HomeMy WebLinkAbout61093_GLENNON, CHELLA ANN_20121017CJCAMA /'-' DREDGE & FILL NO. 61093FM
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GENERAL PERMIT Previous permit #
[ iNevv ❑Modification ❑Complete Reissue '—]Partial Reissue Date previous permit issued
e
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 Name pp jA ' I i �. �Q t1610 r, Project Location: County
�, -„ : , �- � '� � �
Address j 4. `{� l ^_.Jr!��� r A Street Address/ State Road/ Lot #(s)
City k" State Y "I ZIP ? tic, — - - 0(, L
Phone # ( ) Fax # ( ) Subdivision
�.; :,
Authorized Agent City `^VN c ,a-10 r ZIP
Affected CW I EW PTA JES ❑PTS Phone # (74?) 5C , 197River Basin
AEC s : OEA HHF ❑ IH ❑ UBA ElN/AWtr. Body N/A j. O _ I y � s-n � nat man unkn
1-1PWS: FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body � ' L,
Type of Project/ Activity
(Scale: 1 It Z0 )
Pier (dock) len h U1
Platform(s)
Fingerpier(s)
Groin length
number '
Bulkhead/ Riprap length"' V. �5lit
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift -----
---
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-- - - - - -
—._
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_ -
--
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Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes �o
Sandbags: not sure yes o,
Moratorium: n a yes o
Photos: es no
—
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-
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Waiver Attached: yes no
A building permit may be required by: - (; J ," ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
J
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:
❑ II 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/ 1-888ARCOAST
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: 9 19-733-1495
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:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
BROWN & CURTIS HOME SERVICES LLC
252-503-1573
103 PINEWOOD PL
EMERALD ISLE, NC 28594
Pay to the �)�EIVT
Order of
3156
66-30/531
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Date
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Oct 11 12 06:19p glennon 540-776-1810
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REC�i
N.C. DIVISION OF COASTAL MANAGEMENT
OCT 16 2012 AGENT AUTHORIZATION FORM
D %!-','T-'D CITY
Date ) 0 ^ 1 / — i Z
Name of Property Owner Applying for Permit:
CN,O-A a N N v-.
iWailing Address:
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I certify that I have authorized (agent) r'` /Gft % `%, 06ffG to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
histall or construct (activity) APoirE �E J��a!✓.aG/ 0--J ^1 arc-pe�i ,
at (my property located at)NL
This certification is valid thru (date)
Property Owner Signature Date
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408 Emerald Drive
Emerald Isle, NC 28594
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or PO BOX NO.
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PS Form 3800, August 2006 See Reverse for Instructiorm
r
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Important Reminders:
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• Certified Mail is not available for any class of international mail.
■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For i
valuables, please consider Insured or Registered Mail.
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delivery. To obtain Return Receipt service, please complete and attach a Return
Receipt (PS Form 3811) to the article and add applicable postage to cover the
fee Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for
a duplicate return receipt, a USPSe postmark on your Certified Mail receipt is
required.
■ For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent. Advise the clerk or mark the mailpiece with the
endorsement "Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired, please present the arti-
cle at the post office for postmarking, If a postmark on the Certified Mail
receipt is not needed, detach and affix label with postage and mail.
IMPORTANT? Save this receipt and present it when making an inquiry.
PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047
EMERALD ISLE MAIN PO
EMERALD ISLE, North Carolina
285941911
3613950684 -0099
09/11/2012 (252)354-6677 12:05:26 PM
Sales Receipt
Product Sale Unit Final
Description Qty Price Price
EMERALD ISLE NC 28594
$0.45
Zone-0 First -Class
Letter
0.70 oz.
Expected Delivery: Wed 09/12/12
Return Rcpt (Green Card)
$2.35
Certified
$2.95
Label #: REN,W0000035610720
Issue PVI:
$5 75
OCT 16 2012
-
Total:
$5,75
Paid by: DCM-MHD CITY
Debit Card
$5.75
Account #: XXXXXXXXXXXX1541
Approval #: 025869
Transaction #: 528
23 903230605
Receipt#: 001702
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Bill#: 1000103287784
Clerk: 01
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HELP US SERVE YOU BETTER
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Customer Copy
EMERALD ISLE MAIN PO
EMERALD ISLE, North Carolina
285941911
3613950684 -0099
09/11/2012 (252)354-6677 01:20:33 PM
Sales Receipt
Product Sale Unit Final
Description Oty Price Price
SWANSBORO NC 28584 $0.65
Zone-1 First -Class
Letter
1.70 oz.
