HomeMy WebLinkAbout50799_COTTON, WILLIAM_20080515❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Y
El New �JModification ❑Complete Reissue ❑Partial Reissue
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
Previous permit #
Date previous permit issued
E]Rules attached.
Applicant Name `' ` �' "+ Project Location: County
Address Street Address/ State Road/ Lot #(s)
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City _..__ State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
❑ CW
J EW ] PTA
Affected
❑ OEA
❑ HHF ❑ IH
AEC(s):
❑ PWS:
❑ FC:
ORW:
yes / no
PNA yes //no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Subdivision
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City 1 ZIP
Phone # ( )- % / ' River Basin
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Agent or Applicant Printed Name
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Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature y
Issuing Date Expiration 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 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(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
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ONSTRUCTION
p0 BOX 874 -—� 252-249-0149
PAY ORIENTAL, NC 28571 1044
TO THE
ORDER OF DATE
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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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D ellpoin+�'d.
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A. Signature
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❑ Agent
B. Received by (Printed Name) C. Date of Delivery
D. is delivAy address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Se ice Type
Certified Mail ❑ Express Mail
egistered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7006 0100 0004 9789 0391
PS Form 3811, February 2004 Domestic Return Receipt IOti 102595-02-M-1540`
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UNITED STATES POSTAL SERVICE F ; i rs s t C ; I i a ;
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X. Ywcott Afadtw eawtuwaon, P-P-e
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04i,n , Ne 28571
252249049
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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:
COMPLETE THIS SECTION ON DELIVERY
B. Received by (Printed Namg) Cjq�reoybelivgry
D. Is delivery address different from irr✓/(? 13 Yes
if YES, enter delivery address bellow: ❑ No
3.. rvice Type
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❑ Registered ❑ Return Receipt for Merchandise I;
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7006 0100 0004 9789 0384
PS Form 3811, February 2004 Domestic Return Receipt �'J�j—�b(� 102595-02-M-1540f
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PS Form :ri June 2002
MOTH -RWG'vim AmErrImAymusm
3 hey m-* that I own property
property located at
on� )� ini�ei'I'1 �(� �'}'1 il�C� �. N.C.
(Tper cam)
1-1-fe ho desmbad Io ma, as shmm below,1he developmeE he is pfoposing at OW location, and, I
have rio object ms bD his proposal. I understand t a. piahnonang p f boater l boathouse
must be bauk a nA3iumm die of ffftam fea (I55 Um m9mmof lipwim acem UDIWs
waived Uy ffie.'��
19,75.)
I do not wish to waive
I 10 WiShtDvraive thag setba& rat
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IBOATHOUM
3 hereby m-fify t I own Propeny adjwem toV�(I I I (CtVI'1 L/ U I I C'�� �s
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Propenylocatedat 10,1 *K i ve rs F
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-He has descnbed W me, as shown below,1he deveiapnmt he is proposing at tm ioca€ion, and, I
have no objm ions to his proposaL i mdersdand that a piednaoo&g piing5 I bQaM I boathouse
mush bf, se- back a mininmm dim of Edo= fM (155 f'stma my a m of'pamm ace= unless
waived by me. f''f you 7,9m'! ft se Y' mmt mgmffl mn nommremt, .Q't
WOW-)
041 I do net wish to waive
I do wish bD waive that setba& requiremmt
f "m by #M-4ft t hfflow-01T mmonm� d e&,, m ea
•�d�ec� Consists ��'
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Signature
orTypName
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Telephone Number
Date: 5 �/�
RCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date AN
Applicant.Name V11WAM CUFON'
Nfailing Address 2-ob I .�jel(�/
C r�psgo�o , N .0
I certify that I have authorized (agent)�&1'r Y-Of MO�meCar� ++ � to act on my
behalf, for the purpose of applying for and obtaining all CANIA'Permits necessary to
install or construct (activity)('{'
at (location) _ 109 R\&s C—OfC_ KC1.
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper