HomeMy WebLinkAbout54148_WATERS EDGE & BROWN, DAVID_20090615❑ CAMA / ❑ DREDGE & FILL
i 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
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name JI'N Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
State ZIP 7f�,�
Phone #
1 Fax # ( )
Authorized Agent
Affected ❑ CW
❑ EW ❑ PTA El ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Subdivision
City
W&
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
1l
30
/
)
Pier (dock) length
Platform(s)
Finge
Groin rlength)
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Ca
1`l1
I ,
—
r
-
!
-
I
�
Shoreline Length
SAV: not sure yes fia
I
Sandbags: not sure yes no.
Moratorium: n/a yes no
Photos: yes no �I
Waiver Attached: yes no 7,
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
r Y✓.
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
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 howto complywith these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: 252-247-3330
(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
6
■ Complete items 1, 2, arid 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:
1 , I1 b, v i-
3. Service Type
IVCertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
0 Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
article Number 7Op8 3232 Transfer from service label) 0003 0033 8057
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE
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• Sender: Please print your name, address,
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■ 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:
Ilk'I"Ll bAe.-O �,JAlel-1
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❑ Agent
❑ Addressee
B. Received by (Printed Name) II'
C. Df Delivery
D. Is delivery address different from item 1? Yes
If YES, enter delivery address below: ❑ No
3. S rvice Type
Certified Mail ❑ Express Mail
[7 Registered ❑ Return Receipt for Merchandise s
0 Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7008 3230 0003 0033 8040
(Transfer from service label)
PS Form 3811, August 2001 Domestic Return Receipt
�I�
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UNITED STATES POSTAO
0 Sender: Please print your name, address, and ZIP+4 in this box 11
is
...........
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so thatwe'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:
Sy✓�.�,sBo.Qo, /e
A.
❑ Agent
❑ Addressee
B. 7Aelved bKPdnted Name) I C. Date of Delivery
st1A )l L'4O5o
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number ? 0 0 8
(Transfer from service label) — 3 2 3 p p p p 30033
8064
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540
UNITEJP.,,.,9T-,,
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• Sender: Please print your name, address, and ZIPTM-this box •
A/
DAVID C BROWN
1159 SHEFFIELD DR
LYNCHBURG, VA 24502
693 ;
68-54/514
BRANCH 7780
Date
Pay to the�Z,"'
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Order ofj
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WACHOVIA
Wachovia Bank, N.A.
wachovia.com
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