Expected Delivery: Wed 09/12/12
Return Rcpt (Green Card) $2.35
Certified $2.95
Label 9: 70111570000035612601
Issue PVI: ==$5 95
Total: $5.95
Paid by: OCT 16 2012
Debit Card $5.95
Account #: hr, XXXXXXXXXXXXI541
Approval #; `' 095470
Transaction #: 530
23 903230605
Receipt#: 001704
Order stamps 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.
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xrceey;rcxz�;rc�c�c�cycx:rrxexxrx�xr�rrx:exev:�c�cerexrcrr
Bill#: 1000103288014
Clerk: 01
All sales final on stamps and postage
Refunds for guaranteed services only
Thank you for your business
HELP US SERVE YOU BETTER
Go to; https://postalexperience.com/Pos
TELL Us ABOUT YOUR RECENT
POSTAL EXPERIENCE
YOUR OPINION COUNTS
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1. Article Addressed to:
2. Article Number
(transfer from service /al
PS Form 3811, February 2004
j, 1 ❑ Agent
❑ Addressee
B. Received by (Printed Name) C f D livery
19FOO12
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
GA L T 1 r % 0'1 j
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Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7011 1570 0000 3561 2601
Domestic Return Receipt
102595-02-M-1540
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees P.
USPS
Permit No. G-10
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• Sender: Please print your name, address, and ZIP+4 in this box •
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item 4 if Restricted Delivery is desired.
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B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. se a Type
Certified Mail ❑ Express Mail
0 Pegistered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7 011 1570 0000 3561 0720
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(rransfer from service label)
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UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
%h-►��m/� �s/� ova �-��y
Sep 1012 07:54p glennon 540-776-1810 p.1
Sep 10 12 07:27p Brown & Curtis. LLC 2527642797 p.1
2525444744
p.l
CERTIFIED MAIL - RETURN REMPT REQUESTED
_ 17t" S10N OF C9ASTAL MANXGEMENT
ADJACENT R±rP RI.AN PROPtRT'! C))V ir'4 NOT1,111,"ATlrlN:ViAlViER EDRM
t 3' e cf Prrrerty
:;T';:. Y�.��C� _ A
t'_CLrys; oi Prc;Cer'y: !q l7 ip tmec o Cl 1 t �,onzt `� c1
('-oi Ct SIM-9i #. Street cr Road, Cdy 8. Couniyi
Agent's Narre : _r'i i kc ce (+L.
Agent's phone : PwS2 —S-0 3 — 1 S%.?
Mailirg Address: 10.1 P.. ' w w o -? L.A-14-
f�w-{ lea J t Ysf,r N c 2- S s', y
I hereby certlTy ttiat I own prflper;y adjacent to -be above refeererued propertY_ The individual
applying for this peffrrit has described to me as shown on the attached drawng the devwfoprne t
they are P>roP osing A cfesaiafian nr dravw -q with dimensions must be Provided vknth this letter
I have no abjection to Hvs proposal i have objections to tits A--oWsaL
Ifyovhave obfectiumstowiratisDeFi Propossdi►raOnxtstaaWtbeDiviWmofCoasbfManagement
(DCU) tr► wntrrsg wiHrm 4D days of rmeipt aft s notice. Cmresponderne should be m2hed to 44X
Com meree Am, Morehead City, xC, 28W t1CM 1Ve5 can also be conlacted at j252) 8D&
Z808_ Ata r orls7e is Conaridared the same as o0 objoctk" it YOU have been notrTied by Cerbfed Mail
WAIVER SEC ON
I understand that a pier, dock. rrooring pilings. breakwater, boathouse, lift or groin must be
back a minirrv,�m distzc:ce of IS' from my area of riparian access unless waived by me- (if yoi
wish to waive the setback, youmust initial the appropriate blank below_)
1 do wiSh to waive the 15' setback requirement.
I do not wish to waive t�Te IS" setback re; ui: ernent_
(Properly Owner IrT%refatiarn) (Ad" errt Pro
lac petty Owner lnformationj
Signature
Aram, or Type Nairn
V TAIC %10\w C> >C � C
t�c�a►ling Address - -
Tefeghone Number
�7-IC-fZ
Date `—
Signarure
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