HomeMy WebLinkAbout49884_HARRISON, QUINCY_20070904❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
El New ❑Modification ❑Complete Reissue ❑Partial Reissue
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_
Applicant Name
Address ' 't 4
C° (
I1, r r r C t,
City
.•._ State i, ZIP
Phone # ( )
Fax # O
Authorized Agent
t �_
❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ElOEA
ElHHF ElIH ❑ UBA [IN/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp " -
Boathouse Boatl! 1 :Y -I
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Sandbags: not sure
Moratorium: n/a
Photos:
Waiver Attached:
yes no
yes no
Y ,
yes .ono r
yes knp'
yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
H.. 4 i !-
Signature "Please read compliance statement on back of permit"
Application Feels) Check #
49g4
yC.�.
Previous permit #
Date previous permit issued
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
❑ Rules attached.
ZIP_
Phone # ( ) River Basin
Adj. Wtr. Body (nat ./man /unkn)
Closest Maj. Wtr. Body
(Scale:
i;< .ol 7 C ` ..<.
L See note on back regarding River Basin rules.
P61'mitOfficers Signature
l/-v l 1,?- I(-- ; .I
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ Other:
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.
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
• Sender: Please print your name, address, and ZI
Desks N' Dooks Const., LLC
499 Crump Farm Rd.
New Bern, NC 28562
R" ■ Complete items 1, 2, and 3. Also complete
• "r ••, ,••• item 4 if Restricted Delivery is desired.
this box ■ 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.
I. Article Addressed to:
(A
r yUr" u,E NC,
X�) i I
2. Article Number
(transfer from service labeIT—
PS Form 3811, February 2004
A. Signatur
X ent
❑ Addressee
eceived by (Printed Name) C. Date of Delivery
D. Is delivery address different f i 1? ❑ Yes
If YES, enter delivery address elow: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
7005 3110 0000 2895 5949
Domestic Return Receipt
102595-02-M-1540
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to lu I t'ic -0�!2 is
(Name of Property Owner)
property located at ?7i IC �
(Lot, Block, Road, etc.)
on <ICt✓1�
in e-AUP�K� C� � 1�1 (7 , N. C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
t
P�� ��N i (�F NTZ�l�CD1 ATE P► �1 ti1E '�2
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------------------------------------------------------------------------------------------------------------------
Gerald Heintzelman Signature
1308 Brices Creek Road ��-, y (C 1 i� 1-
New Bern, NC 28562 Print or Type Name
(252) 633-0001
2-52
Telephone Number
- Date: 6 -- I — C)
101
0
ANGELA P FOLEY 252-675-5541 562
MICHAEL D FOLEY j
303 CARRAGOOD TRL Dt5-7538/2531
ae —7
NEW BERN, NC 28560-7017 3
Pay to the wC '*
Order of ��/ ! //(s' /� � $
�t�vt� rivtrtU�fcu LQ/�ul5 (dam /10 8
Dollars
0
SFirst,Flight
FEDERAL w C rstfl UNION /� wj�-
TV?New Bern, NC 28560(v',rwww.firstflightfcu.orgeFor—
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