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HomeMy WebLinkAbout51888_SCHWENDY, GLEN_20071212❑CAMA/ ❑DREDGE & FILL 'r!� T# GE:4EkAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Pa eissue Date previous permit issued As authorized by the State of North Carolina, Department of Environme and Natural Resources and the Coastal Resources Commission in an area of environmental co ern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Address City-__ State _ ZIP Phone # (_) f'. " Fax # O Authorized Agent .(. Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) s River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body - - _ . . MINION", NOWN n■■■■■■■■O!=: ■■■■■■■■■■■■■ Iiui■il�lLiLii�l �I■■■�f■1!�■■��fi■!*!■Rl■■■■■■■■■■■■ MEMO■■■■■ WagalLuffimang WMEMEN A■■■■■■■■ ■■■■■■■■■ a■■■■■�■■■lia ■■■■KA(RN■■■■ :.. M. ENMEENN�r�— ■ ■■!�■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■E�3i■■±■■■■■A■■■■■■■■■ ■■■■Mil■ !^■■!I■!Is■®lIJ J�II�if,■■►�l��/ - ■■■■■■■■ ■■■■■■!■■■■lii■I■!■■!■\■■111�1i■►�.i`,�ir%■I■O■ !■■■ ll■■■ • • = uii�■■i■ii■■�ii■��ii=MEMMEON■oii ■■■■■■■■■■■■■■®■■■■■■■■■■■■�■�-a iMEN ■ EMMEMI`E�011 M wwlwmn O��r ■■ ■■■OVE■■IRMil■1\I ■■■■■■■■!■■■■�I ■■Oi■■■�■!t■I ■l1IRENUM■XAME ■■■■■IJ■■�S■i■I ■■I�■■■■■M■■t O■■■■■■■NEINE i■■■■�i■■■■■m■■■■E Agent ortlicant'Printed Name Signature ** Please read compliance statement on back of permits" Application Fee(s) Check # PermitOfficer's Signature Issuing Date Expiration Date Local Planningf urisdiction 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 Iandowner(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 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 ■ 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: 1a2--�- A, 'D 2. Article Number (Transfer from service label) _ PS Form 3811, February 2004 A. SignatureX '//� —'Le' B. i d by (Printed Namp) ate f Delivery C J_07 D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type A Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes �i 7007 0710 0000 1880 0342 Domestic Return Receipt 102595-02-M-1540 �` UNITED STATES POSTAL SERVICE B 1 1- 2 First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box,' I F—P 7 A, L-) N.I. ii.1 HH: .... . ...... ....... ......... CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for the permit: f21.V4,A 'SOH wErJt>4 Address of property: i (a9 P�o�� is CrzE�-:lz L,N (Lot or street#, street of road) � MOTPL Z85-+) (city & county) I hereby certify the I own property adjacent to the above referenced property. The Individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing. A description or drawing, with dimensions, should be provided whit this letter. have no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. No response is considered the same as no objection if you have been notified by Certified Mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags must be set back a minimum distance of 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.) 1i A-'/ I do wish to waive the 15' setback requirement I do not wish to waive the 15" setback requirements Signature Date P'G ioe,-+ , :�1�.44 Print Name 30'� - - :),,(I -,1 `) /S- Telephone number with area code CoNs-MUG't fs r-0 H /x 1 b1 1P1L-12 i 1J t-'CH A 14 1 - AI Ito,' PL-rt� Fo ,z M ►6� ►z � f 20 e Srr ir'i f.—VI rI ubed flora eu f. S.et 4nck (ar gerai — INNERBANKS MARINE CONSTRUCTION, INC. 2651 P.O. BOX 190 PH# (252) 249-1429 ORIENTAL, NC 28571 66-30/531 PAY s sT��1 DATE (Z (z' 6-1- 472 TO THE a •.ORDER OF $ 70c) ® DOLLARS a� zi �f First Citizens • Bank FOR >rstc i zens.com ^ C q W�F'i� IJ�g .' ��'00 26 5 Lus i:0 5 3 100 3001:001, ? 20 L 28 2 2um