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Home My WebLink About53086_DAVIDSON, MARK_20090309El CAMA / ODREDGE & FILL 00 GENERAL PERMIT Previous permit # DNew ElModification El Complete Reissue ElPartial Rei Date previous permit issued ssj� 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 E Rules attached. Applicant Name Address City State zip Phone # Fax # Authorized Agent LJ Cw ES F- LJ EW PTA o Ej El PTS Affected AEC(s): El OEA L HHF El IH El UBA El N/A El PWS: El FC: ORW: yes / no PNA yes / no Crit.Hab. yes no Project Location: County_ StreetAddress/ State Road/ Lot #(s) Subdivision City— — ZIP Phone# River Basin Adj. Wtr. Body.- -�unkn) (nat Arnan Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) IT -- ---- Finger pier(s) (Scale: ...... Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other 01 r C x V— Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no 1-1 1 Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions J— t+ I ❑ See note on back regarding River Basin rules. Agent or Ap licant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date-, �xpiratidn bate ' � 'i I :� Local PlarNnourisdiction Rover File Name ft 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. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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 r 02/24/2009 09:36 r - 02/24/2009 08: or I I 9199707606 MEDICAL MUTUAL INSU! 2527266079 DEANBARNES FFWA 11 1 Noah Carolina Department of EmAronrnent and Natural Resources DIVISlon of Coastal Management PAGE 01/01 PAGE 01 R. Eaaey, Governor Domes H. Grogson, Director WHAM G. Rose Jr., secretary Dates , — z•3 a Ica' ra Na ;pf Property Owner Applying for Permit: MAR 2nnIo ead M Address: LY DC&j I ce that I have authorized (agent) n'1 � c_ B i-, 4-6� to act on my beh (,,for the purpose of applying for and obtaining all CAMA Permits necessary to I . Ins ' or construct (activity) at (y property located at) _�j 01 1 4L-0 ,,. ,c- Gh .4 t✓ 5T I ThIs Certification is valid thru (date) prop rty Owner Signature pate 400 Commerce Avenue, Morehead City, North CarcNia 28567 Phone: 252-808-28081 FAX: 252-247.3330 t Interne',: www,rr-coastalmonagernent.net An Equal OppoRunily 1 A amadw,4don Employer - 50% Recy0ed I 1 A Post Conaumer Paper • ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to m ZL Po QDL- (Name of Property Owner) property located at c_i I (Lot, Block, Road, etc.) on %�_»L��:�,t 4 C� , in"tLa�--��-y��. �, N.C. (Water ody) (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 set back 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.?"'f't I do wish to waive that setback requirement. MAP', 2 200`' ----------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELQVkM1Qead Qty (To be filled in by individual proposing development) PC L-J--'e -a t V4 L 1 --------------- x i (Applicant Information) e r i tv � 1" O C-vim ( QJ 6,J Mailing Address +4 }}h I ,;Z 12-0 I I E�j► i City/State/Zip 3 4 Z —6 Telephone Number 23 Date (Riparian Property Owner Information) Signature '�:) &-,. c t A )<vtL—.—l< Print or Type Name a5a- 303 3(o6 Telephone Number Date 3 -13-9- v'A ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to f 2L �O �-p t-L <f— is (Name of Property Owner) property located at c7 (Lot, Block, Road, etc.) 6 on in A4-L,,41 N.C. (Water ody) T (Town and/or County) M.rejiead G k 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. 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 be filled in by individual{roposing development) PSG 5-e 3A (Applicant Information) --� oo S r i rv5'Po cef�t eoad Mailing Address y+h '710vc. jZ0-) �-1, NL- Z7�� City/State/Zip a► te� •3 4 2 o Z. Telephone Number 2-23 Date 4, (Riparian Proper er Information) s,e Sig ature Print or Type Name Telephone Number '-;�-� '09 Date MUD BUCKET DREDGING, INC. 3658 PH.252-241-1504 66-112/531 507 HEDRICK BLVD. MOREHEAD CITY, NC 28557 DATE ' ' 6 TO THE 1/� N `p C� / ORDER OF so DOLLARS ❑' '"" l Ba k. 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