HomeMy WebLinkAbout32013_SMITH, JOSEPH_20020911rAMA / DREDGE & FILL
GENERAL PERMIT
Previous
per It
'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.
Applicant Name
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) Fax # O
Subdivision
Authorized Agent
City ZIP
Affected DCW DEW NPTA ❑ES ❑PTS
Phone # ( ) River Basin
N/A
AEC(s): ❑ PWS ElHHF ElIH ElUBA Elg
Adj. Wtr. Body _ _ /man /unkn)
71 El FC
_nat
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(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 r
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name Permit Officer's Signature
Signature "Please read compliance statement on back of permit"
Application Fee(s) ICheck #
Issuing Date Expiration Date
Local Planningf urisdiction 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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)
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
JOSEPH STEPHEN SMITH OR 1119
ROSEMARIE F SMITH 30-7426/3140
207 S 17TH ST I)cite S 'r ���_ �' 4-
MOREHEAD CITY, NC 28557-4015
Pay to the f /UU .
Order of L' N - O c�
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1 ` USAA FEDERAL SAVINGS BANK
SAN AN ONIO. TEXAS 78288 0544
USM (210)456-8000 1-800-531.2265
For f/
140742691: 11206L111LS431118113 LLL9
TRANSIT ROUTING NUMBER ACCOUNT NUMBER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S `�`C•
b (Name of Prope \y Owner)
property located at oZ \ O � '
(Lot, Block, Road, etc.)
on C , in ��\Qrc������ew� ����Ov.�� 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
'\z' cl� �"% 'p-
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Print or Type Name
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Telephone Number
Date: Z--
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Prope y Owner)
property located at
on
(Lot, Block, Road, etc.)
C L , in ��\O.rc�� ����w� ����Ov.nr�� 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
_ (,#AfL 5 ine5Fc y
Print or Type Name
T19 - 97-6 - 30t0-
-Telephone Number
Date:
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UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please prsnt your name, address, and ZIP+4 in this box •
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■ 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:
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2. Art
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B. Rec ' ed by ( Printed Name) C. Date
D. Is delivery address different from item t? ❑ YN
If YES, erlte(delivery address below: ❑ No
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ed ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
02595-02-M-0835
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Postage
$
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1 ridorsement Required)
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Restricted Delivery Fee
il_ndorsement Required)
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Total Postage & Fees
$ 2
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Sent To
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Street, Apt. No.;
Oor PO Box No. i' o 17V Y L,41VC-
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Form :rl January 20011