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Home My WebLink About53022_BROOKS, BENJAMIN_20081114C CAMA / ❑DREDGE &FILL in C L _� F.F H -. G9NERAL PERMIT Previous permit# Q.New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources 3 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Q Rules attached. Applicant Name -' DQ A, ,0, -V, A k 1 Project Location: County n Address Lfp "� '� _%" � A Street Address/ State Road/ Lot #(s) j IC, City ;s ,, ,T - j��c} State jtjC ZIP Cs4� >') Phone # (_25�_) ~17?�_ i.��i5 Fax # () Subdivision Authorized Agent City )��; �� r r1 ZIP Affected ❑ CW ❑EW p PTA ❑ ES ❑ PTS Phone # (eii;e -7 X_ (,4c{r� River Basin I,,%& Ir 0. k ❑ OEA 1 HHF ❑ IH ❑ UBA ❑ N/A - AEC s Adj. Wtr. Body nat ft6t El PWS: ❑ FC:1 unkn ORW: yes / ;'no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length 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 irvm All Shoreline Length �., SAV: not sure yes ' no --_ Sandbags: not sure yes nd' s — -- -- - '— Moratorium: n/a yes no'' Photos: yes - no Waiver Attached: , yes ) no A building permit may be required by: ( ;�r-te rGj Cc.nn7":4 Notes/ di l C i S ecaontions ) r P l�ftl '�!� � Y� mar•) fr. An 11 Agent or 'pelican Printed Name Signature ,**Please read compliance statement on back of permit Application Fee(s) Check # 1 t� l lk-6 r ❑ See note on back regarding River Basin rules. C ` r` i --1�'' �_ fq Issui Dite� �rfion Date Loc�al'Plan ingJunsdictio R6ver5`11e Nimr e 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 ❑ 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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 MONITORING &COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE' S NAME: 1,'� �; �� s PERMIT # LOCATION: 1 �s 1� �- ryld FIELD REP. P ht Ur6 m, Teen) MONITORED BY C PHONE: "%Z`�- 6154 rJ DATE REPORTEDLY COMPLETE: s DATE OF INSPECTION 1) Do the easured dimensions of the development differ from those indicated in the permit and workplat? YES/ OJ [circle one]. COMMENT: �Sc1 i'\ C"( feC`1 2) SEDIMENTATION & fgOSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? YES/ - [circle one] COMMENT: 3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YES/ [circle one]. COMMENT: de ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 1�Dtvly^ ( t ('s (Name of Property Owner) property located at 1 `� l�3 5T2Qc2t WO-5 T Stp4,-) (Lot, Block, Road, etc.) on lq%/ IACQ 01KI eX l�i�iP60� in 14A P kC95 -Za/A Nd l V .. C grzfcq,�*.C. (Waterbody) (Town and/or County) Applicant's phone #: Z-5Z-- 7Z# --k ,5-Y Mailing Address: l IV 0 F 7 :51&) d 2.74 d ,ekees-s119AICIM e zss � l 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) 35. 8;v1Kh&gJ -r Dock 9 (Information for Property Owner Applying for Permit) / 0 `/ 1�vfAni d /"aficl Mailing Address (Riparian Property Owner Information) Signature City/State/Zip Print or Type Name Te phone Number Telephone Number • 1(ZNy -D Signature Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to & Id :� ...il{f�P (Nan6e of Property Owner) property located at / /5 (Lot, Block, Road, etc. L457 Side on�G ///� Cr��e11/P /�i�4'�� , in %/F3k,CF 5 �IR^b� .11%C: (7 AP-*967,N.C. (Waterbody) (Town and/or County) Applicant's phone #: r2W - Mailing Address: /44og zoo 4d He has described to me, as shown below, the development he is proposing at that location, and, I 'raven objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse roust be set back a minimum distance of fifteen feet 0 5') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) �! Tao not wish to waive PZI do wish to waive that setback requirement. ------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individuadl proposing development) q0 ?-57i -17P (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) /�(o� 1 / C� Mailing Address Signature City/State/Zip Tp}ephone Number Sig6ture Date Print or Type Name Telephone Number Date BROOKSSTORAGE Ph Anne Brooks 252-728-5756 252-725-0739 or252-728-6545 1409 Island Rd Harkers Island, NC 28531 Pay to t Order of E WACHOVIA Wacho<� I�Cwvia N.A. C. waclovlitcom 5 For KC 4507 ��tt // j [_/( (%,�j� Date 66-21/530 BRANCH 77513 1:0530002191:205469080455011' WS07 I$Z�� Dollars n