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Home My WebLink About56376_CAMPBELL, DAVID_20100916/yyy/11 ,ypJ� ❑CAMA / ❑DREDGE &FILL Oyro GENERAL PERMIT 7 Previous permit# ❑,Net -[:]Modification ❑Complete Reissue El Partial Reissue f>% Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resource§ and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Applicant Name Address City State Phone # () Fax # ( Authorized Agent ❑ CW ❑ EW ❑ PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ZIP ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP /r/ Phone # ( ) River Basin /'•. c Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. 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Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # PermitOfficer's Signature I Issuing Date Expiration Date Local -Plan ningjurisdiction / 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, 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/ 1-888-4RCOAST 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PMZ3,1OORIVG PILINGSIBOATLLFTIBOATIIOUSE) ' I hereby certify that I own property adjacent to � �✓; � � � &Y"y (NProperty�wner) located atproperty -.--� - (Lot, Block, Road, et . on , In. b��% 1Cz�- Cburi1� � Q , N.0 aterbody) (Town anchor County) He has described to me, as shown below, the development he is proposin at that location, and, I have no obj ections to his proposal. I understand that a pierlmooring pilings/boatliff/boathouse must be set back a minimum distance of fifteen feet (151 from my area of riparian access unless waived by/me. �Y I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled In by individual proposing development)1 90 ZS- W 1 I b 4b r2� ;"4 S i �nM wcJ \ Print or T e Name Z-s-2--Z'tC)- I�js� Telephone Number Date: q 11 S I (C ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A P18R&f00RI7VG PILINGSl.BOATL.IFTIBOATHOUSE) I hereby certify that I own property adjacent to is (Name of Proper Owner) property located at � 13 .� � �� ,� (Lot, Block, Road, etc.) on _ PO4 S-J> xy ��Q y Gt� �c.JN.C. (Waterbody) (Town and/or County) 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 pierlmooringpilings/boadift/boathouse must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless waived by me. M I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be 911P.d in by Individual proposing development) N O 'LA4vb L,4413 5 / Signature ►fit% ��- Print or Type : ame b2+ 763 _ S 9 3-2z1 �o Telephone Number Date: k / I I-- f Lot =0 �,C� Lot . �! / p3• /874.24 p2 / `3p— _ I f Lot 15 h� Lot 14 / �1 50, 076 sq. ft. l °j ( h j 1.15 ac es i Cb i( Lot 13 / [143] ('�tb i 45,167 sq. ft. I 1.04 acres I� l [123] - Lot 12 / 50' Cb i (� F i �i ••�. _ m I I 55553 La oto �•. Z ;-) N "jam �� w r) �• �„ fir / o u �f 2 p4'h' N i 1 --rOCAI BELL DAVID ns— Ku.•,. .,,. .•,. Is— Pamlico Count NC Parcel Number: H094-1-13 Deed Book: 480 yf NC PIN: 6476330106 Deed Page: 515 Owner Name: CAMPBELL DAVID Plat: PICA 150-11 151-19 "I'''� PROPERTY MAP Owner Name2: ET UX SHERYL M Deed Acres: 1 Owner Address: 8 VERONICA ST Land Value: 160500 Owner City: SMITHTOWN Building Value: 0 N y • ai Owner State: NY Value: 160500 �. a The date The provided on this map are prepared for the Inventory of real property found within Pamlico County, NC and are compiled from recorded plate, deeds, and other public records Owner Zip: 11787 Sale Date: 20061019 °tf t �` and data. This data Is for Informational purposes only and should not be substituted title Situs Address: 123 CAPE HATTERAS PT Sale Price: 250000 One Inch = 382 FeetLe c „ or a true search, property appraisal, survey, or for zoning verification. al Desc: LOT 13 DAWSON CREEK PH 1 T MCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Govemor James H. Gregson, Director Mliiam G_ Ross Jr Secretary Date 2"7 �l P.v Applicant Name Mailing Address Y- TV I certu`y that I have author"a- -- (agent �' DAC to act on my behalf, for the purpose of applying for and obtaining an CAMA Permits necessary to install or construct (activity) 1 at (location) orl) �►a\ Jc/ Gros This certificatio is v (date) 400 Commerce Avenue, Morehead C4, North Carolina 2855-1 Phone: 252-808-28081 FAX: 252-247-3330 l Internet wwwmccoastalmanagementnet An Equal oppol-W* 1 Aftrmahve Action Employer —50% Recycled 1 i 0% Past Consumer Paper THE FRONT OF THE DOCUMENT HAS A MICRO-PRINTTHESE AMOUNT BOX AND THERMOCHROMIC, ABSENCE OF 1ILL. INDICATE A COPY. Af A*� one YG r aM Money Orders INTERNATIONAL MONEY ORDER V) c\j PAY TO THE "Ir ORDEN ORDER OF:/ -1--PAY ONLY THIS. AMOUNT L AGAR A i Lc) _-q IMPORTANT SEE B CK B ORE CASHING i L Co _0 PURC ER, 5 AGREE To 'H" E OR DRAWER COM RAD—, PURCHASER, BY SIGNING YOU A NKMA DEL 1 ERVICE CHARGE AND OTHER TERMS 0, Co LIBRADOR SIDE LA-) ONEY e Through': ADDRESS 1 G{FT �TE R1 Payable �C�JPIENT, Wells FargoISSUERIDRAWER.- Bank, N.A- aribault, MN MONEYGRAM PAYMENT SYSTEMS, INC TO AUTHENTICATE RUB CIRCLE 0 PA RA AUTENTICAR RESTREGAR EL CIRCULO 1:09"00533':585 6I5552SOu- 90 Applir ant: • David Campbell Date: September 16, 2010 General Permit #: 56376C Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts amount HM Dredge ❑ Fill ❑ Both ❑ Other ® 725 725 OW Dredge ❑ Fill ❑ Both ❑ Other ® 875 875 HG Dredge ❑ Fill ❑ Both ❑ Other ® 125 125 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ i i