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Home My WebLink About32055_PITMAN, LIBBY_20020603•'i CAMA / DREDGE &FILL 32055 GENERAL PERMIT l , Previous permit # 5+. 4eW ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authoriked by the State of North Carolina, Department of Environment and Natural Resources jj { and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC tt (] Rules attached. Applicant Name G! `J -- . r-k t Project Location: County Address � p�t"t 1 � `� �-'�� AT Street Address/ State Road{ Lot #(s) z City . >t` M _ `i State �• C ZIP,— Phone # Fax # O Subdivision Authorized Agent V)i t -r 6-�, � 1v City ZIP i { ❑ CW `SEW Affected 1'TA (]ES ❑ PTS Phone # ( ) River Basin AI c_ ❑ OEA ❑ HHF ElIH ❑ USA ❑ N/A AEC(s): Adj. Wtr. Body {• ` -1 t' i�_ :� 1 Lat /man lunkn} ❑ PWS: ❑FC: 1 i ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body. Type of Project/ Activity 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"�r Beach Bulldozing i Other — Shoreline Length SAM not sure �es no Sandbags: not sure yeso _ Moratorium: n/a yes ! ho Photos: i�t, no Waiver Attached: yes (o--- A building permit may be required by: Notes/ Special Conditions `; or Applicant Printed Name �} I / Signature Please read compliance statement on back of permit Application Fee(s) Check # (Scale: A f `, ) ❑ See note on back regarding River Basin rules. Permit Officer's Signature I Issuing Dated `t Expi tion 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 [)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 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 (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Fax: 252-264-3723 Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax: 919-733-1495 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 10/05/01 STATE EMPLOYEES' CREDIT UNION MOREHEAD CITY BRANCH REMITTER MATT- ITTMAN PAY TO THE ORDER OF CAMA MONEY ORDER 07764 66-7704/2531 DATE 6-10-02 $ 100.00 DOLLARS @'E; State Employees' Credit Union ID AFTER YS 062 Morehead City, North Carolina NP AUTHORIZE SIGNATURE 1110077641I' t:2S3177049i:08604300 Sill , , �.IACE 7 PIPARDAI� M-OI'ERTY 9"YVNER STATEMENT. .Y 2��? T "erf by certify that I owr; pro-, criy adjacent t., (Name o► 'roperty Owner) property located at (Lot, Block, Road, etc.) on 64e, K �i,.� , in e/J , N. C. (Waterbody) (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. DESCRIPTION � (To be IR DRAWING OF PROPOSED DEVELOPMENT in by individual proposing development) ignature Print or Tybe Name 6 Telephone Number Date: ADJACENT RIPARJAN PROPERTY OWNER STATEMENT I hereby certify that I ow., property adjacent to �, �/' U, f �✓ }�-- s (Name of roperty Owner) property located at /(% GatT , (Lot, Block, Road, etc.) on G� �.�✓ , in .�, -,4 A'— , N.C. (Waterbody) (Town and/or County) 41 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 individual proposing development) JJ �' �QDG� Ole ? 'v sea/%�0 5 4 / b �Od.lG Gr bu /vt h Signature / Print or Type Name Telephone Number Date: .S. Postal Servic ,ERTIFIED MI Domestic Mail C m N Article bent io: I ru Postage $ ~•''AEr �lr ,�- Certified Fee ✓ I ,:''� �/� i� O Return Receipt Fee (Endorsement Required) ere ED O Restricted Delivery Fee (Endorsement Required) p Total Postage &Fees $ V fU mName (PI as P int Cle (To be completed by mai �' Er ---------------- - - - - - ------- Street, Apt. , or PO ox Noo. _ S /7 iv EZI *-------------- City State. ZIP+ 4 / / h e A postal Service CERTIFIED MAIL RECEIPT o insurance CoverageU.S. (Domestic I' m ...... P- Postage $ J Q4 PS IT' `. Certified Fee Postmark r . 1:3 Return Receipt Fee (Endorsement Required) Here _. 1:3 E3 Restricted Delivery Fee (Endorsement Required) CARTE ti o Total Postage &Fees $ ( * .� rU M Name (Pleape Print Cie ) (To be completed by mailer) l--- ---------- Ir' Ir---------- ----------- ----------------- -; o - - - - Street, Apt. o.; or PO xt�N� // - ---------------- �� r- city,te, ziPirT �5 UNITED STATES POSTAL SERV15p` , ..''" `" � first-CI;51 ail- " Postage & fees-Pald USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • ftlr7 ,i :�•��-:�::M:;�; 1„1,11„1„1,1,,,,liJl,i„1,1„ii,li,,,,,,lf„ll,i,l„il,,,i ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Z ,21-(/ 7 �-J- n 14, 6•-j 6wlj �J 2. Article Nuwbec (CoDv from A. Received by (Please Print Clearly) B. Date of Delivery e.�µa6�+ C. Signature � � X �/--�/ Ild-Agent All / 1-;) ❑ Addressee D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: DIN ta;iAy 2 3 2002 3. Service Type /vr� rriffe—rtified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise �� ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes PS Form 3811, July 1999` Domestic Return 102595-00-M-0952 tT 0 Lr, r � a Postage $ " "'- a Certified Fee <1 M p Return Receipt Fee (Endorsement Required) Here o � �J 4 R8strsem DelveaeF�: (Endorsement Required) JAN flA 1 ® 20 �o $ o r- Total Postage &Fees 11 � ,-a Sent To �Street, Apt. No.; or PO Box No//- ,-- Q�T h at r%�,i.a-7 /o