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HomeMy WebLinkAbout54399_MCCOTTER, DAVID_20090908�_l CAMA DREDGE & FILL 9 9 C_ GENERAL PERMIT Previous permit # 7New , _lModification ElComplete Reissue Fl Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources k and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC G El Rules attached. Applicant Name h a 1 f, 1 4- Ai C Project Location: County Address City —) Phone # i Authorized Agent Affected 1 -1 CW AEC(s): L� OEA PWS: ORW: yes no 17 . / "W i-, -- State_�,. Fax # ,L�,EW D PTA EES L PTS Ll HHIF El lH El UBA L1 N/A F_ FC: PNA yes / no Crit.Hab. yes no Street Address/ State Road/ Lot #(s) Subdivision City— ZIP Phone# River Basin Adj. Wtr. Body—— Fll 14 vr-IL- 'k (nat /man Junkn Closest Maj. Wtr. Body — F1,11i 0 IMEMEEM Emu MEEMENE ME :::A:::: ::N: MEMANEWWWWArEUMIAM MEMENEME M MENOMMIRWINEEMINEEM ■MEMEMEN■ MEEMEM INIMMIRKWERMINNEEM■ 42 MOMMENE MWENMII�NWISEEEM■MOMMEME SUMEMOMMEEMEMENE :■::`:::■:::::■::: MEMEME 0 MEME No MOMMENIM 1 MEMIMMIM ■ MIME MEMENEM■No lam MI:'::�::::::::.: IMMIS mod ENNEEMEM No ON OWNIMEMEM IN MEN ON W-MIGNME MZMM. MEN ME __ M-OXIMEME■VA0222=01 W3111 SOME ■:::::::::■■■:■�;::110ME■■■■■■■■...■ W ME MMEEME M MINOWN WWWOMEEM '"WIN MEN No ME■no M OMEN■moo No No MONEMEMEMEMEMOMMEEZZ Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Permi fficer's Signature Issuing Date ElApiration Date Application Fee(s) Check # Local PlanningJuriscliction 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 (252-946-648 [)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/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to aw" ICI �-d� -' 1 "r� c (oflr c , I (Name of Property Owner) property located at 4!5 �—(� c i I—p - (Lot, Block, Road, etc.) on �j j r) l_-�� , inj �� C� • , N.C. (Waterbody) (Town and/or Connty) Applicant's phone #: 25) _ IL" t -2;;b4 ailing Address: 4 5 )--61'1' �--f) - 6ti"enla1,/V(-2-y 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) praL- r-Ty (Information for Property Owner Applying for Permit) 4,5- Lov i 4A. Mailing Address �lSoP Pro ptriy ---- - - - (Riparian Property Owner Information) s Signature l 2 �' JC' K' 1 /-A (--/ ram' > I I .S ��E>✓ /YJ LN i City/State/Zip Print or Type Name Telephone Number Telephone Number Signature Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT r I hereby certify that I own property adjacent to UAy ��-� �-441Ct j J� (Name of Property Owner) property located at ' i 5 1 �—n - (Lot, Block, Road, etc.) ` on � 'Y1 I ` r i �rt , in a I , ���i�! l i � �� � (> , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 25; i � V I J2,F4-)4' ing Address: 4 5 Y 1 Yi ell /a 1, /V(- 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) 0st 1 r' 1101 ESN y k-- { r-Of C Ivry ric (Aer Pr KVVY (Information for Property Owner Applying for Permit) 45. Lor, -1 4A Mailing Address City/State/Zip Telephone Number Signature Date I's (Riparian Property Owner Information) - � r SignaturY Print or Typ ame Telephone Number J a� Date ■ 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. . Article Addressed to: McdnyK goi5 Df X i C y, F6 I ►fit IrT (b`Y) A. Sig re Agent Addressee kReceived by (Prfn e) of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. rvlce Type rtifled Mail ❑ Express Mail ❑ Fleglstered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7007 2680 0002 8366 2823 PS Form 3811, February 2004 Domestic Return Receipt �'�� 102595-02-M-1540 ll UNITED STATES C':jL 21. • Sender: Please print your name, address, and ZIP+4 in this box • & r►ton � PO Box 874 orient NC 28571 ■ Complete items 1, 2, and 3. Also complete Rem 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: ubs —12 ��oPP M C-g le�- S+, 111� oBS43, A. X Agent B. Received by (PrOted Name) 0.1ate of Delivery D. Is delivery address different frdm Kem 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. a ce Type rtifled Mail ❑ Eypress Mail Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7006 0100 0004 9789 9226 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt �,r. C-ram 102595-02-M-1540 UNITED STATES POSTAL SERVICE 24 AZJG 2C-e'CrP rN4 4,4 'T • Sender: Please print your name, address, and ZIP44-in'lhl's' box • 0. Prescott Marine Constructn PO Box 874 Oriental, NC 28571 B PRESCOTT MARINE CONSTRUCTION PO BOX 874 252-249-0149 ORIENTAL, NC 28571 DATE �J 1664 66-301531