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HomeMy WebLinkAboutMintosh, Brian & Lisa'b CAMA / ❑ DREDGE & FILL INERAL PERMIT - ew ❑Modification ❑Complete Reissue �OPartial Reis OAsautorized by the State of North Carolina, Department of Environmental Qu and the Coastal Res.Qurces Commission in an area of environmental concern pur Applicant Address City Phone # ZI Authorized Age nt Affected \44�N TA ❑ ES ❑ PTS ❑ OEA ElHHF ❑ H AEC(s): ElUBA ElN/A ❑ PWS: ORW: es / no PNA (yes,) no No. 73257 A B C D 1 revious permit # sue Date previous permit issued ua suant to 15A NCAC LJ ules attach Project Location: County Street Address/ StaXe Roacy Jot #(s) City Phone # Adj. Wtr. Body_ Closest Maj. Wtr. Body ZIP Basin ■■�r�■■I■■■ ■�■ . _ ■�_i%■■te`'ai�'■■�'�R%!■■■ MIN_ WERV1103 �■■91INu1/rJUNK"11- ommom's ME■■�■■RN, M. ®II■:�l UI000 ffs ■ ■IIV1/ l�li% 'ifrr%� i1 % �■■ilril ■■� ■ g■Y■� ��■■�/,I�■■i■■■■ ■N■■�I/�I ■■Vii m%!■■■■■■ ■■■Ni ■■■■ 1!■ram/r■►7�ii1■7� ■■■■ ■N■■I/illy; ■ID7101V■, I �!a,.■:►■►�L!.�111�%/ ■■ ■■■■■Ew4li� ■N/■i■1 ��.:�■■�■■ ■■■■■■■■■■■■�1m■� !■ ■ ■■11/v�i71�L11�lnl►i► / ��/�1■/ rz.11[1■ii � �H■■■■■ ■;��■■I rm12!)MMI li/ /t1APSIN lw�/■FAWN il'�` iir■■�■■■ ■■N .1■ �". NNE■OK NOW��WRIFI �■O■� ��'� �■ ,1�/MIRAW MEMNON OEM III ON ■■■ ■■■■■ ■ME ■�■I■■ E ■SIII■■■ CENN ■ ■MEN ■■MEN ■■■■■■MO■■■■■■■ ■■■ .: INN 11,10111 IN MEN M■� fit? .O■MEN ...■■m■.■■■■ ONE .■. �- ii�■�in■■n�■i■i■ ■ ■■■■ dl nt or Applicant Printed Name Signature ** Please read compliance statement on back of per it ** p lion (s) Check # f . 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, 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: 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 how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 Hurricane Florence Repair Request Form Q [A5a Name of Property owner: Address of Property: Mailing Address (If different.than above)` Telephone Number: e will be made in the existing footprint of the previous perm Repairs due to hurricane Floitted structure. renc Signature: arian ***Please note that if the structure is within the 15' setaform'pgned line an have the adjacent riparian property owner notification/waiver c' �1 y�,red 91B91B You must t� 0 0�WA 0W M LO O 00 O � N cn a� A rn � W y `� N 1.4 � � w A v a z° O x 00 v U 0 z P� 00 00 M W O N O O V OOo " Q 00 t," �1-4 � � W � OW a � � O � O O� 4-+ p M U p Z p 00 cj rn o 0 00 "' 44 col Z 9 o p= 4 3 - °\° o 'ti z eA z co % [� 'U� v� N N a s fig U w F EF+ f� E. rig A A. A