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Home My WebLink About75541A_Southern Shores Realty Co_20200211(` r ` ✓ )/CAMA / ❑ DREDGE & FILL NO. 75541 A B C D GENERAL PERMIT Previous permit # `-J E New ❑Modification El 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 QRules attached. Applicant Name Address I1)0 1� A Cityk �jcu , Stated ZIP 7 7/0'1 Phone # ( ) E-Mail Authorized Agent A)E Mr, ; „ I-. Affected ❑ Cw ❑ EW dPTA ❑ ES S(PTS AE'C(s): ❑ OEA ElHHF ❑ IH ❑ USA ❑ N/A { ❑ PWS: ORW: yes Vrn PNA yes /.no) Project Location: County Street Address/ State Road/ Lot #(s)_ Subdivision City r ._ �L'_c ZIP Phone # ( ) River Basin Ic Sri o 4c— Adj. Wtr. Body 7,�:n, I 4— =ram. .&,;fe Cle(IK(nat n2/unkn) Closest Maj. Wtr. Body (" J- y I-ck i c� ■■■■■■■■■■■■■�■■!�■■■■ ■■■■ MI■■■■■■■ R■■■ M■■■■■E■■■■ i■■■■■■■■■■■■■■■■■■■�■■■■ ■■KINEE■■■■■■■■ ■■■■■■■■■■■■■■■■r:U■■■■■ ■■■■■■� ■■■■■■■■A��l■■!'�■■■■■■®■■■■■■■ ■■■M■■N■o■■■■■■■raw■■■■■■■�c■!■ ■■■■■■R=0■ZC■ 0m4M. s�ss�■!SS!l�J�lw!��■ ■ E■■Ii■■■■■■■■■■■■■■■■i■■ MEN ■M■■ MRIENNE • M■I1 A■■■■■■■■■■E■■1MMM1.1rE=MM1■■■®■ ■■� ■■■■■.�� • w■■ ■■1m • WEE ■■■■■ME■vE®ERN■■H■E ■ W � e L�muoI Ag or Applicant Printed Name Signature Please read compliance statement on)backroff permit u Application Fee(s) Check # Permit Officer's Printed Name Signature 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 - 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 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date � — S—°�� Name of Property Owner Applying for Permit: Mailing Address: 7i14� I certify that I have authorized (agent) �lfi� � Tin AA-11) e- to act on my behalf, for the purpose of applying for and obtainingallCAM-A Permits necessary to 1- install or construct (activity) l/�,4,. / `'A �j` `J t �� (n`�', Uu�lc6�t�' i� at (my property located at) IV�f' z 7,�y This certification is valid thru (date) fort .��,� S�mf�1' iP�a/r C�,•�d*.ysn �, ,z -s �zo�2o Property Owner Signature Date ■ Complete items 1, 2, and 3. A. ■ 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. 1. Article Addressed to: Sou he:^r1 S'►O BSc c . 53'1 UN e-) N c- aqa y ❑ Agent ❑ Addresser D. Is delivery address different from Item 1? ❑ Yes If YES, enter delivery address below: p No 3. Service Type ❑ Priority Mall Express® II I IIII�I'III II I III II II ICI I ( I' I II I II I I III ❑ Adult Signature ❑ Registered fNaIIT'" ❑ Adult Signature Restricted Delivery ❑ R 'stared Mall Restricts 9590 9402 4940 9063 8522 93 Certified Mail® Deal very 0 0 Certified Mall Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ?. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationT" ❑ Insured Mail ❑ Signature Confirmation 7 019 0160 0000 7952 �aII Restricted Delivery 3927 Restricted Delivery >C Fnrm '�Ri 1 . h dv 9M R acni ��an_no_nnn_on�a nnmactin Rati— Racaint us�s,,c►c�,� # First -Class Mail Postage & Fees Paid USPS Permit No. G-10 9590 9402 4940 90L3 8522 93 United States Postal Service • Sender: Please print your name, address, and ZIP+41 in this box" Northeastern Marine Conftruction G*, P. O. Box 42 Kitty Hawk, N. C. 27949 or , 261_36s IINi,—I1l,IIi1IIIIII„III►III,)&III Jill) III I-11111fl.)IIIII'l ■ 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. Agent C. Date of Deliver /• ;2 7- u I. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes 7 If YES, enter delivery address below: ❑ No �o moo►-c��r,.e,�-1.� �- i �rt o N C- ao II I IIIIII IIII III I III II I IIIII I I I II II II I I III III3. Mail Sig trict, 9590 9402 4940 9063 8522 86 ❑ AdulService tureeRestricted Delivery O Certified Ma l® ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery n lmewi Mall Nail Restricted Delivery 3934 )0) ❑ Rriority ee Ist� Mall Re Delivery 13 Return Receipt for Merchandise ❑ Signature Confirmation El Signature Confirmation Restricted Delivery 2. Article Number (Transfer from service label) 7019 0160 0000 7952 — __— 4011 UPS �Rf1iCi�' •.- First -Class Mail Postage & Fees Paid USPS Permit No. G-10 9590 9402 4940 9063 8522 86 United States Postal Service • Sender: Please print your name, address, and ZIP+4® in this box" Northeastern Marina Construction Coi P. O. Box 42 Kitty Hawk, N. C. 27949 -VV - }, 261-36d2 III li1611111till III $JillJill 1111111i111'll" IllliJill t In f ,.• , i3.17 lit Ne ARII J ,, .Y '? - a ,�, !fi � •ice rlow- AM 108.62 IJA ow Nr 1.2j!a�r Z r. �3: This map is prepared from data used for the 5655 N Croatan HWY Owners: Southern Shores Realty Co - Tax District: Southern Shores inventory of the real Southern Shores NC, 27949 Primary Owner Subdivision: Subdivision - None property for tax Parcel: 022678000 C/o Frank Stone -Primary Owner Lot BLK-Sec: Lot: Blk: Sec: �^ •••• �. purposes. Primary information sources such Pin: 986719702810 Building Value: $288,400 g Property Use: Professional p � as recorded deeds, plats, Land Value: $1,159,400 Building Type: Office Bldg L/r 1-4s wills, and other primary Misc Value: $51,500 Year Built: 1972 RIf� public records should be Total Value: $1,499,300 fit,++ti consulted for verification of the information