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❑CAMA / 1:1 DREDGE & FILL GENERAL PERMIT ONew ❑Modification OComplete Reissue ❑Partial Reissue Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC A/ %�� /� //! [1] Rules attached. Applicant Name a �'�^' L ,/�f'P, Project Location: County , c /e' Address._S � , L t4s� , kej � d Street Address/ State Road/ Lot #(s) `-T',9 , ' .' `` / City ': ;l •�;�;L• -1 5r) L dirt State 1V C zip Z Z, v Phone # (, S� ` "S � Fax # (— ) Authorized Agent Affected El CW C EW ©-PTA O ES ❑ PTS AEC(s): El OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity ! �i Subdivision City '� �`' / ZIP Phone # ( } River Basin Adj. Wtr. Bodyc�'�✓ L (nat' /man /unkn) Closest Maj. Wtr. Body ✓ �f '"� ` (Scalef' ) Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length - SAV: not sure yes ono Sandbags: not sure yes <-no Moratorium: n/a yes Co: Photos: yes Waiver Attached: yes rno'• A building permit may be required by: !S ! F' LS h ❑ See note on back regarding River Basin rules. Notes/ Special Conditions or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # -Permit Officer's Signature Issuing Date Expiration Date &r nr 's/ P �!'Ae Local Planningjurisdiction Rover File Name 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 Quality. Contact the Division of Water Quality 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 Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South 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 -below New River Inlet- and Pender Counties) Revised 08/09/06 I Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. e 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: Vj If YES, enter delivery address below: 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Copy from service label) oao/ jo 1,64, IWa :IS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 4 L CAMA I DREDGE & FILL /5C 5 GENERAL PERMIT Previous permit# 'New -Modification 'Complete Reissue III Partial Reissue Date previous permit issued >rized by the State of North Carolina, Department of Environment and Natural Resources �7 / Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / 1`'�'22 0Q [I Rules attached. -it Name /9f9SDA.1 L',✓ye ea_ Project Location: County _PR ,,,,, f c,/,c%A ;32 3 4 f'£i..s4 /ed#S Street Address/State Road/Lot#(s) j,'9 Z--, 2 • i, G,J 5,9le,-.1 StateA/ ( ZIP 22%06 �#(? ) 741- 6?5 7 Fax#(A ) Subdivision zed Agent IV P 4 Parc�1 � � ,,,, `d, City, CPR- .. `e eA/9G4 ZIP 2IF'yd CW OFF"., ELPTA p ES ❑PTS Phone# ( ) River Basin 1 y,p) OEA ❑HHF ❑IH E UBA ❑N/A Adj.Wtr. Body(9r/9 t Uff /L1"-✓ (nat< PWS: ❑FC: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body 19y wit/ if Project/Activity pre, Vi9/ / (t, 0.472.)e (Scale:/ _ ock)length k/9m,, /el___•›___ m(s) 1 1 t pier(s) ength umber P P length1 ad/Ri ra ig distance offshore lax distance offshore n :hannel C ' I I ibic yards ! imp -7 .use/Boatlift I I II Z/j — _.� -__ _. . Bulldozing i if/off/ .?—CJ',c 7 I , I t ; t )‘i y ne Length _ not sure yes no ,- A , i � '1�� igs: not sure yes ono -""— `_) Y,t,�'(.4,,, t f glum: n/a yes �-no r'J " -i i yes `no - L/0 - i -�3 G s� N� ('if 1/ •Attached: --r yes no / /�j / G ✓ ling permit may be required by:©C 00", 2 L e E li A'C 4 P See note on back regarding River Basin NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley,Governor Charles S.Jones,Director William G. Ross Jr. Authorized Agent Consent Agreement We4 )0 is hereby authorized to act on my b (Printed Name of Agent) order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited )ecific activities described in the attached sketch. DCATION OF PROJECT: 3d Eas I- Second Scree j- ROPERTY OWNER MAILING ADDRESS: 39,30 TPehsby Rot~d _ ,Nins n S�len^, NG X7►0 (0 PHONE NO. (33j 7(05 (9357 JTHORIZED AGENT MAILING ADDRESS: I515 C row n C+ree le, Circle. Dla nrG AgL+4, 1 PHONE NO. (11?_) 57s•50,7( gnature of Property Owner: , -l/ gnature of Authorized Agent: tt V V eS} D e Cki, rvlevqsa.a. h C IJIV VVNVI I' I1V i.VTVJ 575-5271 575-5250 - fax . 1 Union Street Larry Wallace 11169 Hickory 3 X 16 Aluminum Ramp Ridge Rd. Harrisburg, NC 28075 8 X 20 Aluminum Dock 3 X 16 Aluminum Ramp t Second Street 139 East Second Street Name of Individual Applying For Permit: MGstrv‘ Li n4c r Address of Property: l 3` _. I __..._14sA- Second S4'• (Lot or Street II, Street or Road) _ --0 6- .- _ 13rvnSWt_ ('alAh _ (City and County) 7 � I hereby certify that I own property adjacent to the above-referenced_.property. The indivi applying for this permit has described to me as shown on the attached drawing the development are proposing. - descripti or drawing, with dimensions, should be provided with this lette I have no objections to this proposal. • if you have objections to what is being proposed, please write the Division of Coa 'Vli:anagement,, 127 Cardinal Drive Extension, Willmington, NC 28405 or call 910-395•-3 Yvithin 10 days of receipt of this notice. No response is considered the same as no objectic you have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift musi et bck a minimum distance of 15' from my area of riparian access - unless waived by me: roi wish to waive the setback, you must initial the appropriate blank below.) / - I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. ,,i.„6„ , ikv /... / n a Date IIDT)L e-- i\f\ A L . / 461191971 nut Na e V :- .1-3 - 60 2_C-, - LI 5----3 NCDENR NORIM CAM:MO.1 OWARTMCNE OM Name of Individual Applying For Permit: I"l 4 cv. �i n{c.er Address of Property: . )31, �G�s+ Se Cord Sfve • (Lot or Street #, Street or Road) 0 ( 8 Brkhtwt_IL t.tryki (City and County)I hereby certify that I own property adjacent to the above-referenced.property. The indiv applying for this permit has described to me as shown on the attached drawing the development are proposing. A description or drawing, with dimensions, should be provided with this lettt I have no objections to this proposal. a. .Q.9e1.5 / tt p att J204-4-6.e4..kat p If you have objections to what is being proposed, please write the Division of Co; Management,. 127 Cardinal Drive Extension, Wiltnington, NC 28405 or call 910-395-: within 10 days of receipt of this notice. No response is considered the same as no objecti you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mus Set bck a minimum distance of 15' from my area of riparian access - unless waived by ire you wish to waive the setback, you must initial the appropriate blank below.) •— I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. d 4 - ///6/e7 ;ign e Date Tint Name ,.....,,..��' NCDENR 2041 ,c/ cc- 5-2.2_3 '7 ott- (AS'.5--.240 4 2— C•etot.o.OCPAirroACHr �•---�_•- —� E..vu.(y....LNr N.O Nnrun.u.Nc�a.wc Cf 1.r-----1---- ----mot