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Home My WebLink AboutGriffin, KevinCAMA / ❑ DREDGE & FILL No. %SOSS -� A B C ) D GNeENERAL PERMIT Previous permit# WOW,w ❑Modification ❑Complete Reissue El 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 Rules attached. Applicant Name i 6%t f? j 1 Project Location: County I I Address _ 1 i . Street Address/ State Road/ Lot #(s) State -( ZIP ( > Phone # ( , ) ' _ E-Mail Authorized Agent Affected CW _ C9 EW ❑ PTA ❑ ES ❑ PTS AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes Ln) Subdivision i City - ZIP_ Phone # (_,.) River Basin Adj. Wtr. Body_ _ (nat /man /unkn) Closest Mal. Wtr. Body .■■,■ .■■■ ■■OM■■■■■ .....■ . �....�. .■■■■■■S■■■■■E■00■■.�.....M.C�........ .■■ MEEN■■■■■■■■■■■..■.....■. ......... •• MENNUMMENEENNNINEEN ME ::M :'NEON::■ ■■:■I■■■■EM■■■I:■�ME■■■��M■ME■ MEE M I ■■■E ■■■■■M■■ NEON ■■■■ ■■■■■�■o■■C M■■■■M■■■■■■■■MME■■■■■■E■■M■■ M■■E■ ■■■■ MEMO ■ ■■E■■E ■■■ NNE ■■■■■■■E■■■■■■■■■■ENE ■■E■:■■1■■E■■■�N■■■■■■=■Mu■■M■a■■■■M■■■ •••••::::'. SEEM. ::INESIM :::::::::u:::'.1ME .■■■■ ■■ ■■ MEMO .. M■■■■■■ ■■OEM■■E■■ ■■ ■■■■■�NOMEIN ■■ME■■■M:■■■■■E:■■■■■.:■■ mom INEMENINEM ME mom 0 MENE so ONE M • M■■■■M■E .■■■■ M■SS ..■■. ....■.■■ ■■■■■■■■::■■■I■■::MiEi ■■■S■■■■M=■■■■■111CC■■■■■■ mom ■■■:■■■■■■■■■■■■■ ::::::::.:M :::::::::::::�: ■ MM::■u■:�M■■No EEO■.■. ■ ■M mom..■■ME::::EMIN ME:11::::::::::i� MENEENEENEEMEN EMENE Agent or Applicant )Printed Name!/',// Signature Please read compliancelftx4ment on back of permit Application Fee(s) Check# PermiaOfficer's Printed Name i Signature Issuing Date ExiSiration 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) priorto 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 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 —a3—Rol, Date Adjacent Prouty Owner 61d/ elvcc o- C( MM �q dress c r,n , yc - oZy,S� City, State, Zip CCode Receipts for Certified Mail (Staple Here) N c� Ur✓�fvP reel Dear Adjacent Property: /� (11 // This letter is to inform you that I, KL'r/ °t c &fric (mi "Nt; h have applied for a CAMA Minor Property Owner Permit on my property at 6(10 A- tic, a— C+, "-J / (f fY, 4/�1-- in COUNTY Lfei t/( > Property Address County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my proposed project, please contact meat 4/Mn- 16 20 or by mail at the address listed below. If you wish to Applicant's Telephone file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit them to: LPO NAME Local Permit Officer for LOCAL GOVERNMENT LOCAL GOVERNMENT ADDRESS CITY, STATE, ZIP CODE Sincerel Property Owner // v v e aaa13 hialfhOvrSi ue - Mailing Address -All? , , J e r n. ,41t -Z O City, State, Zip Code ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to 1\ eve", L'a (� i� (r(, ` V EF ' \ s (Name of Property Owner) property located at U l�2 I L C (et � / M� •/%ice ! a r ( Address, Lot, Block, Road, etc.) j on ! �irCi (Q (/Cirin C 1'c2VP n Lei( 4'i_�/ N.C. (Waterbody) (Town and/or County) �— He has described to me as shown in the attached application and project drawing(s), the development he Is proposing at that location, and, I have no objections to his proposal. (APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) aas- 7•3Go Telephone Number :L a-T Date Receipts for 7—d 3 —a o t Certified Mail 7o(Staple Here) lrertoi• P�-;-n'cr'� 5a�er Adjacent Pro�grty�wner r u i,1 4 L/11 re uccCi (—� Mailing Addreshe rn City, State, Zip Code Dear Adjacent Property: eJ This letter is to inform you that I, rle Vi H d l—@ rntl Gr,„� have applied for a CAMA Minor Property Owner Permit on my property at %l to F ( ucc n, C*--4/6,) &err' /1,rin COUNTY Cra &' C Property Address County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawing(s) as notification of my proposed project. No action is required from you or you may sign and return the enclosed no objection form. If you have any questions or comments about my proposed project, please contact meat 11 —� �iI2 or by mail at the address listed below. if you wish to Applicant's Telephone file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit them to: LPO NAME Local Permit Officer for LOCAL GOVERNMENT LOCAL GOVERNMENT ADDRESS CITY, STATE, ZIP CODE Sincere y, Property Owner Mailing Address ixe ern .41C City, State, Zip Code rs r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to Key i i JL2frt 6r;-R; vt Is (Name of Property Owner) Property located at G /(Q tCe f uc, n C "' ( _ [% % Address, Lot, Block, Road, etc.) / on �tfrt e�(� Gr9�Pr Tr4[7D0i in _ �d CC V n f �/ N.C. (Waterbody) (Town and/or County) He has described to me as shown in the attached application and project drawing(s), the development he Is proposing at that location, and, I have no objections to his proposal. (APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) �'¢naTure Per 1'c t,C1 Su �- Print or Type Name — 57 (1- 66 o 9 Telephone Number Date � W j � � � �- O (� CAS _� � � � �, � � � I �b