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HomeMy WebLinkAbout51593_DELCAMBRE, RYAN_20071022❑CAMA/ ❑DREDGE & FILLj N�Z��C� ENERAL 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. Applicant Name Address City State ZIP r. Phone # O Fax # O Authorized Agent Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # O River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: I Pier (dock) length Platform(s) j Finger pier(s) Groin length number Bulkhead/ Riprap length_ avg distance offshore.4m max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes r/no Sandbags: not sure yes I no, Moratorium: n/a yes no , Photos: yes no ( Waiver Attached: yes no, A building permit may be required Notes/ Special Conditions y _' i l s Vp S -- _ by: r '' 0 See note on back regarding River Basin rules. Agent or Applicant Printed Name / Permit Officer's Signatures Signature Please read compliance statement on back of permit Issuing Date i Expiration Date Application Fee(s) Check # Local Planning Jurisdiction Rover File Name A 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 A� NCDENR 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 �G T /( 001Z fa.90 Applicant Name Mailing Address I certify that I have authorized (agent) Zna e ) 6z.-) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (location) This certification is valid thru (date) 0�< 1— 2l <:22 Signature C 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.neroastaimanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �f�Q-Y1 �e% /-'� 's (Name of Property Owner) property located at (Lot, Block, Road, etc.) on L s�L 4 �&rly 2 ��z �G� f!%!i �lL, 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) W4 l v Signature ! / Print or Type Name Telephone Number I Date: 6 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -ZA6-" �� / �,P 's (Name of Property Owner) property located at (Lot, Block, Road, etc.) on s �tLS �Lr1 r` ' 2� -, N.C. �'�e� (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) r ba- Signature Print or Type Name Telephone Number Date: UNITEDTdL SERVICE® STdTES POSTAL MONEY ORDER 15•500, `: POS SERIAL NUMBER YEAR, MONTH, DAY POST OFFICE -1 „µ ..__... ...._..•,.•_._.�.... 11068724856 U S�DO�LLARS AND CENTS 2007-10-17 2B5100 2 2' AMOUNTTWO HUNDRED DOLLARS Pr. PAY TO D IV � NEGOTIABLE/ONLY IN'THE.U.S NO POSSESSIONS, ADDRESS . SEE RE ERS .z J FROM ilVJlfillVf7I'-'�7- ADDRESS T. C.O.D. NO. OR ` I USED FOR � .. 0000800 21: 110613 724856n' UNITED STATES POST/�L SERVICE® POSTAL MONEY ORDER 's-ew � SERIAL NUMBER YEAR, MONTH, DAY POST OFFICE U.S, DOLLARS AND CENTS L L 6 8 7 2 4 8 91, a 2007-10-1 B 7 'bo L_B5100 � AMOUNTbjn HIINF)RFr\ Dill 1 ARS Pb PAY TO NEGOTIABLEIbNLY IN THE U.S, NO POSSESSIONS,, i SEE REVERSE WAR ING ADDRESS FROM ` i i 1 �i 1' I` V �l /Y 3 / i lJ ADDRESS 3 {( n �J C.O.D. USEOF OR Cam/ 11:00000800 21: 1 L068 7 2489 10