HomeMy WebLinkAbout51178_HILL, VAN_20080612D CAMA / 11 DREDGE & FILL
GENERAL PERMIT Previous permit #
E]New ElModification E]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
F-1 Rules attached.
-
Applicant Name H
Address
City
State Zip
Phone # Fax #
Authorized Agent
Affected E Cw DEW 0 PTA DES El PTS
AEC(s): L1 OEA D HHF D 1H El U BA El N/A
Ll PWS: Ll FC:
ORW: yes/ no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s) ) ; k. ,
Subdivision
City. ZIP
Phone# River Basin
A
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Agent,or Applicant P4ted
Signature **,Please read compliance statement on back of permit
Application Fee(s) Check #
Per mitOf4e' ' SIr a
7
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Issuing to p " 11 ExpiratioA Date7Y
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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ I-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
NC®ENR
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 1 72) Minm Ct .
Applicant Name V An . � \ �. 3
Mailing Address \ t �z-) S Lem P"A-i t x,-,,P
( mac ,o-i , ✓,1w. Q% S -) ►
I certify that I have authorized (agent) - VD iA'lto act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) p= C2
at (location) i Q Lee Q5�5'1 1
?� This certification is valid thru (date)
X Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
UNITED STATES E
EE
,§ �qe & Fe6s Paid
'CEE"N WNLAL
Permit
M.21-4
0 Sender. Please print your name, address, and ZIP+4 in this box •
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Si ature
■ Complete items 1, 2, and 3. Also complete A. ❑ Agent
item 4 if Restricted Delivery is desired. X 'L-----n Addressee
■ Print your name and address on the reverse (Panted Name)C. Date of Delivery
so that we can return the card to you. B. eceiv y
■ Attach this card to the back of the mailpiece,
or on the front if space permits. D. Is delivery address differen mZtatq� 1�� Yes
1. Article Addressed to: If YES, enter delivery a o
h� �
ti S t � �S C1'� � �� 5 % � • �-
3. Service Type 0�1�
C 1 ,tt 'C l
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
..Q Certified Mail ❑ Expres
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7004 2510 0001 2549 5386
Domestic Return Receipt
102595-40
f � v
N \c�LjkL:MS
o � ,
Print or type name
Telephone number
Date
Adjacent Riparian Properly Owner Statement
(FOR A PIER/MOORING PILINGSBOATLIFTBOATROUSE)
I hereby certify that I own property adjacent to Vah P--c- � I Is
Name of Property Owner
property located at V ®3 � Lee IFAim
Lot, block, road, etc.
on n1-�;S%E-1 rLTCYCe
Waterbody
in D \ , , NC
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-
k I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
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http://www.innerbanks.biztarposJitin 1/29/2006
Page 1 of 1
II Site: 1035 LEE FARM RD II
y loD3 Lee FrJvY� �C.
NC- �351\
2248
1091-5-1
�--�" �
1202
>I 91-35
9113 \ �.
1091-35 I091-34
Property Details:
START
1781
UNIQUEID
1746
ACCTNUM
1903
LASTNAME
LEE, LULA R L/E
FIRSTNAME
ADDR1
378 MOORE'S SWAMP RD IIADDR2
CAREOF
C/O LINDA HILL
CITY
NEW BERN
STATE
NC
ZIP
28560
PARRECNUM
1211
NAME
LEE, LULA R UE II
MAPNO
1091-35
CONTROLNUM
F
CLSCODE
INSERT
BLOCK
1091
35
PIN
DISTTOWN
DBLCIR
PARCELNO
D05
SITEAD )R
1035 LEE FARM RD
SITUSADDR
1035
SITUSR )AD —JI
LEGDESC1
LEE FARM RD
JI SOUTH OFF SR 1308 JILEGDESC2
EXEMPT
TOTACRES —�
0
CRNTTOTUSE
0
CRNTTOTDEF
0
CRNTLANDVA
74052
CRNTBLDGVA
63623
CRNTOBLDGV
7605
TOTCRNTVAL
145280
1.FIRECODE
S
ROADNUM
1307
PCTCOMP
100
WILLBOOK
0
WILLPAGE
0
DB_PG
109/158
DEEDBOOK
109
DEEDPAGE
158
PLAT
MOBHOME 110
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