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HomeMy WebLinkAbout51521_SCHWARZ, PHIL_20071001❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # []New ❑Modification El 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 \ Project Location: County Address ~ jJ Street Address/ State Road/ Lot #(s) City Phone # O_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax # O ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■ :..■.........■■.�..■■■!�'J■NlN►■...�■■ NONE ON NONE ■■■■■■■M■M■■■E■■■■■■■■■■■■ONE■ ONE ■■■■■ ..■■...■■....■■ ...............8■■■w �... ME E so ON '. ■mom 10 O■fl®M■■ 11:r■■Er■01�WEE■EMELPENEWMEMMEMME ■E lE■■■■■■■■■�:�11�7■rl�l.■■■■■E■■�I■■■■N■■ ■■NOON■NNE■■■��Si7MlIIlI�I■���NN■■■■■N■am ME■■■ MEN M mom ■■O■O■!■■■■■■®■■■!■ 11MI■■E■M■■MEM■M■■■■N■ !�■N■N■N■NNE■■■■■N■rN■/i�IN■■■/■■■O■O■■1�■!! ENi1O■EEMI�M■1r1M �M■M■■■■MME■EMEMEM■MMIM11 I�E■■■■E■O■EN■■■E■■■■IM11 E■ENEE■!!■IMEN■:3a MEMO MOMMOUNMERMWEMIUMNEW M As ®M■■■OEM■■■■■■■■N■METi�?�El. �nNENI,�I�il�{'�■E■ !■■NEN■■■■■N■■NE■■■36■�l ■■fi■! Mi■®■EN !■N!N■ENO!!NE■!!■O■�I�!E■E■O■EOO■®■INS 'NOON■■■O■■!!O■OOO!■�I�IO■■■■■O■O■E■ MINE • NE■■■■■■■■■■■■■■■■E�'�I■NE■NE■■■MEN■won !■■■■■■E■■■■■■■■■■■��!0■■■■■OMEN®NJii ' Nei■■!!!!E!■EE® N!'i. MENEEa!!M11111 Agent or Applicant Printed Name TNT Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date 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, certifythat this 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 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/ 1-888-4RCOAST 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 INNERBANKS MARINE CONSTRUCTION, INC. P.O. BOX 190 PH# (252) 249-1429 ORIENTAL, NC 28571 PAY TO THE ORDER OF- 2�� 2586 66-30/531 LZ 472 japy inFirst Citizens 51 -----�—DOLLARS 19 Bank firstoitizens,com/ _ FOR 5�';"Lj Z_ Z- 112002SBCom j:oS3j00300i:004?L 20 128 2 2om ca --4, Vgm N DATE SEP-28-2007 12:05P FROM:F00 DOG PRODUCTIONS 813-968-9351 TO:12522473330 P.1 if I&% FOODOG PRODUCTIONS, INC. FAX To: Brad Connell - Div of Coastal Management Fax Number: (252) 247-3330 From: Phil Schwarz Fax: (813) 968-9351 Date: 9/28/07 Total # of pages: 2 Brad - RE: Permit # 51521C I authorize innnerbanks Marine to act on my behalf in obtaining LAMA permits and in the construction of my dock. Questions or Problems please call. Thanks, Phil 9j 727.808.4524 FAX: 813.968.9351 P.O. Box 340454 Tampa, Florida 33694 2EP-22-2007 12:GJ5P FRrM:FOCI DOG PRODUCTInMS 13-y58-9351 TO:12522477-770 P.2 N , NCR North Carolina Depaftent of Enviroriment and Natiral Resources Division of Coastal Management Michael F. Easley, Gmemor ,Lames H. Grttgson, Director Vftam G_ Ross Jr., Secretary Applimnt Name 7H,rL- Maffi g Addrtss ?y. t om{ 3 4 4 S` X certify that I have authorized (agent) -71�JwWAZet%rKs tAAI4Zlr"'F- to Act on my behalf, for the purpose of applying fur And obtaining all CAMA Permits necessary to install or coast ruet (ictivity) acK Ork- �'k ' at (Location) This certification is valid thru (date) Z� I I + d 9ir.nature 400 Commerce Avenue, k4crehand Qty, North Carolina 28557 Phone: M 28M8 FA) : 252-247-3=3 Ir anet: www,n=asbknanagemenLrw)t An SQoal OVwjjr jhr N Mkw*M Aetlon Ero n % - 5n iiA *w i t o96 Post cor wirw Paper ■ 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: e22_1 =1 �. IJ A. Signature X B. Received y (i?ri Name) C. J D. Is delivery address different from item 1 f ❑ Ye: If YES, enter delivery address below: ❑ No 3. Service Type 9 Certified Mail ❑ Express Mail ❑ Registered 0 Return Receipt for Merchandise ❑ Insured Mail 0 C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ yes 2. Article Number 7004 1350 0001 6536 7165 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt �Y�102595-02-M-154u UNITED STATES POaAR�''�� • Sender: Please print your name, address, and ZIP+4 in this box • /OX �0 max l9C-) ( 7?q-1-I lj(' 7 8S� I r.`r�'.`'� ■ 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: 77"g—o l ?Ott-7— ?WAF1eTi'G5, LZ� AIE" -3jF1zfj G►{ If YES, enter delivery address below: 3. Service Type 25-Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Feel ❑ Yes 2. Article Number 7004 1350 0001 6536 717 2 {Transfer from service lab PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 y UNITED STATES POSati'` `�RV1C'°' .;#`� .•- r� • Sender: Please print your name, address, and ZIP+4 in this box • //3x Po. 9-.�X /90 ORIEW54L, I�JG Z 5s 4 I