Rahman, Sam 79588C

I]CAMA/trDREDGE&FILL
GENER/AL PERMIT
EModification f Complete Reissue EPartial Reissue
fu authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern Pursuant
N979588 A Bi"c D
Previous permit # ''
Date previous permit issued_
to l5A NCAC
E Rules attached.
Applicant Name
Address
Project Location:
Street Address/ State Road/ Lot #(s)
State ztP
Phone # (_)E-Mail Subdivision
. CW 'IEW -PTAAttected
AEC(s): oEA HHF - lH
] PWS:
ORW: yes / no PNA yes / no
il ES
tr UBA
N PTS
NN/A
ztP
Phone#( ) RiverBasin
Adl. Wtr
Closest Mal. Wtr. Body
(nat /man /unkn)
Type of ProjecU Activity
t (Scale:)
Pier (dock) length
Fixed Platform(s)
Floating 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
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes no
yes no
yes no
yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
I S"" note on batk regarding River Basin rules.
Notes/ Special Conditions
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
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Permit Offi cer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
Authorized Agent _
other-
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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 officerwhen 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:
E tar - Pamlico River Basin Buffer Rules
I Neuse River Basin Buffer Rules
E other:
lf indicated on front of permit, your project is subiect 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 (910-796-721 5) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4 RCOAST
Fax:[phone]
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washingon, NC 27889
252-946-6481
Fax:[phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fa:<: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal. ncden r.orglweb/cm/dcm- home
Revised 206l I 7
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AcqNT AUTHORtzllTloN FOR C*iiA PER$rr ApFLrcATton
Name of Proper.,ty Owner F(equasting Permit:
Mailing Addmss:
Phone Nurnber:
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I cerfify that I have authorized
to acf an my befrall for flre purp of applying for and obtaining all CAMA permits
necessary for the fotlowing proposed development:
5',a'* ?sJc'"
at my irroqe(y located at ?-,t\ha.a*"xtuAL l*Javfr Ll$,
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Prtfi or *Pe Name
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I furthennso &nrrry that t am authorized to grant, and do in fact grant' permission .to
Diwsjon of coasrJ'iiiig"ient *i*1ii Loirt p*r*il aficey ?nd th.yir asents to enter
an *.te asorrsmentioned tirou in cinneetion with evaruating information related ts this
permft applicafion.
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