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Home My WebLink About56864_DUDLEY'S MAYLAND_20101007❑GAMA / ❑ DREDGE & FILL �6ENERAL PERMIT V /j 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 Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC El Rules attached. Applicant Name ' t ' ; Project Location: County Address City State ZIP F Phone # O Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision ti City ZIP Phone # O J�._ River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body NOW L �--■E�M■MERMEMMEM■rlliiCC: ..000W t1■1■MMMMMM1f M OMNI MIN NNE MEMMINMEMENI 0 M M imm■■E■■M■E■■■■■■iil■■i■■■■■■®■■i■f■i■■OMEN . - M. - ::DEC■: � ..�...■..■.. ■EM■■IMI■■■E■■. MMEMMMM■MMMM MEME■1■1■■EMEE PENNM. ■I■■n\iilri■...........■■...■■I.tl....i ■■. i■■..[Atli..■■....■■...■■.....I.t..... ��.E..�::...�.... �=..tea..: 1.1■....■.. MEMO �■E■M�:Diu[��EEEE■■■■■■■■■■■■■■■�■1■■EEMEE■ ■�E■lli� :�O:Ste■■■O■■■■■O■O■■■■■■i■1■O■■■■■■ ■�■■Oi I■■■■OEM■■■!!■■■■EBM■■■■1■!■■■■■■■■ ■MEE11■EE■�■EE®►TEE■■■■■■■■E■1■1■■■E■E■■ M■il�M■■■■/�aE■■■■EE■i■■MOO■OEM■1EI■■■■OEM■ ■■E■ ME!EMI. AUMME■MEMEMMEMM■1■1■MMMMEM■ • ■■■■MM■■■111E■■■■■■■M■■M■■M■■1■1■M■MMM■■ IEEE1■■!■■■■■i■■MO■■■iMOO■EME■■■1■1■EEME■E■ • • • - t■i►�EO�■■■MEOE■■EEO■OEEE■■■E■IOEE■O■■■E - !■E�;■MIME■EEEE■■EEOEM■EE■■■■®■t■E■■E■E Agent or Applicant Printed Signature ** Please read compliance statement on back of permit Application Fee(s) Chec # Permit Officer's Signature t I Issuing Date; Expiration Date . Local Planning Jurisdiction 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, certifythat this project is consistentwith 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead CityHeadquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (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 , _;ti a 'Ima sir:z^ t�;L S -t, e„^r Applicant: Date: I � 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 Name DISTURB TYPE 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 temp impacts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount re ge ❑ 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 ❑ 25.2-802 28-0-8 ,. i-aS,84MCOAS ary i�acr_a�a5�ca:rn�,_a -r �ni_na# r�aisn l: 02X31'10 OCT-05-2010 03:13 AM SHORELINE MARINE CONST s Shoreline Marine Construction, 580 PEARSON CIRCLE 1+252+393+7934 P.01 4. RECEIVED Inc.�r..oa�. NEWPORT, NC 28570 License # 62746 -Marine mobile 252 646 3212 office / fax 252 393 7934 email ; abrooks1®ec.rr.com FAX COVER SHEET DATE: / o - S - 10 FAX...#___ � 3 3 3 6 FROM: �-•C �l ra ,S # PAGES SENT: (including this cover) Wlehead City LCIW SUBJECT / PROJECT; �mS � ,moo Sep 2510 03:35p Tina 0 Smith 1-919-772-4571 p.1 ADJACENT R[PARIAN PROPERTY ONVN'ER STATEMENT (FOR A P1RAAf00RING PILING"OA71JJ7T/A0A THOI.6SE) �y Fk,� I hereby cent* floc[ I own property adjacent to 5 Mt l r1Q +s 1 1 (Name (it Property 0"mer) propany bwtcd at ! e 0 (led or &P(e* (Lot, Block, Rand, eta) on in Ced4 ' A t n+ N.C. (Waterbody) (Town and/or County) Applicant's phone it:3 ai 3 Manias Address; 10 sFf` BrrJ C ,4 c- He has described to me, e.s 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 / boedift / boathouse must be set back ami¢imumdismcc oEfifteen feet (13� 5&om ray area ofriparim arcem unless waived by me. (If yov wish to waive the setback, you mast laitial the appropriate blank below.) f do_t�-y avian to waive _ 1 Al wish to waive that setback reeu irc meM DOCREMON AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To befUled In by huhvldaal proposing davriopment) (Iaformation for Property Owner ApPb'iu8 for Pcrmit) J G� War V 0�- �1 rot . Mailing Address r"r A,4-�- 6 C--- I ep6 City/StateZ ip r (Riparian Property Owner InferinnV80) 'Loll' Signature F.rmt or Type Nano Telephone Number AF signature Date Dace "kJ Sep 2410 09:32a Dudley& Marina 252.393-2380 p.1 OCT-05-2010 03:13 AN SHORELINE MARINE CON'=;T. 1+25 1-393+7934 P.02 (Vlro ) ('TOWN aad/Wcarnty) Applknt'r phns * aai 3.— IAO Nafte Addraw►: 106 CCA[,0 D1 r- Pia hai described to ma, as shown below, the development ho 1r pmposing &I that loostion, end.1 hwe x oWmtions to his pmpwaJ, I undommd that a pkNmooring pUlegr / be dLft / boutbouso must be not bock s rninhmum 4,k=oc of alma first (15) ftm my ones ot'ripwiam aaom unlace waivod by me. (Jltyos wish to waive the ptbs*Ton mao taltlet the sppru"ts blask � F T J11�,JiJ{d' wI ah to salve �� ,� ` Fi`® Y AR wish to watvo dw setback rnquirerttart rodehe .� w�N�YNY��TINN�a�NM...r�N�Nr•wrcars.��rrar...W�arwir��.��...�R�� Oq D66C *D AND/OR DBAWING OF PROPMED DEVELOPMENT: cl rre 6*JW&d $a er Ad1W0sa/AftV AW alevcl PMAf) —4 !AS4-41( bo.,4 1t45 iood4m -exlsi-)^j 911f15 slip *l,at10 (tnawmaalua for Property awaer Applyieg for Parmk) �A !�r_ A04& e"e 44- IV Co" Z 1+IlyfsftWZip (►ltparin Ppp rly Owen j rofam satiac) Prim OrTpe Namt Teleph ae Number S eatusm DAs Liao id pp�-cea�9t eu��eweAgP�O sii�;Q00�80100 Zij'd OBE2 EbE 20 :01 :wojj 82;90 0I0c-S0-1O0 OCT-05-2010 03:14 AM SHORELINE MARINE CONST. 1+252+393+7934 P.03 kmb'a ENR *ec' 14121 N(irth Carolina Department of Environment and Natural Resources ci � Division of Coastal Management 40t, �01 Beverly caves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Oqc'. � Bate '7 r2-3 —2010 Applicant Name -DN dl'e yI s M or r1 ^" -- Nlailing Address 1 4 l d I r too r 4: cvd qf- Poi,14- _,4 G 7rp5 e-f f certify that I have authorized (agent) � f0 t4 act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to Install or construct (activity) &If L+ 0-9 at (location)-DaAk/5 AA rr1ng — W 191A 'Cx15 �� s �� >Q s This certifi Signature /o 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet; www,nccoastalmanagement.net An Eoual Onnortunitv 1 Affirmative Action Emolover — 50% Recycled 110% Post Consumer pacer SHORELINE PIERS & BOAT LIFTS, INC. 1041 DBA SHORELINE MARINE CONSTRUCTION 580 PEARSON CIR 252-393-7934 / y� 66-30/531 NEWPORT, NC 28570 DATE I (/ — 1 5 Z 0 341 40 PTO THE ORDER OF 4—ij 0�VI/l✓��l �i I S LJ F First Citizens Bank firrACMIZIns.COm M. FOR II'00 L04 LII' 1:0 5 3 SOD 3001:00 34 2 30890 21, k_-