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Home My WebLink About56037_COLLINS, KEITH_201006221�']CAMA / ❑ DREDGE & FILL GENERAL PERMIT K]NeW El Modification ❑Complete Reissue ❑Partial Reissue 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 Applicant Name Address City Q State ZIP Phone # (1i 1) 4 Fax # ( ) Authorized Agents��-t +Jtu.T Affected El CW EW PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / noY Crit.Hab. yes / no Previous permit # Date previous permit issued ?N. 12cpt> X Rules attached. Project Location: County r,HQ(0-! Street Address/ State Road/ Lot #(s) -?s 2 G 0'-,-' , �a Subdivision City `gym � r �z'. ZIP ,2 7:} ' I Phone # (�.�'_) U4 U 21Z1River Basin \1 F�•'� C 5> Adj. Wtr. Body c c t..� = c (� (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity �► P Z �j �, f/J, tjod� kc,,J)e j r Ct r P 1 e f (Scale: Pier (dock) length 3� x Platf Fing4 Groi Bulk Basir Boat Coat Beac Othr Shor SAV, Sand Mon Phol WaiN >rm(s) H1 -O rpier(s){•1 - - 1 fV I ilength •. number tY read/ Riprap length— avg distance offshore max distance offshore ,channel cubic yards ramp i i ! ! _ - Q.atlif., sos ' i Bulldozing r aline Length sure no - ! I I - not ye )ags: not sure yes lnoj- torium: n/a yes n as: yes - ar Arr—hard• vac (nN1 ' _ �: ; .Z - A building permit may be required by: P Me4l a KJ . i d o ❑ See note on back regarding River Basin rules. Notes/ Special Conditions 0 I e 1-4 Le r 2 A ci-` r Oc•vJ i 4°rn.J i+cjJ VJ'P 'Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's S gnature U a I Io Issuing Date Expiration ate ;vt2:c.1 �i. ; p l�SU2j t#�� Local Planningf urisdiction 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 71 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 (252-946-648 I) 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 Applicant: Keith Collins Date: 6/22/10 Permit M 56037C 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 Shallow Bottom Dredge O Fill ❑ Both ❑ Other ❑O 2093 2093 Open Water Dredge ❑ Fill ❑ Both ❑ Other ❑x 10000 10000 Goarst�laAFotlands Dredge ❑ Fill El Both [I Other Fx 210 210 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 : i—; s - � — - revised: 02iO3/10 _TUN-21-2010 06:49 AM SHORELINE MARINE CONST. 1+252+393+7934 •r"1[JI�tLl111� Piers & Boat Lifts, Inc. 580 PEARSON CIRCLE NEWPORT, NC 28570 track 252 646 3212 office / fax 252 393 7934 N.C. L 101INl IED MARINE CONTRACTOR # 62746 tm Perx CoV7r j;;-, -r,7, j :'e!; Concrete Docks - Fide Driving - Bulkheads - Floating Docks - Boat Lifts abrooksI@ec.rr.com internee www,nccoasialmanagement.net • - r _„«. r�.,.,_�....:�.. i � W - C.— a.,�:..,. erwnl n�..,. Rf'OC An-��rlP� l 1/:�t. f7ria1 r" 'R -'"'pI PAmp f P . 01 +t kAOb 4T Of I 12 r 2a ' A Lei—T ! tsJF LE, � a3e (o 3g' c 1T)} �MNRGIE(DLIWS -75�2w 5C%.4►.O t.*%)F-. [I � F Z6 x 2go' 14,p ROOF -3(.-,e g •t N Ln N w w w w a JUN,-21—.'_010 06:50 AM SHORELINE MARINE CONST. 1+252+393+7934 P.03 North Carolina 0ecartrnent 0 Envircnment and Natural' Resources Division of Coastal Management B' at9,,ear,A e. ^cvetncr ,lames K GreSson, Director 'ea=rdema-r.. Serra,a,1 Date V • � i�--I'� Applicant .Name &41n r tailing address F3A5 '�"! t ✓` � I certify that X have authorized (agent) to act on my behalf. for the purpose of applying for and obtaining alllllC.-OMA Permits necessary to ingtali or construct (acti�•ity) ..dO 44 s _ 6"4 /1 'tT ar olijl)t i{ q�r� ►.* w't f �, at (locatton) This certification is valid Signnture _ (date) I J ,J0 #jC� 400 Commerce Avenue, Mofehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoasralmanagemenl,not A..Oi— rl -t rl t irft M--1 rmeCC, If -,Pr Psjnpr MAY-25-2010 03:59 AM SHORELINE MARINE CONST. 1+252+393+7934 P.01 mobile 252 646 3212 office / fax 252 393 7934 N.C. MARINE CONSTRUCTION LICENSE # 62746 FAX COVER SHEET TO: &O "y Q4,-1'0.