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Home My WebLink About75619A_Humphrey, Daniel_20191031�CAMA / ur REDGE & FILL GENERAL PERMIT [Aew ElModification ❑Complete Reissue El Partial Reissue 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 No. 75619 A, K�UZ B C D Previous permit #'I'IS _� 4 A .0 7SCO I A Date previous permit issued i/i i f 6 TC)/aw 1 Applicant Name I %C i',,a H t M e k t t' V Project Location: County Eli�Rules attached. t,/ It i 4 c, Ccy,4 U `Soul Address 3 klec j Street Address/ State Road/ Lot #(s) W S r ):,ca8 City VIA i � 1�. c,C StateyA ZIP Phone # Y9 1 - 1c'�_47 E-Mail•Subdivision C fciyc P� c Authorized Agent 1�-jjc:C I `t�� t�.l,��c�:S City i:�c i l0. ZIP -q77 � 7 ❑ Cw LW H/PTA [.4S B*TS Phone # ( '-' ) River Basin ! G Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A V I-- PWS: yAEC(s): Adj. Wtr. Body ' c4o k 41 - I s1, 1 _: c nat n unkn /1 Closest Maj. Wtr. Body �� 1 I- r JLU—r ORW: yes /,`no� PNA yes /,\no� k- ■GAR■■■ [1R '��l�i�■■■■■�fr C■■9�1�!■■■■■�■ �■■'!sle00■!■eCOQ=C00=ci!■=i■GC0�0■■C:�■ • ■■■i■■��■■■■■■■�■■■■�n�■■■■■■■■■■■■�■■■■ ■■■■■H� B■■E.S■!��-'S■■■■� ■ ■ ■■■�■■■■■■■.� �� ►�■■■■■■■■■fit WNIONEENNEEM NOON NEEN an ■■ir■■� IMMM ■�r��+■r■■��■�■■■■■■■■■fir%■■ •im■■■■■■■■■■■■■ri�fi!iiltfllll�, • d■■■■■■■■■I�ItJ1;�11ti9D1■■i�lailfri■■■ �"!■■I�!n�1■■w■■�■■■■ ■■■�■ ♦ ♦ I i Y • Agent or plicant inted Signature Please read c4rnOiance statement on back of permit `tc)a (w I Application Fee(s) Check # PeurAOfficgr's Printed Name Si tllur )c--�� 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 I) 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 O*.her: 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) (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 a • e AGENT gI,�TH RIZATIpN FOR CAMA PU-Nff APPLICATION Name of Property Owner Requesting Permit: Mailing Address- Phone Number: Email Address. I certify that I have authorized v `) Agent 1 Contraclor NAM to act on my behalf for the purpose of applying for and obtaining all CAMAerm,,--i'�ts/�%% necessaryfor the following proposed development: {d , YiJh..l: -- my property located at `'7 p L [ inCCounty. t furthermore certify that t am authorized to grant, and do in fact grant Dermission to D,vtsjon of Coastal Management stall, the Local Permit Officer and their agents to enter can the aforementioned lands rn connection with evaluating information related to this permit application :Owner Informa_tion: .f �� 9 �r _ A►vN or Type /Jar?)& ode l C. This cenilication is valid through 1 1 , r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ..X.(t 1(e � (lr T1n� (osl —'s (Name of Property Owner) property located at `� Os 5,-U F+f (Lot, Block,Road, etc.) on �Urt' S71/�'l��---- --- ---,in___ Co" -- --�O C'- , N.C. (Waterbody) (Town and/or County) II Applicant's phone #: Z�fZZT2- Cr7-2�, Mailing Address: IC, (a 21-2," cone C F One nC - -` 13C7 He has described to me, as shown below, the dev opm nt h is p oposing at that location, and, I have no objections to his proposal. u ---------- ------------------------------------ --------------- -------------------------------------------------- DESCRIPTION AND/OR DRAWING O PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) t/ pc�5N 1 a 1 ;TT s � (Information for Property Owner Applying for Permit) of �4 kA140- k Mailing Address Ci tate/Zip Tele ho e Number 7V Signature Date (Riparian Property Owner Information) Print or Type Name Telephone, Number Date ADJACENT R11PARUN PROPERTY OWNER STATEMENT tereby certify that I own property adjacent to a4l'el 14ja 's (Nance of Property Owne ) .y located at -5e'0 LV- (Lot, Block, Road, etc.) CV �isillj , in ("'- `p (ql , , N.C. (Waterbody) (Town and/or County) Applicant's phone #:�� -�`� si,�7 lading Address: l a (n T) -e Co n-e- rj' 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) & ppv-m4e d L, (4&Lw� "'o kk ?ff (Information for Property Owner Applying (Riparian for Permit) �3g4o c1 C4 46 VA - Mailing Address City tate/Zip Owner Information) Signature Print or Type Name 75�-- �(23 Z `7`-? 757 -3L/ - 2018' Tel one Number Telephone Number 6 Signature Date Date '-- ------' '---- Write adescription for your map. . Legend _° Currituck County GIS Online Mapping "aql 3 407 a I 30 ft E- Addresses Communities Aydlett Ibaroo r-i njrrk Cln ul lw k- u rntuC k U I bbs Woods GrAruly F1i1I VI I II�CI b Jarvlsburq Knatb Island Ma plr d MCyloCk + Ftmt Harbor rMpinr Rmnr.h Ftm W I% FUnl bhawboro bhoo VVnk+llily County Boundary —rrn inly Streets Major Streets —Arianal Major rnlInrinr_Mnjnr Parcel Lnnd Hooks " Parcels ` Currituck County li Currituck County GIS (252)232-2034 www.co.currituck.nc.us/Geographic-information-Services.cfm Aerial Photography (2016 ERed: bond 1 ■nreen- Rnnd-? �Blilr BalxJ 3 . This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information shown on this map. AN PW .40 + Y nr { i� AS NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: t° I H r C Permit # Date: I O/ I-7� J 19 / Describe below 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 ternimpacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Other Dredge Fill [I Both ❑ El -1 se)c S�� Dredge ❑ Fill Both ❑ Other ❑ G� 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 ❑ 23.2-81j$-�$�t3 ,. .-v83-v�'i��ST .. ��*res.�ctrraa#al��as-:a��m�r,i�^�i r=>>�s�d• �_a�;i:':G -1/d ol OL , yffo� 'ro -1 JQ \ - - - - - -�- - -- - - � S_ _ _ _ _ , 6v-Cry \14 Cl I , ) as�� air -Dcl 6