HomeMy WebLinkAbout34591_REED, KEN_200309047,CAMA 1:1 DREDGE & FILL
GENERAL PERMIT previous permit
71New ElModification []Complete Reissue El Partial Reissue
Date previous permii/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 15A NCAC
D,Rules attached.
Applicant Name _Kj�,, r-2,
Address
C"
City Lc
—"o5o
— i IC
State Lt ZIP
to .,j
I
Phone #
Fax #
Authorized Agent
0
EJ CW
&7EW 9-PTA El ES 0 PTS
Affected
AEC(s):
El OEA
[I HHIF 0 IH El UBA L1 N/A
El PWS:
El FQ
ORW:
yes /, no
PNA yes / :'no Crit. Hab. yes no
Project Location: County
Street Address/ State Road/ Lot #(s) � I
Subdivision
City (-
,t , ""C" � ZIP
Phone# River Basin J Jo tse
Adj. Wtr. Body �0.u- `� We r— (�M/man /unkn)
Closest Maj. Wtr. Body I'd C4 1�(—'
•
rm(s)
r—
-41
r pier(s)
length
number
ead/ Riprap length I'CO
avg distance offshore r-
max
f 111.5-
Agent �r Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
��enmit —Offi
Planning
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:
EL,�euse,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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: 919-733-1495
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: 910-350-2004
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01
5794
PHILLIP E. WILLIS 252-249-28n
J. DAVID WILLIS 252-249-0313
DBA WILLIS TRUCKING AND LAND DEVELOPMENT _ 66-30/531
22215 NC 55 HIGHWAY Date —y S 471 i
ORIENTAL, NC 28571
Pay to the
Orderof
FIRST CITIZENS 471
BANKF,rst Cnrz n Bank 6 Trust Company
BayLoeo. N.C. 28515 1 f�
j www.firstcitizens.com
For
1:053100300i:00L,71102374911' 0579
-
� UU<PU-N? SAFETY BLUE VIUBI
co.", rn•r.r�•an
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby ce ify tha, I own
property :ocated at
(Lot, Block, Road, etc.)
on ���/ GA,/2�� , in ��L� , N.C.
(Waterbody) (Town and/or County)
property adjacent to 6��'s
(a e of Property Owner)
7,
He has described to me as shown below, the development he is proposing at that location,
,' ..
arid, I have no objections to his proposal.
I� (Z O _-- D°-- N°-- c2n5s------- -- �2o P. wrrH1 --------------------------------------------------------- - v
L OP, D S Q r- e- T i.0 "- L Drt /" 1
oTHc)Z�i S I- I r►a o g J e-r-T7 O AJ
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
tZ IV E (L ,^/
---------------------------------------------------------------- ---------------------
Signature
Al
Telephone Number ���
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:
A. Signat
X �`"` �G %❑ Agent
❑ Addressee_
B. Received by (Prime Name) C. Datgof Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
/d-2 (5rrh v, ` to jb,-,
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
i 2. Article Number 7001 1940 0001 0025 7032
i (Transfer from service label)
s PS Form 381,1, August 2001 Domestic Return Receipt 102595-01-M-2509'
UNITED STATES POSTAL SERVI
�irst'� Lass Mail .
IIUSPS
Postage & Fees P8id
fn Perms No. G-10
• Sender: Please print youLname, address, and ZIP+4 in this box •
■ 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
Received by (Printed Name) I C. Date of Delivery ,
/ /
D. Is delivery address different from item 1? e:
If YES, enter delivery address below: ❑ No
3. Service Type
i
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
t 2. Article Number
(Transfer from service label)
PS Form 3811, August 2001 Domestic Return Receipt 102595-01-M-2509
E
i
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 •
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
r
I hereby certify that I own property adjacent to is
(N me ofProperty Owner)
property located
ot�Block�,Roa�detc�.)������
on , in N.C.
(Waterbody) (Town and/or County)
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 ANT/OR DRAWING OF PROPOSED DEVELOPINIENT
(To be filled in by individual proposing development)
11 E-NN-a-Z"
-------------------------------------------------------------------------------------- ------------------- ---
Signature
Rl m a-, B, b 1 e s k,—CL .-s
-��S 2 - -� 4 9 -o P5"3
Telephone Number
Date: :�-x?- 0.3