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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 Adj. Wtr. Body nat.' man /unkn Closest Maj. Wtr. Body- - EMIDNINEXIMMI NENMMMMM=MMM 0 "111100MENISINKNEEM ME FA101JMMMMMMM■ENE's ■IMMIMPSHONE■ P Me IF, �OJPUQ—w ■ ■ ■■■■■■.■C�::■:■►��..�.. M MOMEMME NOOSE mminiIOmmo�om 0 MMMMM■EMMMMM Mommmonom ONE MEME EMMENEM IMEMEMENOMMEN:Y■::ri ■EMMMMIMIMIMMMMMMMMM C■■■■■■■■■■■■■■■■M MEMO OMMINIMMEM i■Ii.■=.■ri=19120■VEN0rA■il!■ WE REW0191WAIRWASNPRUWAIRIM., EM MLVF UMI& MEAN MUMUNk ELPMENIMINIMMUMMOMME Mdamff 0. RUMINU FAi%.WW MI Moffi ■ 11NEIRMEEN"EME MEN Agent,or Applicant P4ted Signature **,Please read compliance statement on back of permit Application Fee(s) Check # Per mitOf4e' ' SIr a 7 r S 1� / -- - 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 • -I Q k 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) i E � �VV-m qh . 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 http://" ww2.undersys.comlscripts/testadvlusiwebpc.dll/usi?formis=ptmap&MouseX=O&M... 5/7/2008 K� Ov .Q e f p'i (� - jr�r;.'`�r,;��� ram, : ;,�,1`l �rl� r`��l,`��° 2743 , •�;r� CON&14TfON,1NC {"\'F•. PM# (252)49'1'429 , , ,.'i ', l ��f �!/� %�l! 1 l.ti �`,OEii L NC 28571 ! f c `l C ��; `� l /� 66-30/531 i\,/N� ��. `��I f> � DATE �,/ 472 1V�1 ` ' V /sl 'Il l�`ti�l�l/ 1rr /��` od ` PIrye 7-1-1-1�� -0-1 + ++' 1:0 5 3 400 3001:00L, 7 L 20 L 26 2 2►+' ` c