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
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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
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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.
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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 •
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( 7?q-1-I lj(' 7 8S� I
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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:
77"g—o l ?Ott-7— ?WAF1eTi'G5, LZ�
AIE" -3jF1zfj
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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 •
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