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HomeMy WebLinkAbout48946_CAP, PETER_20070606❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Partial Reiss/]Resources Date previous permit issued_ As authorized by the State of North Carolina, Department of Environment and N and the Coastal Resources Commission in an area of environmental concern purs NCAC L r ❑ Rules attached. Applicant Name Project Location: County Address I 4' n n 1 Street Address/ State Road/ Lot #(s) City Stat4L' ZIP Phone # O ` Fax # (^) Subdivision I �l Authorized Agent City ZIP ❑ CW ❑ EW ❑ PTA ❑ ES TS Phone # ( ) River Basin Affected ❑ OEA AEC(s): ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (fiat %man /unkn) El PWS: ❑ FC: Closest Maj. Wtr. Body ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger piers) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing -- Other Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes (no. Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions 0 (Scale: ) .I. is 1 ,t n See note on back regarding River Basin rules. ,-., !(,.nfi%q t,60")wO Agent or Applicant Printg Signature Please read compliance statement on back of permit ' 7N Application Fee(s) Check # Perm" C9ff er's Signature �()7 Issui g D, a Expiration Date , r t' 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/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 1 ■ 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: i n ��A�u�► , ZA s�o z A. Agent B. Received by (Print d Name) / C. Date of Delivery 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 j 2. Article Number 7005 1820 0004 3423 5327 (transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES _PyyOyS�T�AL SERVICE �y ERVIICE^Y } 511111 • Sender: Please print your name, address, and Z1-P'+4'in this box 113 X 091EA)7-1 L, �J C Z 8 S-4 I ■ 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: ` r'/�lzDF�GG�/C� �uiZR�LL Z S StlAi)II DC AV I �! NYACK, /v y 10ci D A. X ❑ Agent ❑ Addressee B. Received by ( Printed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes f If YES, enter delivery address below: ❑ No 3. Service Type XCertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise l ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7005 1820 0004 3423 5334 (Transfer from service late, PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First -Class Mail Postage $ Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • li3X Po. �x I9c7 ORiF /u roc, NC z8s� 1 t}iiit F}IIi3I3Ff1}}FifiFllilf}}iFii�iillillFi37}I}i1f3}i�Fi}i� �,p� ���x �l.►�wAy WITH A x 140 Trex w ►-t N F o u tz- s -r A �� � uc' Cl — I - Z Al '06 �— (�{ C \vo 33. 6 IV 33 A .� IN, `. s V _ J/ C i 1 KK V/ On L 14/ i xw wh uaLN rtt rlMl I V W14EK , I'AITA N;N 1• (FOR A MMOORING PILIl1 G BOATU BOAT$OUM I herby caiify that I own property adjacent to PC-rm, �ft p s (Name of Property Owner) propertylocatedat II —1 ()9CHgn-D Cc'&E/C koAD (grIENTA-L, /iL (IA Black, Road, etc-) an clz C IY A-r 9 C i&F-V- , in � �/ c �y c r i N.C. (VPamrbody) . (Town andlar County :' t. i:..«rr•w 11 n- Ir• 1 i•- ••' It- f- flnat t• n Ir1y1• u. 1 ✓.17 f't .tt t fY. ' ' 1.1 11 EMI 1!t tf 11 11 f'1 Iti� Itf.l :i ''Y.{t.t {IY.1 1 :+ Il f 11r t ' tl Ill a: 1 f�lf i1 1 1 :111.1`1 Ills 1•" '•w Ir;, 11{11111111111 1Lk 11':t1.M" f il�tl ["►�. ! 1 It it ' LCO of 6v':.1■ . 1 access 11.1 ..'.ti ,1 ' GI by 11 - XXXXX I do not wish to waive the setback requirement_ I &o wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filed in by bulividual Pmposing development) pLFAz I -ILL vuT r3o i ioNI INiT/AL f HE T OD A 7" AEAQ�� �4NA ,�lL f3AC/� /N i h1E ,,A S: � A lu ll 000 5 T/u/�S PG,Ffi`�,c. C a2, L C1L signature Charlotte Peterson Print or Type Name Telephone Number Date: I ___ �....z:r.0 �..w.N/2NT.TT"np&tl➢'TT'rtl®TI'TT-.:.+gln'TTY/g�P l�T':9 INNERBANKS MARINE CONSTRUCTION, INC. P.O. BOX 190 PH# (252) 249-1429 ORIENTAL, NC 28571 PAY DAT E �J } OR THE � �� N 7 OR - - DER OF �g440C� .;. 66-30/531 472 $�� .� --- DOLLARS 8 I, 1I CITIZEN BANK www. f'irstciUzens.com FOR---f 1�'00 24B9u■ 1• hp -.0 5 3_10�0 300i.001, 7 1 20 128 2 2u•