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Home My WebLink AboutThomas, BillDREDGE & FILL ItiCAMA QENERAL PERMIT Previous permit # 15kew DModification DComplete Reissue ElPartial Reissue Date ffevious permit issued" - As authoAzed 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 — - r -_ I '. I I 'F I-- - Name �J Name !'7 h clP pRulesattac e Location: County pplicant Project n Address Street Address/ State Road/. Lot #(s) T State 6 '7T 'p 17 # SubdiYi Sion, ,Phone 'Authorized Agent 1% -it I -ZI P City, Vr" 0 C ;N A 7ES 0 PTS CW 'NEW E:3 Affected 0 �1 Phone # J I I (')Rde r Basin 'A'(A'1*11 �Crl 0 OEA �'HHF H El UBA 0 N/A AEC(s): __J__ Adj. Wtr. Body i l. ntat /man Junkn) El PWS-, DFQ 0Rw: yes PNA yes /n?') Crit.Hab. yes no Closest Maj. Wtr. Body Type of Pr_ 9Jett/ Activity Pier length (scale: Pi length number iead/ Riprap length■ avg distance offshore r'�►■■�■■�■■■■■■e■■�a MMME ■■■■■ MEN OEM cubic yards ramp 'IOUs oa 113ulldozlng,,� ii■ii■ 11■■■tMMUMV, ii ■■ir■ i■■e■ ®■■■i■■■ENHE a■■■OM■EM■MMIZ91�ii�ii■ii■■I not sure yes �no4MMMM1ww160wWUl`"" �no, 'INOMMEMEN Flags: Pot sure yes torlum:,, n/a_,yes,,, (99:'�AMM /noMnal I REM No ME sr Attac A building permit may be required by: Notes/ Special Conditions I Agee 0 See note on back regarding River. Basin rules. y . or Applic4nt Printed Name/ Permit Officer's SWhature ire] "Please read compliance statement on back of it Issuing Date Expiration Date yerm .............. . Application Fee(s) Check# Local PlanningJurisdiction ^ RoverFileName. 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 ❑ Other: 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/ 1-888-4RCOAST 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) Revised 08/09/06 = Name: bill thomas Permit #: 64109C Date: 6/20/14 GP Habitat Sheet Address: 244 old causeway rd jlabitat SF of Disturbance SF of Disturbance LF of Disturbance LF of Disturbance I 169 169 N/A N/A JUN 2 4 2014 Dcu.mmcrry N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date w-Zt3(L( Name of Property Owner Applying for Permit: { . JUN 9 2014 Mailing Address: DCAfNftC 6 `7 k 2n I certify that I have authorized (agent) C �e^^ to act on my behalf, for the purpose of applying for ands obtaining all CAMA Permits necessary to install or construct (activity) 1�'�a�(c c+ , at (my property located at) Zyq 016( This certification is valid thru (date) V - 10 ' [D ( r Property Owner Signature %d _2-0 I'f Date RECEIVED s" JUN 2 4 2014 DCM MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to �� "a- s property P y �K DlC�W (�ma7of Property Owner) ro ert located at (Address, Lot, Block, Road, etc.) on Se sal. , in -+1c,-4�c- . fNfi , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. have no objection to this proposal have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) a o� UUD 0 WAIVER SECTION`- I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift,or jMqt 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)CU maim 4-►. 1 • I do wishto waive the 15' setback requirement, do not wish to waive the 15' setback requirement. JUN 2 4 20�4 (Property Owner Information) .(Adjacent Property Owner Idfdffl=dh)Y Signature / Signa & re O re l Prin or Type Name Print or Typ Na Maili Ad Tess Mailing c(dress Is bonnoek_ Nc City/State/Zip City/S ate Telephone Number Telephone Number Date Date - (Revised "611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Is 2 (Name of e ) ..property located at Property Own ��i t..1��QT��- (Address, Lot Block, Road, etc.) on - 0-1J , in 6�'%e 4 e . !Beae-t- AJ C , N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above IOC�1t101�. _ KKK I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) tr D 1 at¢ 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: do not wish to waive the 15' setback requirement. (Property Owner l formation) (Adjacent Property O ner Information) Signatur pJ S. ture Print or Ty Name Print r ype ame �7�L9 Mailing A d s MT1W/A97-Vk). ddress City/State/Zip City/State/Zip Telephone Number Telephone Number MWED REC Date Date JUN 2 4 20111- (Revised 611812012) DCM-MHD CrrY