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Home My WebLink About56869_BELL, JOHN_2010100810 El CAMA / ❑ DREDGE & FILL PENERAL PERMIT fWV Previous permit # ❑New ❑Modification ❑Complete Reissue El 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. Applicant Name `i Project Location: County Address City Phone # ()_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax # ( ) ❑ EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no ❑ ES ❑ PTS Cl UBA ❑ N/A Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City ZIP i �! Phone # O River Basin r`- ' �a.k_. (i Adj. Wtr. Body (at /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity r (Scale: _� ) Pier (dock) length 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 Beach Bulldozing Other — X 1;1/11 E I ; I i Shoreline Length r SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no TEr Photos: yes no Waiver Attached: yes no I I I .— I — 4 --t— t ' ' � in rules. A buildingpermit may be required b : See note on back regarding River Basin u P Y 9 Y � >� S Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Permit Officer's Signature Issuing Date ApplicationFee(s) Check# Local Planning Jurisdiction Expiration Date 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/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 (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 n. .-,y::. ", Applicant:(��" Date: 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).impact FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or tem 'm acts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount :h)1@i)M'—Dre-dge� 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 ❑ 2�?,-3✓^u.��a"8 .. �-��r,r"',iy�3A�"�' ,. ��rv�_u.s�,;�=�a�r,�jrn�:e�^vag:<�",.r.�# �•�ai=..��3:�3:�'�:3t't�.' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to z=-Mff la�-3 (Name of Property Owner) property located at ��y bhW/l- O,-¢14t ,aZ (),r1= 1' (Lot, Block, Road, etc.) on�/lG12--- , in 9T&Z&4 N.C. (Waterbody) (Town and/or County) Applicant's phone #:� `3�13`�� /-�i Mailing Address: 146 WZI 6141t- �3Lv�ic 021--ZG4 AfC, Zfff 2L He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) qU OCT 8 2010 Morehead City DCM (Information for Property Owner Applying for Permit) Z�1-6 W/ice Mailing Address City/State/Zip ;Z51z ` J� 3 - Telephone Number Signature ate (Riparian Property Owner Information) Signature AD 96ffeecvTy- Print or Type Name s-Z-3q3-,7V 6 Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to k-J-O/1 S 3 lst2�i rt L - (Name of Property Owner) property located at 1,410 60111 6-D "9A /fib (Lot, Block, Road, etc.) in 2�5-rz—LC + , N.C. (Waterbody) (Town and/or County) Applicant's phone #:!��-`�� ;�6 Mailing Address: /,416 &61K1T6-- cif T3LvFt—' c5q-&7.(,4� /l% C ZS�SS- He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. ------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) N-0Iw- Rp pax q o' se-/k W i l l zeo4c.& �Ppez)/-9D, a- R-m. �G W� RECEIVED OCT S 018 %leheocl City QCM (Information for Property Owner Applying (Riparian Property Owner for Permit) ) Mailing Address --------------- rmation) Signature art=zc� AfC-- City/State/Zip Int or Type Name Telephone Number Telephone Number 6-2(-iu Signature Date Date John S. Bell, Jr. 66-30/531 12507 Regenia S. Bell Sat Ph 252-393-3647 I40 White Oak Bluff Rd DATE Stella, NC 28582 PAY TO $ L�(�Q • D�- ORDERop /VO i took for micro Print signature line. gray !and linew k. First Citizens Bank logo on back. It not present, do not cash. ® First Citizens Bank tirstcintizens.corn NP 1:053 L003001:00 L3 173879 Z4u' 1 2507