HomeMy WebLinkAbout55035_LEONARD, SHAWN_20100205❑CAMA / ❑ DREDGE & FILL U
GENERAL 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 ' 7 lJ
and the Coastal Resources Commission
in an area of environmental concern pursuant to I SA NCAC
[-Rules attached.
Applicant Name i . %J
/ ) n 1
Project Location: County
' , i j +
Address i�
1 ' r'1
Street Address/ State Road/ Lot #(s)
City j bR
State ZIP �7
r
71. [),,I k) n` Ll I C
Phone # ( )
Fax # (—"j"—� '"
Subdivision
Authorized Agent
City >�
ewab� l ZIP -
ElCW ❑ EW
OrPTA '15ES ElPTS
Phone # ( �"��
I
River Basin
Affected
❑ OEA ❑ HHF
AEC(s):
❑ IH ❑ UBA ❑ N/A
/
Adj. Wtr. Body f ?,T
O1NE r._Y-i/k i (nat /6aii bunkn)
❑ PWS:
❑FC:
Closest Maj. Wtr. Body"
ORW: yes / no PNA
yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platfc
Finge
Groir
Bulk[
Basin
Boat
Boatl
Beac
Othe
Shon
SAV:
Sand
Morz
Phot
Waiv
(Scale: /) r%i ,' e )
YGr' ,z
/
_
--
r pier(s)-
1- -----I
i
i length
i
number
— _
--
lead/ Riprap,.length ,
avg distance offshore
max distance offshore.__
-- -
_ — -.
__ - - -
_ ___ —
, channel
F 41' �� r
�\a
_.
7-7
cubic yards
ramp
louse/ Boatlif� � � � '
s
i Bulldozing
r i
_PL
I�
Y
aline Length
-
not sure yes no
i
gags: not sure yes no
corium: n/a yes no
as: yes no
ar Attarharl
L
JJ�i�
-_. --
z'r4
A building permit may be required by:
Notes/ Special Conditions
U
L eo
Agent orApplicant Printed Name
S ature "Please read compliance statement on back of permit"
is
App ication Fee(s) Check #
_ note on back regarding River Basin rules.
5
PermitOffic is Sig ature
Issuing Date f E�icpiratiol Date ^�
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/ 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 Z
-
0
Ar
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
I Sender: Please print your name, address, and ZIP+4 in this box •
i , m i';' i ! ; j j, i, Hltldk�
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signature
n
B. R eived b (Printed Name) C. late of elivery
D. Is delivery address different-fiom item 11 U Y6
It YES, enter delivery address below: Q'r+o
3. Service Type
,gCertifled Mail ❑ Mail
❑ Registered Retum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service ►abel) 7009 0820 0000 6960 0896
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540'.
U N [TED 4SV9AfiVO'9TAL S,'tiAVIMj,.j'N- -A- Ax jfF
lit I
0 Sender: Please print your name, address, and ZIP+4 in this box 0
■ Complete items 1, 2, and,3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
i 1. Article Addressed to:
A. Signature
W/1AWjWA9Zr1PW • .
B. Received by (Prinfgd NVf�y" $q 4*qN, Delivery
D. Is delivery address 7ere;nWFItem 1?u'YW
If YES, enter deliveeovQ ❑ No
S 2$5�a I
3. Service Type
Certifled Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 0820 0000 6960 0902
i (Transfer from service label) —
j PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1e40
SHAWN LEONARD
306 WYNDFALL LANE
CLAYTON, NC 27527
_W
chark 'S'c wAB J
RANK, ; 1034 .
i a
Date �� / �� 94-221/1212
3000
Pay to the
Order of
_.`".. �`+Ac�-� �•�. �� e.�� � � l � 0 tom`
Smny �,
Dollars 8
Charles Schwab. Bank, N.A. d
Reno, Nevada Investor Checking
/' •A
For
12 120 2 2 1 0: 41,000'20 184 7 210 34_
ocs,.a. a,,,,.'F%;.�1...,..i{;.,��'J.��.''r�:.a._,�-•,:,..�;��`:�i.:f_1u.,�,..;:�..�...,���¢..�a..4r,=t,?-"-.�T S..�,..i��-�
a