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Home My WebLink About53614_AUTRY, LARRY_20090415' CAMA / ❑ DREDGE & FILL ,� /' 53614 ' 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 Resources i I - H and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / El!rRules attac ed. ApplicantName cv Project Location: County Address ey In 6A Street Address/ State Road/ Lot #(s) Ue�� yO�tra t City State_L_G ;ZIP Phone # Subdivision o C i11:k > j f e, a Authorized Agent e Y City V :' i ZIP ElCW _3EW A PTA kES ❑ PTS Affected Phone # ( ) �1 , emu River Basin / + / ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body 4 7naman unkn0 t'4 i i ORW: yes (riio.; PNA yes / ria' Crit.Hab. yes / do Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length J 1 Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel , cubic yards_ Boat ramp Boathouse/ Boatlift -J j . i I , -- - ---f --' -7 ;------- i l 44-T -h- ` - -- -- Beach Bulldozing r Other -- ,: Shoreline Length N ` f C) 0 SAV: not sure yes ,_ .-- --- -- ---- -- -- --�- . Sandbags: not sure yes! Moratorium: (9 yes no - . I Photos: r yes - - — Waiver Attached: ye no - - =-- -- j1 I. `-i— A building permit may be required b , Notes/ Special Conditions t. 1Z' i Ptgen or Appli nt Printed ame Si attuure Please re compliance statement on back of perm it-/ Application Fee(s) Check # (Scale: re-, Ne ) I -----I r J See note on back regarding River Basin rules. Permit Officer' Sign ure � j Issuing Date ExpWation Date �J ca Local Planning jurisdiction Rover File Name 57 `�-0 `-1 15 " ❑Cll;MA / ElDREDGE & FILL GENERAL PERMIT Previous permit# ❑New ❑Modification LIComplete Reissue ❑Partial Re ssue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Reso es and the Coastal Resources Commission in an area of environmental concern pursuant to 15 CCAC Rules attached. Applicant Name Address City State ZIP Phone # ( ) Fax # ( ) Authorized Agent ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected ElOEA ❑ HHF ❑ {H ❑ UBA ❑ N/A AEC(s): ❑ PWS: ❑ FO ORW: yes / no PNA yes / no Crit.Hab. yes / nc 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 Pier (dock) length k I f ! Platform(s) Finger pier(s) (Scale: ) x ` Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other__ _ 44 i J ,I I i. LL it Shoreline Length SAV: not sure yes no Sandbags: not sure yes no — Moratorium: n/a yes noTTF Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions - - -- 1 � i See note on back regarding River Basin rules. Agent or Applicant Printed Name i Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date Local Plan ningJurisdiction 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 howto complywith 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 MIMAM IIrl1 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 MONITORING & COMPLETION REPORT , [LAMA Major Development & State Dredge & Fill Permits] �� I PERMITTEE' S NAME: � Q ri f' PERMIT # �L LOCATION: / / L�04kh K Iye.'C' LA- iye- FIELD REP MONITORED BY_ /` PHONE: l l �`' [ ' DATE REPORTEDLY COMPLETE: �� DATE OF INSPECTION �� L__ - C-,Oa!Q d B. Co�r�el/ 1) Do the measured dimensions of the development differ from those indicated in the permit and workplat? YEcircle one]. COMMENT: 2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? YES/NO [circle one] COMMENT: 3) FUTURE MONJJDRINQ & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YE [circle one]. A T4*A North C NCD.ENR arolina Department of Fnvlronment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James N. Gregson, Director William G. Ross Jr., Secretary Date J-1 , / b U fn Applicant Name Mailing Address I certify that I have authorized (agent) ZAA to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary to install or construct (activity) _ / / d at (location) This certif. Signature 400 Commerce Avenue, Morehead City, Norih.Carolina 28557 Phone: 252.808-28081 FAX: 252.247.83301 Internet: www.nccoastaimanagement.net An Equal Opportunity I Affirmative Action Employer — s0% Recycled 110% Post Consumer Paper ADJACENT RIPARIAN PROPERTY OW ER STATE:.)IE�T (FOR A PIER ifOORING PILINGS/BOA TLIFTIBOATHOtiSE) r I hereby certify that I own property adjacent to S (N. a of Property 0- ner) property located at (Lot, Block, Road, etc.) on di, in , N.C. (�Vaterbody) A-e-o N n and/or ( Count}�) 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/niooringpiIings -boat lii~„'boatno:tse must be set back a minimum distance of fifteen feet (i 5') from my area of riparian access unless waived by me. I do not wish to -naive the setback requirement. I do -wish to -waive that setback requirement. ----------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be frlled in bj- individual proposing development) S i& trrt e l Print or Type I�'ame Telephone Number Date: L ADJACENT RIPARIAN PROPERI*Y OWNER STATEMENT (FOR A PIERl�IOORING PILINGS,BOATLIFFIBOATHOUSE) I hereby certify that I own property adjacent to 4L, C14 Ct.v. 's of Proert.- 0%%ner ( P ) property located at .Dn.w-e (Lot, Block, Road, etc.) on a 'u� , in , N.C. (Waterbodv) (T wn 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/mooringpilings-boat iift,boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do no wish to waive the setback requirement. V I do wish to waive that setback requirement. DESCRIPTION AND!OR DRAWING OF PROPOSED DEVEC OPMENT: (To be filled in be imfividual proposing development) P, ---------------------=----.--.-- ....... ------.--- X16 L Signature Print or Type Name c C L21 - YZ -7 Telephone Number Date: y - c�_ 0 ) LG ARNOLD DOCKS & SEAWALLS 1266 2779 MILL CREEK RD 66-112/531 NEWPORT, NC 28570 PH. 252-241-2636 CV0 o BRANCH BANKING AND TRUST COMPANY 14=-BANK BBT BEIT.CoM l:053 10 112:11:000S 295798 IS 91,10 1266 ci 0