HomeMy WebLinkAbout54605_LAWRENCE, DONALD AND MARIE_20090821S/-S
❑ CAMA 11 DREDGE & FILL 05("
C"'AGIENERAL: PIWT.-- Previous permit #
MBAR�F DModification mplee
R Reissue E-*artial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural R A.urces
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
0 Rules attached.
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ZIP
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ORW: yes / no
PNA yes I no
Crit.Hab. yes J no
Project Location: County_
Street Address/ State Road/ Lot #(s)
Subdivision
City
Phone # River Basin
Adj. Wtr. Body (nat /man /unkn
Closest Ma. Wtr. Body
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit
Application Fee(s) "Lfheckd
PermitOfficer's Signature
Issuing Date Expiration Dai.
"V
Local Planning Jurisdiction
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
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
,i
I hereby certify that I own property adjacent to
(Name of Property'Owner)
property located at _
(Lot, Block, Road, etc.)
on q f E, Z'0zND in PA K;! N:`J i :C
(Waterbody) (Town and/or County)
Applicant's phone #: ` Mailing Address: 2 a o Z_ T /S{r' S
!t16P,t/14A u C i 7`�
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 property owner proposing development)
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pf, oprATy
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---------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Zoo r1s1l e.A S T.
Mailing Address
City/State/Zip
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Telephone Number
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Signature Date
e"AL _
Signature
Print or Type Name
Ito - 3"1-9SD1
Telephone Number
Date
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CO Postage
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Certified Fee
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Return Receipt Fee
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p b7&'W t.- . t. No.;
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MOREHEAD CITY MAIN PO
MOREHEAD CITY, North Carolina
M. 285572912
613950557 -0096
02/17/2009 (252)726-0920 02:22:06 PM
Product Sales Receipt
Sale Unit Final
Description Qty Price Price
LUMBERTON NC 28358 $0 42
Zone-1 First -Class
Letter
0.40 oz.
Certified $2.70
Label 0: 70083230000286452280
Issue PVI: $3 12
LUMBERTON NC 28358 $0 42
Zone-1 First -Class
Letter
0,50 oz.
Certified $2 70
Label #: 70083230000286452297
Issue PVT: - $3 12-
Total: $6 24
Paid by:
Cash Change Due: $10.25 $10.25
Order stamps at USPS.com/shop or call
1-800-Stamp24. Go to USPS.com/clicknship
to print shipping labels with postage.
For other information call 1-800-ASK-USPS.
B•11#: 1000400948484
Clerk: 06
All sales final on stamps and postage
Refunds for guaranteed services only
Thank you for your business
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Customer Copy
DONALD RAY LAWRENCE NCDL 2049646
HELEN MARIE LAWRENCE NCDL 1219673
2002 FISHER ST PH, 252_728_4787
MORERHEAD CITY, NC 28557
OR ER
S"M k
Morehead CRY, NC 28557
1094
DATE 66-1246/531
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— OLLARS
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Sound Advantage
FOR _
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7 HARIAND 2000