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Home My WebLink AboutSullivan, GregErCAMA / ❑ DREDGE & FILL • .- GENERAL PERMIT Previous permit# IENew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources f �f and the Coastal Resources Commission in an areaof environmental concern pursuant to I SA NCAC ;Applicant Name < ' �` ' - �� -'' .G4Rules attached. Project Location: County Address Street Address/ StateRoad/ Lot #(s) City State` ZIP Phone # (+) t r� ./t`, ` Fax # () Q Subdivision Authorized Agent 4 �r i;...,t City E� a f,. �•.�rrLf/ ZIP ❑CW 21EW BPTA DES ❑PTS Affected Phone# ( ) River Basin I,,/ ❑ OEA ❑ HHF ❑ IH ElUBA El N/A AEC(s): ,r' � w�-�� C"c a� Adj. Wtr. Body (nat /man /unkn ) ❑ PWS: ❑ FC: � � �/-'1 i-• - t ,i to r2 Closest Maj. Wtr. Body *- ORW: yes /)no PNA yes /� no �) Crit.Hab. yes / no Type of Project/ Activity #P A 'I`,;c s (Scale: ) ■■■■■■■number ■■■■■■■■t�■■■■■�■■!7■nee�e■■■■ i length ■■■■■■■■m■m■■■®■■■®■■■■■®■■■■■■■■■■■■■■ ■■■■■■■■■■ s ■■��■■■■■■■■■■■ ■ 11MEMIN■■ ■e ■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ cubic yards MEMO ■■■■■■■■■■■■ramp �■■■■■■■■■■■■■■■■■■■■e■■■ ■■■■■■■■■■■■■■■■■■■■■■■ri■■■■■■■■■■■■■■■■ IOUs B Bulldozing .i -line Length ■■■■ ■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■■kags: not sure; yes lno�" not sure yes, tnq •■■■■■■■■■sue■■■■■■■■■■■■■■■■■■■■■■■■■■■■ A building permit may be required by I. 0 See note on back regarding River Basin rules. Notes/S ecial Conditions,i k t 1 # Agent or Applicant Printed Name itOffice ' atur}r5 5 Signature Please read compliance statement on back of permit lssuinjzDate Expiration Date Application Fee(s) Check # Local Planningjurisdiction Rover File Name n 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 [)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 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 j 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 howto complywith 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/ 1-888-411COAST Location: Fax: 252-247-3330 2728 Capital Blvd. - (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919=733-2293 Fax: 919-733-1495 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 )��ba, -4v-/--Korth Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director Date 1,7 Applicant Name ' Mailing Address l.S` 6rU,SS��,1 d(�ct' John E. Skvarla, III Secretary Z 47 I certify that I have authorized (agent) C"to act on my behalf, for the NV purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) AV WA at (location) This certification' valid thru (date g , Si natur C 400 Commerce Ave., Morehead City, NC 28557 Phone: 252-808-28081 FAX: 252.247-3330 Internet: www.nccoastalmanagement,net An Equal 4pporturgry 1 AfitmOve Action Employer woL ne� .Caro " a ��G.ls�ie'�FF I 'd 181Z 'ON Wd80:01 E10Z 'LZ 'Jad (r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to � r� 's Name of Property Owner) property located at _ y� �i Ve too /e /► (Address, Lot, Block, Road, etc.) on 43 L . G /'� -,in , N.C. (Waterbody) •(CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above cation. \N I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must flit in description below or attach a site drawing) 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 across unless waived by me. (if you wish, to waive the setback, you must initial the appropriate blank below.) I do wish to waive the IV setback requirement, � • I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) /J n e- Prin or Type Name Prin t or TO a Y9Fe /, Y �u s!re" /ZC/ _ i/ - -.'lid'. _nG.t_ MarJ�ng Alress a.? �/ Mail' g Address C� C i •rtaP. . City/State/ZTp city/statelzip Telephone Number TelephJjo�n/ye Number f(q/% /Yy Data Date (Revised 611&20/2) 6 'd IM 'IN OWE M6 U '0aa 0 r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to soCrrel ` {Na e ekf Pro rty Owner} property heated at . n� (Address, Lot lock, Road etc,) on - -a0 C eeAC , in e�,J a , N.C. (Waterbody) ityrrown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. ,yyj:2� — I have no objection to this proposal_ I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill In description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, moorinkw g pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian accbss unless waived by me. (if you wish -to waive the setback, you must initial the appropriate blank below.) f� I do wish to waive the 16 setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Maili�8 Addr® C /Sta IOD ty �s�:2T Q3 9 ^ 71V Telephone Number // C?—%.3 Date Property Owner i wc..r ZI. e � & /g Add, lat AIV 2gi o.��, fat !p •� hone) mbei E 'd M6 'IN (Revised 6/18/2012) NV80:01 E10z *ci .,aa Y, F a l� IkF •hli A 4Y �•Yti. .. t�`I y�YI {•.. � 'Ill � � �� - f. 429 Live Oak Rd, Newport, NC 28570, USA . y" 10 �— ----- _ r � _� — — _ ' I I r I k I � � I f a �, ' III t LC •- �F Y ��.. .. 9 7' � � �1 .. � VR c N� .. � ,', ' P I Jt t �. �` ..