HomeMy WebLinkAbout54118_BURROUGHS, EMMA_20090528CAMA / ❑ DREDGE & FILL
GENERAL, PERMIT
New ❑Modification ❑Complete Reissue
❑Partial Reissue
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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-
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AEC(s): OEA
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_ 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
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en nor Applicant Printed Name
Signature * Please read compliance statement on back of permit
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ADDlication Fee(s) Check #
Permit Officer's Signature
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IssuingDatel I EExxp6tion ate
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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
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UNITED STATES POSTAL SERVICE
First -Class Mail
`Postage & Fees Paid
°Sender: Please print your name, address, and Z|P+4inthis box
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$
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Postage
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Certified Fee
$t • 80
133
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Return Receipt Fee
Postmark
Here
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(Endorsement Required)
C 3
Restricted Delivery Fee
$�I,IJIJ
0
(Endorsement Required)
fu
Total Postage & Fees
$
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Sent ToCO
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3`treet, Apt No.; - ----------
or PO Box No.c�!uyt"i'�J� l
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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
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MA Y 2 7 2009
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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
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HENRY T. EVERETT
HENRY EVERETT CONSTRUCTION ACCOUNT
PH. 252-728-7611
P. O. BOX 178
BEAUFORT, NC 28516-0178
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BRANCH BANKING AND TRUST COMPANY '�"�
1-SOD-BANK BBT BBT.com c w y y c
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66-112/531
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