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Home My WebLink About56350_BRANCH, JAY_20100827❑CAMA / ❑ DREDGE & FILL �. GENERAL PERMIT `�� d� Previous permit # ❑New (]Modification ❑Complete Reissue El Partial Reissue X\' 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 ❑ Rules attached. Applicant NameI Pro'ect Location: Coun _ Address_ City Phone # Authorized Agent_ Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ' L_: ZIP Fax # ( ) ❑.EW ElPTA ElES ElPTS [IHHF ElIH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no tY Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # O River Basin Adj. Wtr. Body gnat /man /unkn) Closest Maj. Wtr. 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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 ❑ 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 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/ 1-888ARCOAST 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 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date 43 . ? 3. 1� Applicant Name Mailing Address �Q � I certify that I have authorized (agent) ci r�.c�d to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (location) This certification certification is valid thru (date) Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net . An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper Applicant: Cate: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB DISTURB TYPE One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp im act amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or ternimpacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount 1 Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to "Ef- n li,-�C I-> 's (Namb of Property Owner) property located at I`1 Ur / UL - (Lot, Block, Road, etc.) on ,A ryh in A4 La r l i < T-c-- aC k:) , N.C. (Waterbody) (Town and/or County) 2S � Applicant's phone #: S3 Z5'/o Mailing Address: L' Ls i c) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. --------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP ENT: (To be filled in by individual proposing development) p ' A ! iS o w e"f FS;O l/ rG ei Z30 ` ,t F't!' (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) j Z so -J-)Dc Izo Orvars r3 Mailing Address City/State/Zip 2S'Z 5-41 -2� 10 Tele one Number ature Date Signature -7 Print or Type Name Telephone Number Date p ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to J tau '-6l' ra N G h 's (Namt of Property Owner) property located at 7J IU 0 D 4' 1 L &- , (Lot, Block, Road, etc.) on in ^dam G , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 25 Z'53) .25 ►o Mailing Address: k_5 0 w U`S Lsiw��vi►1� �}.L,Z`�rt0 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) -77 C �1 1 - (Information for Property Owner Applying for Permit) 250 `5��c�-� was $ :10 Mailing Address �i w�-� �. � � L Icy' � i� ' C • 2$5� D City/State/Zip Z 52 5'3j 25) 0 Telephone Number ignature Date (Riparia operty Owner Information) 1:: �6" 23. is Signature Print or Type Name Telephone Number Date MUD BUCKET DREDGING INC 4532 507 HEDRICK BLVD MOREHEAD CITY, NC 28557-3045 66-112/531 - Dates. Pay fZ, to the Ord er of - ly Dorfms v BRANCH BANKING AND TRUST COMPANY If 1 -800;§AM BOT BBT.com FOR — Go W 'I'D DO OL,53 211- l:OS3 10 112 11:0005 293 2 183L, Iiin