HomeMy WebLinkAbout47001_MARSHALL, TOMMY_20061027❑CAMA / ❑DREDGE &FILL
x 71901`-
GENERAL PERMIT
Previous permit #
❑New ❑Modification ❑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 iS -{'/'' Street Address/ State Road/ Lot #(s)
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p
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City 1 Stag( jt ZIP�� �/S
Phone # () Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body
(nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Win Body
Type of Project/ Activity
(Scale:
)
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/ Boatlift
Beach Bulldozing
Other
Shoreline Length
i
SAM not sure yes no T
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no I
Waiver Attached: yes no 1-
A building permit may be required by:
Notes/ Special Conditions
Agent or Agniicant Prin
4
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n
❑ See note on back regarding River Basin rules.
Signature Please read compliance statement on b erg it Issuing Date `
_ City DCM
ApplicationFee(s) eck# Local PlanningJurisdiction
Expiration Date
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 El Other:
[_J 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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05
,'09/,11/2006 19:46 9197152710 1XTERNAL AUDIT BRANH PAGE 01
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waived by me. J�iC7alt '1CC,,,., .tir(.s
z do r oc wish to waive the scrba�k re uirement.
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Date:
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Oct 05 06 12:00p
Tammy
919-562-0790 p.1
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charies S. Jones, Director William G. Ross Jr
Date /0-5-03
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Applicant Name pr►, y'�$L(,
Mailing Address �31 T-t�ge-5-r~uj LLB .-ja> -�
t certify that I have authorized (agent) -PUP&E WIE-�5- to act one Amy
behalf, for the purpose of applying for and obtaining all CANfA. Permits necessary to
install or construct (activity) -t)C.�� 4... !I-efIr LrT-7S
at(location)--IC)O-3L'[''Gf-' Pkjt✓
This certific tion is valid thra (date) / J C�) O
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Signatur
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400 Commerce Avenue, Morehead City, North Carolina 28557�o�"'`
Phone: 252-808-28081 FAX: 252-247-33301 fntemet: www.n=astalmanagement.net
An Equal Opportvnity 1 Alflrmative Action Employer — 50x Recycled', t 0% Post Consumer Paper
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ISSUING BRANCH 6078_101-MOREHEAD MAIN 63379841
DATE DECEMBER 1 a 2006 93-541/920
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DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
AND OTHER TERMS ON THE REVERSE SIDE.
PUFjQF I AoetrWER
ADD �^
CITY
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OWL� LJA&CbHWAi
\-�e-�Lot4 UA
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j PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-15401
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