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Home My WebLink About73866A_Howard, Charles & Teresa_201909094CAMA / 't DREDGE & FILL NO. 73866 B� D GENERAL PERMIT Previous permit # 4New ❑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 15A NCAC Fi. 11v v Rules attached. Applicant Name ('�\c t l . Te #/tSc• 44o cl Project Location: County Address E } X �o rr` Suv- 12 c► City4tP� } ��e rittiJ_�State t'F ZIP A4xiu1 Phone # ( ) E-Mail Authorized Agent Y-"f'V r,'�'ti Affected ❑ CW VEW EXPTA YES ❑ PTS AEC(s): ElOEA ElHHF ❑ IH ElUBA ❑ WA ❑ PWS: ORW: yes leq,- PNA yes /� Street Address/ State Road/ Lot #(s) 111. Sk& 11 Q r Subdivision laic I— t hl. , d City (�` row? I ZIP 3k--4y35 Phone # ( ) River Basin c5 fc -14 11 Adj. Wtr. Body 8,rV (nat nkn) Closest Maj. Wtr. Body J - V%.+ L� !c S Uu ^ C4 MENNEN - ■MBE■E�I�■■�■��■t`■■■■�■■■■■ ■I■■■�■■■ ■fir■■■■■■■®■■■■■�■■■■■��1�■■ I■■■■■■■■ lip■■1�■■■■■D=:;===� .==' ■ �MH ■i■ ■MEMO■NONNI■,112■EM1001 M■EE M. ■MEMO MINEM■:■E■�:EE�.■E■�EE%M■::�■: :■:IEEE■E■MMOEEEas■■E=mmrA lM ■E■1 ■■EE■■MM 19 - - ■■■■�,C■■■■■■■■■■■■■■■■®■■LIB■■■1■■■■■■■■ ''i IMMENSE ■M■■■EExu�■E■■®■■(IM■■N1■■■■■■■■ NOMINEE ■■ molloommomm t✓ Agent or Appli nt Printed Name Please read of permit ** Application Fee(s) Check # Permit s rint - Si re 9/4 /aU1; 1�9 �aoa o 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 ❑ 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 howto complywith 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: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: � c Date: 01 / � f ao tC� Permit #: �3'6 6 6 A Describe belo'V 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) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) 5 Dredge ❑ Fill IX Both ❑ Other ❑ ) (o U j ( 0 %V(0— Dredge ❑ Fill Both ❑ Other ❑ \A Dredge ❑ Fill ❑ Both ❑ Other (p oo 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.nccoastaimanagement.net revised:02/03/10 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: C{'14r�ZS ►- HovYa yd Mailing Address: 5-1,;(5 Havr ►gin Goad F y-tdRy u SUUvo , VA a a407 Phone Number: Email Address: I certify that I have authorized -i I ES- 1g57 ( 540) laq5-q1 q'-{ a [,I as q 4-i,ed" Z' irr rl I ccs-ni Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 02 She l I l7 r re NC at my property located at < < ,Z 11 -Q Y' ` e in Cla Y C , 3NC-Y-- County. 1 furthermore certify that 1 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. u Signature LJ4(1 Kk rd Ocavl,� H6vv Print or Type Name Title 61 �)D l v ( l Date This certification is valid through 1 1. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1 45R R4ZO 's (Name of Property Owner) property located at I �2 �-,E) 0 (Address, Lot, Block, Road, etc.) on C,,(-) N A L.- W ,i:� LnlG i , in u2 (" T< Lt< , N.C. (Waterbody) (City/Town and/or County) The applic as described to me, as shown below, the development proposed at the above location. 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) Win? r�I �Q PSG.- --= -- - WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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.) f clo wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) &6ANAW&J Si nature ere -a L- 1Aowa-y Print or Type Name 5-7Z5 "o-rr� son Qoa-8 Mailing Address Freder;acsby�al ,V`/ A 2240�1 City/State/Zip SLko . -I % z. -1 95-7 Telephone Number / email address ,$). 30 - l G Date *Valid for one calendar year after signature* (Adjacent Prop Owner Information) ignature*e0` PrrintA r Type Name Mailing �C�7� i1 :. Address It �� , °� 3 J % rele one umber / email address Date* (Revised Aug. 2014) ._. ... ".. -.-. ... _... ..._. .. :.. Wye+ '. Any S . .. .. .. - 1.. Ohio. _ ..:� .. ' - c-_ - ... .�,'Y w✓•..p., s. ... -+taxi:'. sat �.._ ".. � .• ,:.a+s+aiayaMri/�::.ry�,.. ,.,.-, .,wAa ♦ ��:�...:. .. .. -s.. ... -..may.. ,.ID+- v..- u.. s L' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to —& Ll `' �` � �� 's (Name of Property Owner) property located at tE i .Z C {, L � (i (Addre s, Lot, Block, R d, etc.) on r�nJA I �^��N 4/1 , in �c tIL-112- 1�� , N.C. (Waterbody) (City/Town and/or County) The applicant:1have described to me, as shown below, 'he development proposed at the above loc ion. 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) vJ tar�� qP P scam 11::�H I i WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Propertypmer Inform n) (Ad' ent Property Owner Information) C A��f - S� Hrlt.Lt' S 0 14 pus A/L nature ' QSCo�-�- Print or Type Name Mailing _/A A11U-0 ' N City/Staate1/Z, ip "I Telephone Number / email aGd�rQSs Date r11a yr _I yN Mculla 1 -PrLL 7 \ \I Mailing Address City/&Vp 9'7 S LI 7 2, 6 Telepho Number / email address Y-ZV — /C' Date* *Valid for one calendar year after signature* (Revised Aug. 2014) "111111M 7 .A ejM MAKI