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HomeMy WebLinkAbout51048_WALTER, JANE_2007090448/1 -�. ❑ CAMA / ❑ DREDGE & FILL 510 v GENERAL PERMIT Previous permit # ❑New ❑Modification ❑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 ❑ Rules attached. Applicant NameNJ Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # O - Fax # ( Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab, yes / no Subdivision City ZIP Phone,# ( ) River asm Adj. Wt(nat man unkn Closest Maj. Wtr. Body �^ i ■■■■■■■■■■arm■■■■�r■■■��n���■■�����i��rn���■ - �. MI M 9■ r7■liri■Y�iiii ■ i!■ I■wa®'!■■Z!■■■■■1�■■■MEN MINN. ■■ � M. ...�.... MEN ■■■■■®■■■!■■■■■■■■�■�■■■■■■■■ ■■■■ENMOMMEMUMEMEMMILMKIN _ ■�■�:i�'■��i�■ ■ .itsl■■■■■■■■r■li"tiiliAlil�1:�■/� _■■■■■■M■■■■Ni■■�i■■■■■■■■■■■■■�°�i■�i ■�i -an MEN Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit r Permit Officer's Signature Issuing Date Expiration Date Application Fee(s) Check # Local Planning Jurisdiction Rover File Name Y 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 landowners). 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/ 1-888-4RCOAST 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 I CDENR North Caroiir a Department of Environment and Natural Resources I,jon ac Coastal Managem nt T� Fn �lich2ei �BSIry, GGVrr�Gl charles S. Jones, Director �5Ir, �.. AU 3 0 2007 Morehead City DUA Applicant ame 1°✓l ling Address l certify that I ha-ve .auxboriaes;a (agent) to act or, lw.v behalf, for the purpose elf appIlyixng for and obtaining all CAMA. Permits necessary to install or construct (ar-t:h ity) at (tocatioar) aa7? ot--D C-PoSSF 0 64 ` -*D - - This certification is valid thru (date) r Or�; ;ommeice Avenue, Morehead City, North Carolina 28557 Pnnnp- 252-247-3330 \ Internet: www accoastalmanagement.net + Aug 22 07 10:11p Nancy Sanford 919-471-4615 p.1 FROM ' FAX NO. : 252-522-3183 'Aug. 16 2007 06:19PM P1 s: i !11J11•XLiEN �6,eAi ,tAL Pic#JFT1 , S �J 1Tl�i,l.� �S�� r q � ?, ,FOR A PIF-RJUNCOVERED BOil T I+II:X) I hcreb v c;- a , y chat I own ,ro rt• ad ac. rrt to (N..inre of priky 01, Up 0. prr)perty located at (lot, Block, Road, etc.) (ti ateb�d;) (To-vPu a e�i -' A o� l.(�y�ty} He has des; ibe l: •try me, as shauii beio4�, the .devebpr;ient he: i� .Rrr� i;,sin}. �;t: th loG3tiorl, and, t Rave na aoj: uoas.io. his=.pr000s�t..1 uriif��;sU^:rid Char. a i F ,ciiteo�ere [yq .I%�z s must be sef�ack a rYrirli:rritim distance n.f ri't�eya ce~t (lj') ribi".--iarra'af i'pariain ac�. zii Ss: ` : . l waived by me. . I do ng *i§4 t9 viwv-the:seiba�k re�Uireme�i. + 1 I V�is1i :to _ve that see ack retluir--riterit. i �. .:O' 2007 DFSCRrF'%IfJI_� O�t i (To.$p.XL et In 01 IILi�zYLl�LLCI yl^^�'jia.irg loud! F+;zi'ent�' ri d:Clt 51 31> .)z 9,�" Qc ` L `y SignaCure Frith or 7 yp-- N,.�rne Telephone Nu11 bj'r ,Date; RFax sent by 2}5-�22478759 Alan Shelor Real Est 08/27/07 88:45 Pg: 2 �. �,z�K .I' y''' (FORA P1' R1UArCO '' ' �E'1ZED BOr! 7' zllFz) that I hereby cerciPY ! oWr1 ro , P �Ry adj acer � t to�� � 's (_Nhnie of Property (�ti�uer) Pn{�PenY loGatcd at? Q $1 �� ock,Zoad, ) _ - on etc. I CIA He has desc-ibed to me, as shown below, the dev`(o�yr�1Gnt he. is prosirl7 ; lc�c.3tion, and, r have no objections to his, pr000sni. I and } at that erst<,nd r •' _ - �h3t a MUSE beset zcr/uric v tack o er. l waived by me a mtnArnurn dtstaned or rttte� t (1,�') r` on my' 'a -or tLip a17 � bQai �S do qot wish to waive t-he ,eEba,ck rEouirernent. f '" ' I dg wish to waive tha 3 0 2 t Setback requirement. � �007. , ----- wl rehe DID --N' IOR r)RA"V G OF PROPC?SED DEVI DLO .AYLF, T: +Y ervl (To be fLleci in by' Hindi-vdu4zl prr;yosfng d�rP!��p�r7etzt) r i C ------------------------------ ------ G--------- C---------------- -- --- --- -�- AJI. ink S,� rPM A- Print or Ty .3 NlJne -.C�lepl�one NJfilh•I�r i .Date: (y) 0-) C\j Co 00 Co rl- Lr) THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT AMOUNT BOX AND THERMOCHROMIC. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. 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