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Home My WebLink About73810A_Vakos, George_20190819- LAMA / DREDGE & FILL NO. 73810 � --. � D GENERAL PERMIT Previous permit# B C New ❑ Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules attached. Applicant Name Project Location: County C.,.'r Address FL) by x 11 b Street Address/ State Road/ Lot #(s) a ► `1 -4 Sc a , e 117 d City Liok� ). State_ZIPo1'-IC1S0 Lot a, Phone # (33J) 43W-�,Y,1-1 E-Mail Subdivision CC' V'ovG 14-tcC IN Authorized Agent a d„ \k ►u c S City (' L_' r o ►\ -' ZIP na _45 l _+ Affected ❑ CW ElEW [I PTA KES ❑ PTS Phone # ( ) River Basin AEC(s): ❑ OEA ElHHF ElIH ❑ USA El N/A Adj. Wtr. Bod)t "t! -, r s6„1 tS- x (nat nkn) !-PWS: ORW: yes / no PNA yes / rloo ' Closest Maj. Wtr. Body C,- r k !&�—,d d Platform(s) "M MEW TWE ing Platform(s) er in length tos: no . .. ■ .. - �'■■■■■■■■■ ■■■■11■■H■■�:� :gin■■�■■■■� - ■`■■■■�■■■ram■��■■■■■■■■■■■■■■■■■■■■ Agen plicant nted e re Please read com lance statement on back of permit L4Uc).UD K'�( (PY )iI(Aoh i31o1A OAD015 ApplicationFee(s) ;3u+.,A Check# Permit Officer-- - ure SZ�I� /aUl`i 5I'l UIc1 Issuing Date Expiration Date 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 L 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/ 1-888ARCOAST 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: 910-395-3964 (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 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: UG �oS Date: Permit #: —4s s?) D h- Describe belo',�/ the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts)__amount) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact Shurc 1 n� Dredge ❑ Fill ❑ Both ❑ Otherk!7`1 J� J Dredge ❑ Fill ❑ Both ❑ Otherx 7j l'D ?jOOU Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimana.gement.net revised:02/03/10 AL _ i } j i� rrr ti AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: eo-e j{ Mailing Address:%'<: Phone Number: Z136- _ZF512 Email Address: Lrr;:l t I certify that I have authorized _ P t 't C, Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at in _ Url1C County. 1 furthermore certify that / am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature h (57'cc rq,5 Gv.. t/ ,e.05r �2 . Print or Type Name V Title Date This certification is valid through / 'g!s- / "�'c)(g ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to r-lAgQe jktco is Name, of Property Owner) property located at y� C'Ccua Lej (Lot, Block, Road, etc.) + on Cu-,fr AJr-V nC� in Cc, U � \6,- , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 7-3-2-2�n -(OliZ(o Mailing Address: /6!o coe o CT• 61/cfivt� tqc a l-lel" 3 7 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) i 0 41 -r Nx — ,;�—% W 1 SCitu� QGt oS (Information for Property Owner Applying for Permit) ;,0- 8�� 3c� Mailing Address k(,1o4- k- .1 T-,-,6r( 0 C- )-7--f S -o City/State/Zip 214- a,�-urlk W-kk,k4w,j (Riparian Property Owner Information) Signature I�I y j Print or Type Name -N 'l- LF3� - 2-0 1 Tel hone Number Telephone Number i's Signature Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to (1-exe kAco is (Name of Property Owner) property located at �� C'CcuD IZd- , (Lot, Block, Road, etc.) on Cu%fil-AOC� Sn8 , in Cp, G �� , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address:J () Cc �� 60elc CT. 6- veGoef« ex a-14 1 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: C (To be filled in by property owner proposing development) a, t1dCl �r Fee v \:C�Gr�sru�k ------- '� `---- ------------------------------------------------------------------------------------------------ (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address bu-(k- .z Kc( %1 Cr City/State/Zip Signature At ! 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