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Home My WebLink About54355_DALEY, MARK_20090805/---A\Q0i%MA / 0 DREDGE & FILL 6C1--o-1 .1 L 1�5 4 3, I GENERAL. M PERIT Previous permit # ew ElModification ElComplete Reissue [-]Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources 17) and the Coastal Resources Commission in an area o,environ mental concern pursuant to I SA NCAC 't] R attached Project Location: County Applicant Name " L�q k\ V7 Street Address/ to oad/ Lot #(s) Address 4- C 1p State_' Ci S e_' Phone # # Subdivi,Mpn— r, 7-- 1 '1Y ZIP Authorized Agent City L 1A A 4Affected E Cw N4-rk [I ES Ll PTS Phone # :�iver Basin AEC(s): El OEA [I HHF El 1H El UBA C1 N/A Adj. Wtr. Body _C -C' ck� I Y-:1(19() tl`na�tan /unkn) El PWS: 0 FC: ORW: yes / PNA yes /. ro Crit.Hab. yes no Closest Maj. Wtr. Body— I - e of Pr Activity, A041�lil-AS OEM eie�e■�ee■�ieeieeeeieeiieei N_q 0.4 q E "1, 0 ilairi.mm.n 0102,001IME M■0 M■MON REP 00 12 r, a I UJI, REF111YA, 1WRIUMEMEME ■ME MMMMUmMMM M NONE MOW% Fig a CSC eiENE Ulp.�'M M N WEEMENOM■MUMMUMMOM ME■-- is No ME MOOMMEN MMUNE MUM[ on mum; ark■Nil MA 01i 1)"21,13 AFA 0 rim ON w now Pall M r 11, U1. M , - MR .��.�. �_ .■■►.ice. US VEMENMEMEMEMEWMWAWARWARM ON■EMOM wow Al 121 MEW 0 MEN ■mi a mom 10-2-0 -2.21SH ■ �QMN &VAH M OUS 111211111YAWWdi 0 -MMMEMUMMONME&W mom ON MOM No NIMMOMME 0 ME ME JJF111 'AWNFOLVE MEW"M MIMMWAM MEN ME A,) 6 Agent or Applicant)AMpted Name Sign lure P165e read compliance statement on back of permit Application Fee(s) Check--# Permit,btficer-'s ignat&6' lssuingD, xpir ion ate Local ngrrisdic'tion —Rover H PERMITTEE LOCATION: MONITORING & COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] IRA i i' � C 1��II►�.I PHONE: 5 DATE REPORTEDLY COMPLETE: DATE OF INSPECTION C#q�/Jj� 1) Do the asured dimensions of the development differ from those indicated in the permit and workplat? YES=circle one]. 2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? YES/NO [circle one] 3) COMMENT: FUTURE MONUORING & ENFORCEMENT ACTION: Is further investigation or enforcement action VVQ (1 leirelp nn Pl -O c J CA /,,❑ DREDGE & FILL �D 1Z 4 1 GENERAL PERMIT �( '�� Previous permit # []New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Re urces and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Project Location: County Address r Street Address/ State Road/ Lot #(s) City. •._. State ._ ZIP Phone # ( ) Fax # O Subdivision Agent Authorized ). City ZIP !i . Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn� ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body .■.■...■..... ■■■■O'ES■�■■. N'ES INN ..... :. . •. •. MEMO■■o■■■M=M M JillMMGW,oi■■ .......■.■■■.■■.J�ii■■L�iJ, INESUMEWIN■■■■■■ ■ W':C■INN IN Warm■■■■■OWNR ■VA� ■a■ffinal[WEI■M3!"■■�1J1■■■J■ZA■NOON■ ■OEM ■■ NAM':■OM■:■E■■■■ESE■■ 1■■ NM■ SOMEul— EIN L �UM S■■0■■■w�■NONE ■w��w�ll�■NE11 10■ww writ w .■■110 'alp W& ��w��ws!;u��nw�■ Nr'MIN MEN snolEF��I,J■■■��JUP'L��[L/1�Ill■■■�1.rll■■■ ■■!1■AMMEMEirEi .�i■■■■■vim■■w■r■i1■■■■■f/1■■ 1111■►:�t�■■■■!�■■■■■■■■■■■I\1/►��^NOON■■I!■ N■[19VJWMM ■■■■■■■■Y■MEMO ■■■MME■F/■■■tFiftRlE■■7iMPA N111ON NOON■■. ■MEMO NROM ES■■�■■■■■�■■MEMMUNNAME .. MESN■NMESON■■■■■■■■M■■�■■■■■■■■■ESE■■■■M MM MEMO MEN &t Agent or Applicant.Pftted Name r Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Ciate 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 ❑ 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/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax: 9 19-733-1495 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 i ALT �- WA 70*w�-A 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 Name of Property Owner Applying for Permit: PAa,, - " �. Le - Mailing Address: TA. w 0.2770 I certify that I have authorized (agent) ��r 4-e—� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) /501 r4G-.7f� , at (my property located at) ;L— '53'2 L— o*, Pt cc This certification is valid thru (date) �: 6 � 0 7. 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 Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper G/� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to AE' 's /� / (Name of Property weer), / property located at (Lot, Block, Road, etc.) (Waterbody) Applicant's phone #: �1 �aS63 N.C. (Town and/or County) Mailing Address: �G ASel�i 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 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 �donotwish 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) Pjc s u for Property Owner Applying for Permit) Po g -d, f T //! F `t -? Mailing Address P sec, -r ^ *Tr,G,�e 4-k A% 97-7 a l City/State/Zip !4!i doZ 3576r Telephone Number Signature Date 1 Io 1� •--L-- i -- ----------------:------� u (rT ---?r� p- (/ l Y / k1cipaWan Property Owner Information) 1Z- e KaA Dqi r'U IL— �rl Signature Print or Type Name I Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIER.IMOORL'YG Pl L 1 NGS/BOA TL I F TBO.4 THO USE) l hereh� ce%it: that (own propert} adjacent to (Name of PropertyOwner) proper located at"tl/L' (Lot, Block, Road. etc.) (NVaterbody) (Town and/or County) Applicant's phone 4-,j Mailing Address:/ %,k:-- , 5, 4` He has described to me. as sho\kn 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 set back a minimum distance of fifteen feet ( l 5') from m\ area of riparian access unless waived b,, me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do v, ish to Naive that setback requirement. ---------------------------------------------------------------------------------------------------- ------ --------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To he filled in bY individual proposing development) t -------- __-__ ----------------------------------ter------`--- /-------------------- 1' (Information for Property Owner Applying (kiiparian Property Ow mation) for Permit) %lailim-, .-address SiLnature 1 V wc� SM Citi Stale 7ip - — - - - -- - ------ Print or T\ pe Name Telephon.e,Nurrib,er Telephone \umher i L' Signature hate hate NOE CONSTRUCTION & SERVICES, INC. P. O. BOX 2012 PHONE: 252-728.3966 BEAUFORT, NC 28516 Pay to the Order of 0�`C-4/ems Date 1262 66-1246/531 DoTllars � e"""" � F�atun� bcMlis on Beaufort, NC 28516. t For Np 1:0d00770991" 1262