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HomeMy WebLinkAbout54118_BURROUGHS, EMMA_20090528CAMA / ❑ DREDGE & FILL GENERAL, PERMIT New ❑Modification ❑Complete Reissue ❑Partial Reissue 5�2ti1b� �5� C 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 t 00 Rule --k- Applicant Namnne,^� �rt„ni�aL U r rcQ lr h Address PO Ao� ._xp City Q n State k l ZIP Phone # N 0S ax #� ( ) Authorized Agent [—de U�(y Gdele-fi Affected J CW N EW X PTA O ES ❑ PTS AEC(s): OEA ElHHF ElIH ElUBA El N/A _ PWS: C'FC: ORW: ,yes / no PNA yes / n) Crit.Hab. yes / no Project Location: County r., _ Street Address/ State Road/ Lot #(s) Subdivision ` l City 1L��t� t; �T�ArCi ZIP Phone # ( ?) -72 S-25�j{ River Basin Adj. Wtr. Body Rr— C nat' man unkn Closest Maj. Wtr. 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OEM:■■■■■■■■■II■■■■■■■■■■■ . ....■.............. ...■.............. ...®.■,,,, MEMO■■■■■ 04 MEN It en nor Applicant Printed Name Signature * Please read compliance statement on back of permit -2c)� c5 (" } ADDlication Fee(s) Check # Permit Officer's Signature t t e') r fZb G5 IssuingDatel I EExxp6tion ate t.w ( V QQJ4"It hA 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, certifythatthis 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (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 V MONITORING & COMPL TION RE OR [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE' S NAME: C m PERMIT # FIELD REP. C LOCATION: I \ IW" Ir' an LA H I PHONE: DATE OF INSPECTION S �� 1) MONITORED BY R b DATE REPORTEDLY COMPLETE: !�S G'5 ,the measured dimensions of the development differ from those indicated in the permit and workplat? E /NO [circle one]. 2) SEDIMENTATIO & OSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? [circle one] I COMMENT: A% �- 3) FUTUREKOPRTORING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? [circle one]. COMMENT: c r a ' '�c } s t ISM 10 ti ti li G R I qi 04 r -11 UNITED STATES POSTAL SERVICE First -Class Mail `Postage & Fees Paid °Sender: Please print your name, address, and Z|P+4inthis box ° � /--> °._ / 1"'--' g *— C7 ...n ;.I l , y •t $ 171963 M Postage f1J Certified Fee $t • 80 133 ru C3 Return Receipt Fee Postmark Here O (Endorsement Required) C 3 Restricted Delivery Fee $�I,IJIJ 0 (Endorsement Required) fu Total Postage & Fees $ m Sent ToCO C. (� OekAe O 3`treet, Apt No.; - ---------- or PO Box No.c�!uyt"i'�J� l --------------------------------------------------------- - , (N A-- City, State, ZIP+4 -- PS Form :rr August 2006 See Reverse for In structions ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ 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. 1. Article Addressed to: ijfjvL' C?wl e-4 1Z **Ik- idP1"o4i4 dill m Wji16W s, N� �s9a A. Signature ❑ Agent X Cl Addressee N eceiv@d by nln'Md Name) C. Date of Delivery D. Is delivery addre s different from item 1? ❑ Yes If YES, enter delivery, address below: ❑ No 4 y 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 (Transfer from sery 7008 3230 0002 2360 7650 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 NCDENR North Carolina Department of Environment and Natura Division of Coastal Management Michael F. Easley, Governor James H. Gregaon, Director Date a009 Resources Wiliam G. Ross Jr., 5ecretarY Name of Property Owner Applying for Permit: Mailing Address: fVlAY 2 7 2009 P �42 WrOhead City DQW A' Y certlty that I have authorized (agent) f tEll} VEiE �� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (Activity) l5b PI et c- �h at (nay Iproperty located at) Thi3 certification is v��d thru (date) rty Own"ignature U Date 400 commerce Avenue, Momhead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: vrww.nccoastalmanagemant.net An Equal opportunity \ Affirmative Adios Employer — 50% Recycied \ 10% PW Consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATENIENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to &m jg - &r'e2q&,A: (Name of Property Owner) property located at H Q 414MI l )2,-3 k & , (Lot, Block, Road, etc.) on „ RLk SOund in %4RKe&5 Y�Amd/ , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 9%�` 3�S-�1b�5 Mailing Address: PJ0- &V Uog A)au6ELc, W. r, 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 developm �RAw�ny R[6e- ArTAe-H MAY 2 7 2009 (Information for Property Owner Applying for Permit) P o. zox 3103 Mailing Address u)&A) De-/L City/State/Zip Morehead City DCM (Riparian Property Owner Information) Signature Print or Type Name Tel hone umber Telephone Number Signatu e Date Date HENRY EVERETT CONSTRUCTION P.O. BOX 178 BEAUFORT, NORTH CAROLINA 28516 252-728-761 1 anpT �- O ' soar -- K So�NA -� lyo� u�►�LKw►��-(- 5%ulaE A,ug/e- m lq 6s' 97 —&al ►2Roc�5hs MA Y 2 7 2009 fvlOreheacq City DDM le- nr� Eve (zc lt- D . 130" 17 T-�PT� nl. a Sa-i�3-aSQS JJ06ZZ- <<,4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER14,10ORI_NG PILI.'vGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to Em mA —S. V , &rroW,6' f (Name of Property Owner) property located at l f'1 W1 t' ( -t�N Ll . (Lot, Block, Road, etc.) on in t A�KL �5�AtiW _ N.C. (Waterbody) ry1 (Town andiorr County) Applicant's phone #: 9%9'.3�OJ`-�i Mailing Address: - l/, cz�w No L61ew&Z6,, g e � "26 '! 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) (Information for Property Owner Applying for Permit) P, a Box UOT Mailing Address City/State/Zip 9Zq -3&5- y095 Teleph ne umber Signatu e Date (Riparian Property Owner Information) Signature Print or Type Name Telephone: Number Date HENRY T. EVERETT HENRY EVERETT CONSTaRUCTION ACCOUNT PH. 252-7211 P. O. BOX 178 BEAUFORT, NC 28516-0178 \ BRANCH B ONBKING ANK AND BBT?comMPANV C 1 A S S I C FOR r .nnnn P, 6��' �:0 5 3 LO L L 2 Lj:000 L 2 2105 7 L 9 11 5636 66-112/631 Fpalu�es 1 ppipils on Eecx. w HENRY T. EVERETT HENRY EVERETT CONSTRUCTION ACCOUNT PH. 252-728-7611 P. O. BOX 178 BEAUFORT, NC 28516-0178 wv �N�i� - w BRANCH BANKING AND TRUST COMPANY '�"� 1-SOD-BANK BBT BBT.com c w y y c FOR r ,I.nnnn 3 6ii" �:0 5 3 LO L L 2 L1:000 12 2 30 C 7L9Lu" 5636 66-112/531 Features � Oa�ails o� Data. NP