- DATE: S- a S- 1 G FAX # .747 r 3330 FROM 4 i fy 16rao KS # PACES SENT: (� ) (including this cover) S PROJECT, CpLLIAiS ao,)ECT- \��1'1 \_1r,1`I P✓�?rI,/ !. 11 bozo (�2G°\ CID PC ✓ N w NSW r K` K rn �o r ST P. 02 MAY-25-2010 03:59 AM SHORELINE MARINE CONST. 1+252+393+7934 rrrrd uC e'1 LI11V11L UI L—H VII v, n , •— •_., _.. . North tJu %-J N Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr„ Secretary Date 10 Applicant Name �J Mailing AddreSS Op I certify that l have authorized (agent) � � ��'� � &I11�6 to act on my behalf, for the purpose of applying for and obtaining all CAMAS Permits necessary to install or construct (activity) Do e-K u Pr— at (location) - J5;,Lt 6oL4o.R? >Z& VE taoft > hue— p%C_— This certification is valid Signature (date) ti 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone; 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmenagement.net A„ G...�nV /lnn..r��nlh.l A*e," k— Anfinn Cm.+lnvnr C;1)04 Gnn maef 1 106/ 0^0 Pnnr.Imw GanGr MAY-25-2010 03:59 AM SHORELINE MARINE CONST. 1+252+393+7934 P.03 %-A JLX L 'LA' ,LA %- 1.1.1 --- -- DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM Name of individual applying for the permit,Kr,-,T;l Address of property: !*U16V Oaf V0 (Lot or street#, street of road) Mailing address, '1' " Vw— (City & County), C. Phone number you can be reached at 7�'`�"' g19M1-'�55 I hereby certify the I own property adjacent to the above referenced property. The Individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing. A description or drawing, with dimensions, should be provided whit this letter. zI have no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808.2808 within 10 days of receipt of the notice. No response is considered the same as no objection if you have been notifled by Certified Mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags must be set back a minimum distance of 151 From my area of riprap access unless waived by me, (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement ✓ I do not wish to waive the 15" setback requirements Print Name Telephone number with area code www.nccoast2LImanagement.net/PermitsMparianSetbackWaiver.pdf P.O4 MAY-25-2010 04:00 AM .SHORELINE NARIHE C:nHST. 1+252+393+7934 so that we oan retum the card to you � I a. Reoehr9e by„�, } 9 Attach thle card to tPe ba K 0 the mallpi?oe, or orP the front If Spec? pe 1 • ArtlCla Addressed to: ve. p, Is doilvery 4ddr0a dWemtt fMM item I? ❑ YES, enter delivery eddren below: / A, /' 3. ljwo�a TYPO I � l y ` Cart4 w Mail C1 epreft Moll �� fifritlR? RgCelPt tar Marohandisra red Meal � C QD. 2. Amid. Number (Aanefsr from swvfm PS Form 3811, February 2OD4 ❑ ineu 4. Rastrtc�tad DdwerY7 (EMra Fee) C7 Yes 7009 2250 0003 2257 4279 D,fty" tic Return RWMPt Is Complete Items 1, 2, and 3, Alab pbmplete item 4 if Restrloted DellvetY Is desired. to print your name and addresa on the reverse so that we can return the card to you, Is Attach this card to the back ofthernallplece, w or on the front n apace pa 1, Article Addressed to: i �1 to Sam. �� ' ice �YPe Mall tfied MaH ❑ �Pm's Return RacelPt for Marcrendlsa �V �1 Ing"�De'lverf? C1 c.O p Yee q 4. {AestrlaPdre FO ?Q09 2250 DDD3 2257 4286 oz��•rn-� sae 141Sge 2+II .1e40 7 2. Artlole Number ohw,vr fiom `ervfm + pg Form 3811, February 2004 A. Signature Agent � �❑ Adaresaee S. Received by (printed Name} C. Date of Detivery D, Is delivery addreea dMterent from Item 17 Q tr YES, enter delrvery addreee below: Q No Dcrtrgatic Return ReoeiPt I -�t SHORELINE PIERS & BOATLIFTS, INC. �� DBA SHORELINE MARINE CONST 252-646-3212 _/�� `� /� r ASHLEY BROOKS NCDL 7666496 �L1V ��J v 66-21/530 580 PEARSON CR �n � / BRANCH 77614 NEWPORT, NC 28570 DATE PAYTO THE ORDER OFNCIC)15�Jt� WACHOVIA Wachovia Bank, N.A. wachoAa.com FOR N ------ ror 007 2 2910 i:053000 2 191: 20546700 2557rino