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Home My WebLink About56958_CARLTON, JANIS_20101027❑LAMA / ❑ DREDGE & FILL; YPVrevious /Vl�� GENERAL PERMIT A,- permit# ❑New ❑Modification ❑Complete Reissue []Partial Reissue 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 Name Address i.tr j�� truer C City -. 1. 1 40' '�,yUAA State "P'h ZIP 2f 1 Phone # ( ) Fax # ( ) Authorized Agent r Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County rr',, 7 Street Address/ State Road/ Lot #(s) Subdivision J City !'-.s.r� ZIP Phone # (_1 tom`-) W - (fAM River Basin Aii, Go i Adj. Wtr. Body C , t ic) *A I C rOp � at /mom ate) Closest Maj. Wtr. Body ri _ - ��ni�l��nnnn�■n�■�■nn■��n■�n�i�■i �i®n■ '� ■n ■R1■n■■�■�■■�■�■■■n�n�■■fin■■n■■■nn■n ■■■■■■■era■±■ ■■■■■■■■■■■a■■■■■ ■■■■■■■■■■ ME ■i■■■L'®I'�l1�lYi'Tip:i::iiinl�iiii:ri:.l'"i■i��■■��►�Iil�n■ram gent'or Applicant Printed Name Signature ** Please read compliance statement on back of permit Permit Officer's Signature Li Issuing Date Expiration Date Application Fee(s) Check # Local Planning Jurisdiction 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 landowners). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythat this project is consistentwith 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/ 1-888-4RCOAST 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:910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 NC Division of Coastal Mgt. Habitat Impact Computer She> Applicant: Janis Carlton Date: 11 /9/10 Permit #: 56958C 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 TYPE Choose 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 impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Open Water Dredge O Fill ❑ Both ❑ Other 0 96 96 Dredge ❑ Fill O 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 ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised.02/03/10 Y UNITED STATES POSTAL SERVICEtM - `YClas' it • Sender: Please print your name, address, and ZI big i bo = If III III lffif1£lf fill lift! III "fill £ f££f11Ift£ff£1£lffif lf£ fill f t Postal CERTIFIED MAILT. RECEIPT �- .. . • . ru 7 .7 I= ,0 Postage $ m $2.80 02 Certified Fee 0 O Return Receipt Fee $2.30 Postmark Here p (Endorsement Required) O Restricted Delivery Fee $0.08 0 (Endorsement Required) Er [$ $5.54 10/19/2010 fu Total Postage & Fees O O Sent To r-1 � ------- Street, Apt. o; or PO BoxNo.�9057',Pa,'U�� ------------- --------------------- C* , State, 1 +4 / ,/ :rr August 2006 See Reverse for Instructions ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the revers 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: 1, 4'1 Date of Delivery D. Is delivery address different from Rein 1? ❑ Yes If YES, enter delivery address below: ❑ No 3, Service Type Cln:�Gkrtified Mail ❑Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7010 0290 0000 3605 6214 (Transfer from service I. _. PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154( (FUR A 1'1R'R/MVORING PILINGSIBOATLIFT/BOATHOUSE) TW I hereby certify that I own property adjacent to (Nance of Property Owner r Applicant) Mailing addre;;s if different from location address S3- F 7:z- (town, state and zip) 4L. 2a7olL RECEIVED : phone numbers you can be reached at_ 3a/-3ZS- 7y 3 _ 01T 2 S 2010 property locatc;d at Z 7`,�e ` City DC (Lot, Block, Road; etc.) on/i--�i� , inoiys�dJh/ , N.C. (Waterbo4ly) (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 pier/mooring pilings/boatlift/boathouse must be s.et back a minimum distance of fiftfen feet (15�trom my area of riparian access unless waived by me, I do not wish to waive the setback requirement, wait: n¢,Y wail: I do wish to waive that setback requirement, -------------- -•-------------------------- _ ------------------------------------------- -- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT; (To be filled in by individual proposing development) ---------------=�-- k----a-- \ ern Lrl-. Signature 2 Print or Type Name .-Telephone Number From:KHI SERVICES 240 686 0711 09/27/2010 J.p,p.; Z/ ..ZVIU :..:.1;15rir1 ......:ISKAJJ LAN I LKN ..: No A,i,* NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management 14:34 #482 P.001/001 • 1U58 f• 1 Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date .)„y_T � 7-"e'-C)"a Applicant Name Mailing Address RECEIVED M011'OhoOd City XM I certify that I have authorized (agent) r to act on my behalf, for the purpose of applying for and obtaining ail CAMA Permits necessary to install or construct (activity) r at (location) �,/ , i%iJ ' - Usk This certification is valid thru (date) � i , Z_ ,fir•<d Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808,28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 AHirrnative Action Empioyer — 50% Recycled 110% Post Consumer Paper NORRIS MARINE CONSTRUCTION & LANDSCAPING BILLY M. NORRIS, OWNER LLC 8616 B 252-393-8646 H 252-393-8810 N LANDING RD. S t _ `� WANSBOSBORO, NC 28584 DATE ��J L / 66a0/531 PAY _ — 342 TO THE ORDER OF MFirst Citizens Bank firstcitizens com ll ^^ FOR � 008 6 1611' 1: 5 3 i00 3001:00 34 229221 u� OLLARS