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Home My WebLink About75667A_Hobart, James H._20191106_ CAMA / DREDGE & FILL GENERAL PERMIT New -JModification ❑Complete Reissue ❑Partial Reissue K 1'L No. 75667 0 B Previous permit # Date previous permit issued_ As authorized by the State of North Carolina, Department of Environmental Quality r t and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules attached. Applicant Name _Tc,M e-s �610ar } Address 1 c{ U mtS1 owyr L.n City 1 �� w L State k�A 'kl ZIP Phone # (')Ot) 14,i u - Q6 b 7 E-Mail � 4 o 1nc, r 4 0! b5 f GG 1 (0o, Authorized Agent Cct I j nrag rC) Affected ❑ CW [N EW ® PTA ® ES M PTS AEC(s): ❑ OEA -! HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no_) Project Location: CountyC, �0O-.Jo h Street Address/ State Road/ Lot #(s) Lo� I U 'i I L �'.,fsicie.. i -)r Subdivision CQ ` n City ;yet n1 d ZIP �'7't S - Phone # ( ) River Basin �� ,: l �a r e _ Adj. Wtr. Body >'1 1 A he •SG r nat man unkn) Closest Maj. Wtr. Body 0 16,(; ^ a / �r Sac, -d s a • ENEEENEENNEEEEN��EEEEEEEEO�EEEEEN - NOON■■■■■■■■■■■�■■V■■■■■■■■■■■■■■■■■ = -" �� ■HEEENEOEEN�EEEE�E■�� - NOON■■■■■�■■■■�■■■■■■■■■EC■■N■®■�■■■■■ ■■■■■■■■■■■■■■■■■■■®■■■■■■■■■®NOON■■■ ■EON■■■■■ ■■■■■■■■■■■■■■■■■■■�Nw��■■■■ ■■■■■■■■■■■ ■■■■■■■■■AJ�;■■■■E i lam E■■■ ■■■■■■■■■■■■■■�■■■��■■■E3k5�■�■■■■■■■ M. ■■■■■■■■■■■■■■■■■ENl■l1NEN:`�L�'li■■®EE■NONE MOMIN MUMMIMMOMMEN M. • - MEN MiiE�N ■■■■'■E■■ENE■NNEONiI�J■�OENEEMNEEEE ■NEEEE■ENiEN■N�®■ICE®O■l�!��w��1'�� N■■NINE■N■I�`-'�!NEN ■■I�■■O■ri ,��iiiiiiii��..�.� • - N91MEEEEEEE■�■i 11"WE NAMEM OMEN sic i 0110.1100 ■NO■■EMOM •�� '�EEEEE®SEE :EENO :NEE OMEMMN E■■■ ' EE■ ■ ■ l�:nanamN■■E■ �E ■■ENE ENN�ENENE■EE"WEE■■■■ ■■■■NEE .. M .. ■ I- L Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** 14 a) . vc, j i I � Z Application Fee(s) Check # G-NIA ' � C' Permit Office0s Printed Name Signature I1 /{o 11 q 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 ❑ 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/ 1-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet- and Pamlico Tyrrell and Washington Counties) 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) 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 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: ../awn"5 Mailing address: la L-0 /22z Jc'��I�JP,r ZA-) xle Telephone Number: I certify that I have authorized /i/ r 41-7,00 (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 This certification is valid through (Property Owner Information) aw Print or •_ Name Title, co. owner or trustee for property Date Telephone Number Email Address (date). 72,2 SvkFsiDL DR. Mailing Address Mailing Address City/State/Zip City/StatelZip 7s7-2*7--(A;�n Telephone Number/ Email Address Date *Valid for one signature* Telephone Number/Email Address /D_ Date' calendar year after Revised Jan. 2017 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED I hereby certify that I own property adjacent to _6-1"s //. �f/p/j,�� (Name of Property Owner) property located at ( oject Site: Address, Lot, Block, Road, etc.) on �!/�,j�r%Au��C� in N.C. (Waterbody) Agent's Name #: Agent's phone #: (City/Town and/or County) Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. (Property "Owner Information) (Adjacent Property Owner Information) Signature lgnature SEeTf/)q r /f 9Dt IZS0A/ �(- �4,41t Print or Type Name Print or Type Name i .y � * .. 1 q ►�• � • , DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED I hereby certify that I own property adjacent to 71-H vv% L`_ s -4 U A 's (Name of Property Owner) t4 O \141�1 A 01T property located at `7 I -2 S S t y�, E'_ o a. g. iN i; yj Tc Iry N - 1Z_ (Project Site: Address, Lot, Block, Road, etc.) on ��, �'�rriA �2�f` IS Q in If- lUE—w T a xu, ' Q W �N 14 (20 N.C. (Waterbody) Agent's Name #: Agent's phone #: (City/Town and/or County) Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing)' if you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) 4 ill' gor-iature Print or Type Name /a9-/c M4,vllowev- d Mailing Address (Adjacent Proper Owner Information) . N I ' �ti 0 Signature` Print or Type Name _�k,o L S_ Q3 Mailing Address City/State/Zlp City/State/Zip 9 I Telephone Number/Email Address Telephone Number/Email Address 10 Date Date* *Valid for one calendar year after signature* Revised Jan. 2017 4; 718 Surf! 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