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Home My WebLink About55315_COOPER, AB_20100330j Lf ❑ CAMA / 0-1115REDGE & FILL PERMIT Previous GENERAL P �Ppermit# ❑NevJ ❑Modification []Complete Reissue El Partial Reissue v l Date previous permit issued -i 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 ❑ Rules attached. Applicant Name JJ , Address City State ZIP Phone # O i• r • Fax # ( ) Authorized Agent f l Affected ❑ CW E1 EW ELP.TA ❑ 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 Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin ; Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity 1 `!(-� I ( i, � i ,a i 1 i } Pier Platf< Finge Groii Bulkl Basir Boat Boatl Beac OthE Shor SAV: Sand More Phot Waiv (Scale: ___ ; ) M ON I MEN II I NINE QQ:Q:QQQQQ■EMQQQQQQQQQQQ ■■�■awl■■■■■■■■■■■■■®■■■�■■■■■■■■■ Ed ON 1110 MENIMME IN ME I M MEN 1 ME amp .Ouse/ Boatlift ■■ ■■■■ �/�1■■■■■■■■N■■■■■■■■■■ ■■■■■■■■!li►1■I►\ ■►\;'2�i■■■■■■■ ■■■■■■■■■■■ Jine Length not sure yes no ;,ags: not sure yes no ■::Q:�■ONES ■:::■:::■::::■::■::■ ■■■■■■■■e■■■■■■■■■■■■■■■■o■■■■■■■■■■■■ INoN:011 00■:::::QQ:■Q:.::Q:Q::Q:QoQ IMILE . ..........■..■ ■ ■■ ■ A building permit may be required by: ❑ See note on back regarding River Basin rules. No%te%s/ Special Conditions ' ��?'� ! j ! ` Cat i ? �( �! f l f j ( I f ) 5 Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # The time period requirement for this development is suspended until 12-31- - 2010, pursuant to Senate Bill 831. The Permit Officer's Signat* effective d t? Of exp1ration for this permit is4sA iinggDDa a Expiration Date --r J Local'Pranning Jurisdiction IroverFile 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: 9 19-733-1495 (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! PP ) Date: '�-3 Describe below the HABITAT disturbances for the application. All values shout atch the name, and units of measurement found in your Habitat code sheet. Habitat Narne DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or tem im acts) 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 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 ❑ C/iA �'/ -q'a')L1U ,Q�,� AY- NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date 5 "�3 1 0 Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized (agent) /A-111 � to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) 2 0 This certification is valid thru (date) Property Owner Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity1 Affirmative Action Employer — 50% Recycled 11 o% Post consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATEM ENT (FOR A PI ER/MOORI NG PI LI NGS(BOATLI FT/BOATH OUSE) I hereby certify that I own property adjacent to� �s (Name of Property Owner) prey l ocated at I Z "� N c) J h -), h oq_!EQ)" , (Lot, Block, Road, etc.) s i' r i L l�j��s c , N.C. on,in (Waterbody). (Town and/or County) H e has descri bed to me, as shown bel ow, the devel opment he i s proposi ng at that location, and, I have no of jectionsto his proposal . I understand that a pi er/mooring pi I i ngs(boatl i ft/boathouse must. -be setback a minimum distance of fifteen feet.(16) from my area of riparian access unless waived by me. _ I_ do -not wish -to -waive thesetback req _iret'nent. 1 do wish to waive that setback requi rement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To befilled in by individual proposing derelopment) - (Riparian Property Owner Information) (Applicant Information) T— Signature Mai ling Address rj' � L ✓ L S� Print or y, pe Name City/State'Zip J Tel ephone Number '3.6 ,.i.b Date Telephone Number Date --s ( /0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PI LI NGS(BOATLI FT/BOATHOUSE) I hereby certify that I own property adjacent toC,,�� 's (Name of Property Owner) property ►ocated at �`7_0 N old h 5 h o rL q> l�v� (Lot, Block, Road, etc.) on b�c/� So�� r� Co— � in N.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 obj ecti ons to his proposal. I understand that a pi er/mooring pi I i ngs/boatl i ft/boathouse must be set bads a minimum distance of fifteen feet-(15') from my area of riparian access unless waived by me. 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 befilled in by individual proposing development) (Applicant Information) Mai I i ng Address P p ? 250 city/state(zip Telephone Number 3•6 �o Date (Riparian Property Owner Information) SgF*ture CL CA/ Print or Type Name Telephone Number 3/ 9 I/ o/ Ddte J r MUD BUCKET DREDGING INC Focj �J' j 5 4300 507 HEDRICK BLVD MOREHEAD CITY, NC 28557-3045 ` / 66-112/531 Date Pay to the — ' " e—" Order of ,� D t o.•a,.,a BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com 0000430011' l:053 10 L L 2 11:0005 293 21834 LII' :r