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Home My WebLink About75655A_Holcomb, Michael & Petra_20191030CAMA / C DREDGE & FILL i X GENERAL PERMIT ---Modification Modification ❑Complete Reissue El Partial Reissue No. 75655 Previous permit # 114L ✓ CA) B C D Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality ry and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 f 00 LOCI Rules attached. Applicant Name lh.c_ha e 1 o kb m Project Location: County bck re r Address �r 1 C4 t ?a r k �e4 11(,,Street Address/ State Road/ Lot #(s) City I rv,n State T)( ZIP `7'50ci I ��,l.c_�e. L rA r CI we Lr, Phone #( 12 0^070 E-Mail rr.,ho1&T1VA)(D3Y-rX,.1.r-t,.,,Subdivision rart'IlC -dh Authorized Agent 1J1h'lP_ City k�,I I bE i ZIP •�%�� Affected El Cw NEW 0 PTA ® ES ® PTS Phone # ( ) _ iRiver Basin G �tt- L ❑ OEA ❑ HHF ElIH ❑ USA El N/A AEC(s): Adj. Wtr. Body !ce,, W a . 1'e S" . ,. G 1 at maw n /unkn.) ❑ PWS: ORW: yes / no PNA yes / ,nod Closest Maj. Wtr. Body j hE-+►^G + �� S o`^ • Q� ME NONE ■■■■■■IS��ii.��..��.��:.iG��rii��■■�� INN ME-MMEi■ME■e 0111ME - ■■■®111■■■■E�®■■■N■■�■■■■■■■■INN■■■■■■■ MEN MER ■M■■ii■EEM 'Z111■E' a �i■■■ .��i■iii■■m ar-M■ •■\iSl!�JIII■'■■i�i■■■Hl�■itil'�i■■■■■■■■ '!■�1�1■1i■■■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit S (-/(X)' _ `ill Application Fee(s) Check # PermitO er's Arinte`d Name 1 /` � I Signatur Issuing Date Y / r 6 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 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888ARCOAST 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: 252-264-3 723 (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 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: t�i Hi; Date: Permit #: '7 5 , 5 5 /1 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 TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipate d final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temo imoacts) impact amount) temn imnarts) amount) 252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: _ %�j �� ' e j64-K A plc- M Mailing address: k7 f 14 �i" CAR d l yly I$W /Irj Telephone Number: 5-17 -- � 9 U () ? 0 3 I certify that I have authorized ��' �% �� (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of at my property located at �� S'��^'9 ��' /'4VC// �� '�'�� ol/r�rp�vN This certification is valid through -313 �z v (date). (Property Owner Information) Signature Print or Type Name Title, co. owner or trustee for property /y ///`,z b 5 D to � ? --G Q U — 0 '? CD Telephone Number S,f,? 17.1c o m 6.W- �,h a i/, Email Address - ■ Complete items 1, $iield: a�j� ❑Addresser ■ Print your name a n ;reverse ❑ Agent ' so that we can return the card to you. ■ Attach this card to kof the mailpiece, tr Received by (Printed Name) C. Date of Delvven or on the front if space permits. /O/L1i�ire �Shw Article Addressed to: Jo;16�,h !r�/S,�t�Ls XU 1 � (�oC�yC.r�od dJn D. Is delivery address different from item 1? ❑ YAt If YES, enter delivery address below: ❑ No tQOOd6ktC v9�9I S� 3, Service Type ❑ Priority Mail Express® II I'lllll I'I II i III I I I'll (I'I I II Il �) I III ❑ Adult Signature ❑ Registered MailTM ❑ Adult Signature Restricted Delivery p Registered Mall RestrloG ❑ Certified Mall® Delivery 9590 9402 4910 9032 9578 43 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ r`.nl'-4 — Delivery Merchandise 2. - Delivery Restricted Delivery ❑ Signature Confirrnatlon 7 019 0160 0000 9650 73 0 6 n Il ❑ Signature Confirmation nsu all Restricted Delivery ReWicted Delivery (over $500) oc e.,..,, 11S11 1 r„r., 9M G oeni 7r ,2n_no_nnn_onr a rk,. —H� Rh— R—ini �;.'n,•' f}`.' ! ' First -Class Mail Postage & Fees Paid USPS Permit No. G-10 9590 9402 4910 9032 9578 43 United States Postal Service • Sender: Please print your name, address, and ZIP+4® in this box* S7 il� & tO d l ` - 5 -'7 1(1,4 s ffl' 4,1 �� - 2? 4 '11'1'IlIII III Jill ii1illllilflilll'1�'ii111'111i11IIli"�111�� ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: STc r zf/v It- ,y 2 q c /a CO G A. Sign ture / X J ❑ Agent _ /" / GL�1 ❑ Addressee 8. eived by (Printed Name) C r�to o of J/9 D. Is delivery address different from itefn 1? ❑ Yes If YES, enter delivery address below: ❑ No 2 7 g c' r �r' 3. Service Type ❑ Priority Mail Express@ II I III II III II I II II IIII II III ( I III I I ( ❑ Adult Signature ❑ Registered Mail ❑ Adult Signature Restricted Delivery R ❑Registered Mail estricte ❑ Certified Mail Delivery 9590 9402 4910 9032 9578 36 El Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 7 ^��io Number (Transfer from SBNICe Zabel) ❑ Collect on Delivery Restricted Delivery ❑ Insured Mail Signature Confirmation* ❑ Signature Confirmation 9 7019 Q 16 0 0000 9650 ^ '_ • -A Mall Restricted Delivery 7283 Restricted Delivery USPS TRACKING # First -Class Mail Postage & Fees Paid USPS Permit No. G-10 9590 9402 4910 9032 9578 36 United States Postal Service • Sender: Please print your name, address, and ZIP+4u in this box, /9 vc 6 - X / q- 4�-? i � J 'i w 1' P�l 7.r, < �ri� vi j d✓ C� Imo'" MOMP r" F . !� 'S � � 'v' � �+ c. _... :=...mac*«•,.».i,._ 5 -...• • , �^fir J rrY u- " e.'f� A ,. .y QL 1/14 -. < 73 If IV .r �. ♦ t 5 v , k; J w � , t This map is prepared from data used for the 148 Shingle Landing LN Owners: Holcomb, Michael D -Primary Tax District: Colington \' ()�• inventory of the real Colington NC, 27948 Owner Subdivision: Carlyle -on -the -sound �, .%,r property for tax Parcel: 018762032 Holcomb, Petra L -Primary Owner Lot BLK-Sec: Lot: 32 Blk: Sec: + - purposes. Primary information sources such Pin: 987309168354 Building Value: $0 g Property Use: Seconds Improvement p y Secondary p as recorded deeds, plats, 8r] LizK Cr. ro ty r• Land Value: $229,500 Building Type: wills, and other primary V �. i 1 b Misc Value: $6,000 Year Built: k/11 f \t.y+1� public records should be consulted for verification zr Total Value: $235,500 of the information l CL � - � � § L!� 26/ CPO' �,r•A �`