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Home My WebLink About78509A_Blystone, Sherman_20200224C�CAMA / FXDREDGE & FILL GENERAL PERMIT `New ❑Modification [-]Complete Reissue ❑Partial Reissue N9 78509 ,A Previous permit # Date previous permit issued_ As authorized by the State of North Carolina, Department of Environmental Quality 00 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC H •'' IW Rules attached. Applicant Name :51ne rMa," B!SA 0 �-N e Project Location: County CGM<ACN Address -Jo 10,N w C04 V r I N C City C MC P N State N C zip 2 4 9 Z I Phone # (217) ???� cS —9 USE -Mail Authorized Agent EarAin s J6cAKjer M ci r-I N Affected ❑ CW 'ZEW r&PTA ;.ES XPTS AEC(s): [IOEA ElHHF ❑ IH ElUBA ElN/A ❑ PWS: ORW: yes / no, PNA yes / b Street Address/ State Road/ Lot #(s) I I I Nape N woad Q Subdivision B C D City C11,4d e/v ZIP 219 2 1 Phone # ( ) River Basin PaSfuoiG'rq K Adj. Wtr. Boda�/man /unkn)�- Closest Maj. Wtr. Body Akbe rACAr 6 S<mr-3c . Type of Project/ Activity Ki. ' . !/... i i .. . NOON■■ MEN ■■■■■■■■■■ MEN ■■■■■■� �R NOON■■ MEN® ■■■ _ . - ■Q 1's■■■EA■ ■■IL,c`[ Yilii■� s NOON■ • �..■.NONE ■■■ ME �■■ .■■.■ �.■■■■■■■ ■■1C3._ EMENN ■..■..■■■ .......�MR.W■■■■■■ MO■■■■■E■■ ■O■■■E■ ■■OE■■■N■ ii��!■�IC:�■ E■E■■■■■MEN ®■NNJ■■■■ . DTi�N■I�v■ mmo■■E■O■M MEN M. ■I—al a!- I `� INN■ II ...■ ��i:. �-!.�■■I! !MEN ■ LAVA! ��■E■■� ■N■■ill��n:�■■I�■� MEMINSEMMEN IIIIAIWWWMM MAREMOMESIM .� .. - x f&A, q "" Agent or Applic Printed Name x Pk;11: �kU r / r, 1�J7J/1 Signature ** Please read compliance statement on back of permit" o) -1'k]L� AP plication Fee(s) Check # &z�y I20,24 0�12q Z Issuin 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 1) 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 Neuse River Basin Buffer Rules Other: 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, Berne, 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 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: Mailing address:fl- Telephone Number: D' VV J. I certify that I have authorized 9Ct (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits This certification is valid through (Property Owner Information) Signature S �1 P2 vy� Print or Type Name S Title, co. owner or trustee for property /� 2n? " -`1 -111 - Date Telephone Number I Email Address 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 5 s � s /n� (Nam( f Prime �ne 1 property located at I (� � 1f�1� � 0 OGY (oj•(, G rr (Project Site: Address, Lot, Block, Road, etc.) on �GL S i�/�L in N.C. (W t rbody) (City/Town and/or County) Agent's Name #: Mailing Address: Agent's phone #: 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 developmentmust 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 1367 US 17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) �64-3901. No response is considered the same as no objection if you have been nQrgfied by Certified bail. (Property Owner I formation) 5� Signature Print or Type Name t k k "4JQ,-,.v-n ,7 9 D-Y- Mailing Address 0, C City/StatelZip 2�2--2,? 6- 17 2� Telephone Number/Email Address Date 'Valid for one calendar year after signature' ace rmation) S151nature ` J Z61cle4j K77 Print or Type Name e /� Mailing Address CitylStatelZfp — 1J Inc ?��/Iei.11 Telephone Number/ Email Address i. MR I. 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 s� �'-vw�� J S" S s (Name of Prop rty Owner) property located at Z t ( �"`� �''` �Oc��Q (Project Site on ?Pi-S� .)-Q-r�, i n (Wale) body) Agent's Name #: Agent's phone #: Address, Lot, Block, Road, etc.) C✓rn�-��. tJ .Q--,, . N.C. (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 1367 US 17 South, 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 Infor ation) Signature Print or Type Name Mailing Address &", 4-a-, (\ C- City/StatelZip 252-2,�,�i7- �f-1Zs Telephone Number/Email Address .:)-Ity� c� Date *Valid for one calendar year after signature* (Adjacent Property Owner Information) Sig tore Print or Type Name /0F "K4✓eAlw000 Mailing Address City/State2ip Telephone Number / Email Address /i1'/ /0"� Date" 11:�. February 20, 2020 Streets it Addresses Streets Parcels Main Roads 13 County Boundary 180 117 186 118 „� 192 1 114 196 104 200� 10C) 2178 181 0 Ca��1 f�Y 191 r] W4 1:2,849 0 0.0225 0.045 0.09 rn 0 0.0375 0.075 0.15 Sources: Earl, HERE, Gamin, USGS, Intermep, INCREMENT P, N Japan, METI, Esd Chna (Hong Kong), Esd Korea, Esri (Thailand), OpenStreetMap contributors, and the GIS User Conrrsnity Untitled Map Write a description for your map. I f I •4 r �j Ot ly i .doga,:b Legend f 15 Yacht Club Ct ® Dadaab Refugee Camp ® Feature 1 9 Feature 2 Howard Reef ® Larsen Ice Shelf 4 I �a7«"-•� aka„ :•ti .+! �-, ': �29. '-„2?�'TTTSSS,�haa �YfY�"�p �!',a� •i 100 ft