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Home My WebLink About55261_CAVENAUGH, MICHAEL_20100305CAMA / ❑ DREDGE & FILL �J�� `� .• i CENEPAL PERMIT Previous permit # 0New ❑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 I€ j Project Location: County Address �' ' ITi 3/ �' 1 tf Street Address/ State Road/ Lot #(s) City ' t�� State ZIP Phone # ( ) l ,'�. i { Fax # ( ) Subdivision Authorized Agent City ZIP i Affected ❑ CW Q E�V ❑ PTA ❑ ES ❑ PTS Phone # ( ), River Basin El El HHF IH ❑ UBA N/A t � ' AEC(s): Adj. Wtr. Body � � �' � � nat man unkn ElPWS: ❑FC: — ORW: yes ['no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier Platf Fing Groi Bulkl Basir Boat Boat Beac Oth< Shor SAV: Sand Mor Phot Wai\ (Scale: 1.= `TLI " ) ■ ■ ■11.,MENiRt rilmll■ i■ :■■ IN ■■IN■ ski VIU_ . • ... �C. IOMP.1119111 �,� ROME ■ ■■ ■■ ■ .:■:.■ ■■■: . .■■�..........■■■■■. ■:■■■■� , ■�!iC�ll■■■■■■G■■■N■ ■r■��,.� rag ■■NMOME■■■■ ■■■■ :■■■ ■■. _ �i/I: nY■� .■..■■li1li■■■MEMO:��■■� SEE ■■■■ oil oil�1�■■■�1■■N■■■■■■■■■■■■■■N■■ ■ ■■■E�il:�■■■N■■■■ ■ ■■■ � ■ ■ ■■■N111111101 F- 16 ■■IIIL%■■■■N■■■■■■■■■■N■ � • _ . _ .. .. ■■■:.:■ il�■�■■■■■■■■■■■■■■■N a�: ■■■�i■■■■ °�r�F�■■■■■■■■■■■■N■■■■■■■' _ r IVA .. -�L [SE■N■■■■■■■■■■■■■■■■■ :::::� hism :mom N■M■■N■■■N■ ■ W N■■■■ ■ ■■ A building permit may be required by: Notes/ Special Conditions , z n Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # . ❑ See note on back regarding River Basin rules. The time period requirement for this development is suspended until 12-31- 4666 i2010, pursuant to Senate Bill 831. The cer' Si`na re effective date of expiration for this g p permit is ssui g ate Expiration Date f Local Planning)urisdiction Rover File Name J 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 RIPAPJA--N4 PROPER R STATEMENT (FOR A PIER/'VIOORI.7YGPILING IBOATLIFT OATHOLSE) J •I hereby certify that I own property adjacent to -/�/�'4 -L ► `1-74i/4Qrk 's (Name of Property Owner) property located at RfCfWE® - (Lot, Block, Road, etc.) on Q cA A Cfa- V in v BAR 3 2010 N.C. (Waterbody) (Tow and/or Coun e+widCityoCM Applicant's phone #;.lS ;�-Y;J-7 I I U Mailing Address: 13 % �� 4,2Se.y L.�•Zc�--� .5"i/ eiL _wc ,2 f , �l L j''iC• / 02He has described to me, as shown below, the development he is proposing at ation, and, I have no objections to his proposal. I understand that a pier/mooring piling / 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 JQJ— I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be f lled in by individual proposing development) ------------------------------------------------------------------------------------------------------------- ---- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) if 33 iAZAAS4,,VC Mailing Address ignature City/Staff/zip r lit r T pe Nanie Telephone Number Telep one Number Ald,dct-& Z-16) ;/ a - 0 Signature Date Date ADJACENT RIPARIAN PROPERTY OWNER. STATEMENT (FORA PIER/.YIOORI.'iG PILLNGS BOATLIFT OATHOUSE) I hereby certify, that I own property adjacent to �(�,' c h a •c j �'i4Lr�'�4�t ri 's (Name of Property Owner) J RECEIVE® property located at ��A.. _ (Lot, Block, Road, etc.) R 3 2010 on fkG!Q�1:�L. k —, in /l ELF pc/Pt ForeheadCO'bEm (Waterbody) (Tow and/or County) Applicant's phone #;�� '3f> -� J �-' Mailing Address: 4pes,V e-fL. He has described to me, as shown below, the development he is proposing at ation, and, I have no objections to his proposal. I understand that a pier/mooring piling / 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 (Riparian Property Owner Information) for Permit) 3l'Pt- A ZawCiQc/..� Mailing Address Signature City/Stal /Lip Telephone Number Soignaiare Date rrint or Type Name a,5 Telephone Number Date • • �rnI O�LApplicant: 1 ' i'� J �I J Date: 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 Narrm DISI UR6 I YPE 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 t mp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount UJI 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ revise do 02XD311 MICHAEL L. CAVENAUGH PH. 393-2120 5712 337 PEARSON CIRCLE NEWPORT, NC 28570 ' f' 66-30/531 DATE 290 PAY TO THE ORDER OF `�) 1 v z? L /A DOLLARS First Citizens Bank firs tcitizens.cotm..,z FOR ':o 3 L00 3001:00 29 �� -- 074731BSu OS712