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Home My WebLink About56838_BELL, BOBBY_20100921El �O/aS/ pis 6 CAMA / ❑DREDGE & FILL �� 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 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. A 1' N s P L C pp scant ame Address City Phone # ( )_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS:_ ORW: yes / no State ZIP Fax # ( ) ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no roiect ocation. ounty Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( River Basin Adj. Wtr. Body Lat /man /unkn) Closest Maj. Wtr�dy Type of Project/ Activity Pier dock len h ■■■■■■ M■■■■■■■■■■� _. �. SEMEN ■■■ ■■■■■■■■■■■ -.. • ...- _ - ■■■■■■■■■::■■■■■■■■■®®:�■■■■®HE:®NE■■■■■ �E■'ill■■■i■■■■■■■■■■■■■!�_■■■■■■■■■■■■■■■■ ��■■■��■■�■■■■■■■m�`■O■■■■■■■■■■■■■ ■■■■■■■■■■ ■■RKNOlri■I■■■■■■[1■■■■■0 moll ■■■■■■■■■■■■■■■■■■■■■lm■Rm■■■olm■!■■ ■■■■■■■■■■■■■■■■■■■■■■■■■!Ni■!■■■MSE mom m■lmm■■l■m■■■!mlllmmml■!■�'o■■■■ii■■■■m■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■m■o■■■■l■■■■Am■■■■■■■■■■ m■o■■�■l■mil■lmmm■lm■■l■■■m■lim■■!le■mmm■■■ ■lEfii�!■1111®Igo►l■■■■!m■l■mmom■■■®mm mom■ ■l■■m�i■IYmIi1L'lii■■■■■■m■■mm{[■■m■■■■�■■■m .. �'��!!!■■�ll�■�'■■mom■m■■■m■l■■mo■!m!l!m■O■■ l�mo�t�7�rli■■■mG"i1ii■iBii[ ®l:ui■■®■■■■■■■■■ �ol�■!�Si■m■®■■m■■�i[1 ml!■!loom■■■!m Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Permit Officer's Signature t s I Issuing Date Expiration Date r,11 Application Fee(s) Check# 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 [)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 1 �?�<a` 'ni'a �e✓vibJE� �: a�'k fs '+,3 .. .sb Applicant: Date: I�a1 Describe below the HABITAT disturbances for the application found in your Habitat code sheet. Vn All values should match the name, and u of measurement Habitat Name 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 oth ❑ 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 ❑ Z��-8�;3-'?f�:�� >. -t-t3� s-.�a��t3A�`t" ., p1r�r�t�.3��ea.�s��ls*a�a ��:�w�xa�;4-ram# �^.��a3•.�'�: t;;�i3�i°ti3 t 1 Rcell", poi North Carolina Department of Environment and !";aturai resources iiti X ��''++ L� '1� may, a1 " 0C ijpg8,j oi� of Coa."�..L..al !'�anaasnne l'- 4 Nlichael F. c.asley_ Governor Charlles S. iones, Direntor William G. Ross Jr., Secret,ry Date T `� ' l d Nppbcant Name --B M.ailiRng Address a r157 BELL per-- N c.- _-.')&- S -7 o I certify that I have autIborized (agent) Rbek??I-r— w V 68 to aei on axa�, behalf, for the purpose car applying for and obtaining all CAldIA Permits necessary to install or construct (activity)at (location) _- I s S' �ki t-4D _.—.. This certification is valid Signature MOO i �� SEA 9 ?01 %kcl E7, (FO.F, A pj�E ad 0�-AiFl _- 7 p CC r\-_r C4C.; I Ce=d a[ C., C'C' Mack, Road, etc.) on ez5G OV- N.C. (Tio --n ancljoH County) He has desc--�bc--j to fj],z, as sho,,vn below, the dev--Ioptenc he is proposing locabon, and, T havC no objections to his La� Chai Proposal. I Undti-512-nd ghat a P*er/uilcovered beat L imust be se., back a minimum d' I - L distance Of hom mvia-FCa Of riparian access unjle waived by me, s3 1 —dOrj—ot wish to waive ch'c setback re;,ulrem'tnc. 1 do wish to waive that setback rrezuiireMenc. D F-S CR=O IN -A-N-D / 0 R DR. WEN G OF PR 0 PO S F-DI: D E VEL 0 P-Nf F-�-I: (Tc be felled in by individual proposin dlave CA NSA L- I 5-0 tA Vl- ------------ ----------- -------------- ---- ti fG:P RECEIVED SEP *010400d Cffit)C&, t�RA FIE, Picq C�FFA A.( TT_=�, pro�r lccat�d at JL`jy f`w1i�N M4'bt- C-PAL (L-ot, Bloc';, Road, etc.) on F-'�66ue GDU uD Ln 7�R U—N SADer—S C-A:) F— . N.C. (-�'aterbodv) (Town andJoriCounty) He has descJblj to me, a' sno'�,-n be'o , , the deve'owhenc he is proposing at It ac lotion, and, T nave no obj�:tions to his proposal. T understand ghat a pieriuncovered boat lii- must he set back minimum distance of ri��een rat (;�') Tom q jarea oc npamm acc-.ss unless waived by me. i T do Rot wish to waive ch'e secbacs re;;uirement. T do wish to waive that setbac'c recuLrement. -------------------------------------------------------- DESCR=O-I AN-D/OR DR IY, TN G OF PROPOSED; DE VEL0F.N -N,-T: (To be jTged in bi' ircrtivzaual prnposin0- develi�pment) c,,p� N L— j L 4>1 `� �y I' VO 1ty6_ _ , 41�104 v+�` / 5•cfl�PL� Print or Tom.- i`ia SAMMIE E. TURNER MARINE CONSTRUCTION ACCT 252-725-3415 P.O. BOX 1885 MOREHEAD CITY, NC 28557 PAY TO THE �G� ORDER OF 4854 66-112/531 DATE is salt DOLLARS IJ Beck. BRANCH BANKING AND TRUST COMPANY 1-800-BA-BANK BBT BBT.com /`, !f_ y /l,/lfv\ I c ^ X FOR,9 - k 1100000485411, 1:053 LO L 1 211:0005 2 L05840F3C3 ti A