HomeMy WebLinkAbout51887_RUMTELT, JAMES_2007121013 CAMA /, 0' DREDGE & FILL TV� 551
GENERAL PERMIT Previous permit#
EINew DModification LIComplete Reissue L1 Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural urces
and the Coastal Resources Commission in an area of environmental concern pursuant to A NCAC
Ej Rules attached.,
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City-
State ZIP
Phone #
Fax #
Authorized Agent
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AEC(s): 0 OEA
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El PWS:
0 FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes no
Subdivision
City- ZIP
Phone# River Basin
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Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officers 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 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: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A P,IER13110ORLVGP,ILING&BOATLIFTIBOATHOUSE)
I hereby certify that 1 own property adjacent to a�)j—
(Narne ofP ropey ty Owner)
property located at � oo { T7V-'—'J—
(Lot, Block, Road, etc.)
on Ol [6�S C-V , in i� , N.C.
(Waterbody) (Town and/or County)
He has described to ine, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
Ido not wish to waive
�
[% I do wish to waive that setback requirement.
---- ------------------------------------------------------------------------------------------------=--------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
/ U Signature
�0�U V�-
Print or Name
TelephoneNumber
mber
Date l f
ADJACENT RIPARIAN LANDOWNERS STATEMENT
General Statute 113-229 requires that riparian landowners with property
adjoining a proposed excavation and/or fill project be given thirty (30) days in which to
comment on the project. This form allows the adjacent riparian landowner to express
either: (1) that he/she objects to the project or, (2) that he/she does not object and desires
to waive his/her right to the 30-day period so that the processing of the application can
progress more rapidly. Of course, the adjacent riparian landowner need not sign this
form at all if he/she so chooses.
I, f� .) L ! l C , am an adjacent riparian
property owner and have4-en a copy of the application sunitted
dated ec b ) , goo
Wherein said applicants request a permit to excavate, fill, or otherwise alter the land or
water adjacent to my property.
I have no objection to the project as presently proposed and hereby waive
that right of objection as provided in GS 113-229.
r
I have objections to the project as presently proposed and comments are
attached.
17-� Date
Signature of Adjacent Riparian Landowner
Forward Comments To: Office of Coastal Management
PO Box 27687
Raleigh, NC 27611
t PAY TO THE
c ORDER OF—
JAMES M. RUMFELT
STEPHEN D. MILLS
RENTAL ACCOUNT
P.O. BOX 520
SNOW CAMP, NC 27349_
f)o
RBC
Centura
RBC CenWra Bank
• C/hyapel Hill, NC 27514 `b(
MEMO llyrJ✓{. I
i:0 5 3 L008 50i:0 4 200 2 283 cilia
66-85/531
0420022839
DATE
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9
6349
DOLLARS