 0 1 v 7't° av✓ S. C Jw` We wPL-) r1 fi - vAJ-C, i!!1'lili��ira!»,11ii�l�,11�ll�iilll�l.l1'�ll�ifll'll�i,ll�I�lliil