HomeMy WebLinkAbout59384_GUTHRIE, ELBERT A JR_20111114,1CAMA / []DREDGE & FILL
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 I SA NCAC
❑ Rules attached.
Applicant Name 1
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City_ State ZIP
Phone # ( ) Fax # ( )
Subdivision
Authorized Agent
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH I UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Permit Officer's Signature
Signature "Please read compliance statement on back of permit" Issuing Date
`i
Expiration Date
Application Fee(s)
Check # Local PlanningJurisdiction
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, certifythatthis project is consistentwith 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, Bet -tie, 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
,:.aplican
� c
r
Date:
T/
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
DISTURB TYPE
Habitat Name Choose One
TOTAL Sq. Ft.
(Applied for.
Dislurbance total
includes any
anticipated
restoration or
tamp impacts
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
im act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill Both ❑ Other [IDredge
❑ Fill ❑ Both ❑ Other ❑
bredge ❑ Fill ❑ Bolh ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ . Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
!�..„ ... ��� .a�. .. �i.•UA.;Si i� �i7!.1%:�/.Y1LC=,.a'::''::?!•.,.a�ts: �-��.'}•: �;;�;y ".. n.;��f .,1, (�i!r';�i;'ilr
SOUND RENTALS LLC 1460
225 BLUFF RD
CEDAR POINT, NC 28584
DATE ` <-� ��/� 66-30/531
A / PAY 342�Ci 8�y1 GI ��/O /!✓�
TO THE
ORDER OF
2��
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l� DOLLARS
First Citizens
Bank
FOR Qfirstcitizens.com
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0"F30u l:053100300l:003412298779n'
RECEIVU ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
OCT 31 2011
I hereby certify that I own property adjacent to �����L x<�/,�, %r, 's
DCIv!4,MD CITY (Name of Property Owner)
property located at —A/lc 0
(Lot, Block, Road, etc.)
o4�7 /4
on /Ii%?i7 &- hive- ,in z2Al-/ ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone #,Q-2 2%W-A-i'0' Mailing Address: l / ���s� Z41111 e
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)
h
ti
I
(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature Date
----------------------------------------------------
(Riparian Property Owner Information)
Signature
Print or Type Name
-2,-,2 -- 9 kyo 4/1
Telephone Number
-7- �� o io
Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
/l c
property located at �7 l 04" L 9/7 e , - f ,
(Lot, Block, goad, etc.) '
on �ti�/1:k 4! is !/Meek, ,in G.E'c�'Qf" /�1/�.' N.C.
(Waterbody) (Town and/or County)
Applicant's phone,#-2L,2 Mailing Address:
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)
co wa
-----------------------------------------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
"22-� -�, //
Mailing Addressale z , � �re'i /7
City/State/Zip
Signature
Print or Type Name
Telephone Number
Telephone Number
Buddy & Patti Guthrie
225 Bluff Rd,
Cedar Point, NC 28584-9363
�Z���� fjlW
RECEIVED
-. OCT 3 1 2011
STATES
POSTASERVICE
7010 0290 0000 3609 9020 1000
Tarn es 4). G4,h vle
Ced,�vint�
DChi-MHD CITY �S'=• 3 1V- 9- �
U.S. POSTAGE
PRID
SWAN28584.NC
OCT 03.'II
AMOUNT
LL h r-0
•)1.11
2858-1 00077237-01
1st NOTICE-L ` � tA
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RETURN 'TO SE:*NtDr;'R
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UNAGL.E: 'TO F 0RWf9F7o
BC:: 20,504906:3.h s 13-5 4-- 00046- U'd -- 4
1,�I,11„1�,1�1,1�,1>>)„11�I„�,)11711111,11�,11,1111111)I)�)
■ 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
X ❑ Agent
❑ Addressee
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
64m'S
3. Service Type
/ v 7-/ C, 4® Certified Mail
C — ❑ Registered
❑ Insured Mail
❑ Express Mail
❑ Return Receipt for Merchandise
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number r I.)10 0290 0000 3609 9020
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
--- - ----.
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 •