HomeMy WebLinkAbout51011_MARSHALL, RANDY_20070905E CAMA / D DREDGE & FILL
GENERAL PERMIT
Previous permit #
ONew DModification D Complete Reissue
El 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 I SA NCAC
F-1 Rules attached.
Applicant Name r v-i
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City State ZIP
PhoneflO Fax # O
Subdivision
AuthorizedAgent
ZIP
El Cw [I EW EjPTA [-1 ES El PTS
Phone# I River Basin
Affected
El OEA El HHF DIH U UBA Ll N/A
AEC(s):
Adj. Wtr. Body (nat /man /unkn
El " PWS: [I FC:
Closest Maj. Wtr. Body
ORW: yes I no PNA yes /,ftj Crit.Hab.
yes no
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Agent of Applicant Printed Wanfp
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
ZK "I",
Permit Qfficqr's Signature
' /(-:
Issuing Date. Expiration Date
Local PlanningJurisdiction Rover File Name
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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
❑ 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 complywith 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/ 1-888ARCOAST
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
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Rug 4 2" ANV-4-h 11 's
(Name of Property Owner)
property located at 33_l
,o (Lot, Block, Road, etc.) 1
on n� (—Jr �i , in 1u Lora /?NMA l i co , N.C.
atW erbody) I (To-4n 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)
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Print or Type Name
Telephone Number Date: ' `� _ 0 7
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to RAnA4a 4 2" �A L 's
(Name of Property Owner)
property located at 3 uq an wJ C&A Ir.
(Lot, Block, Road, etc.) 1
on��,u► �rePin 1u �ora /�a►�, l i ca 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)
Si ature rl
M
Print or Type Name P-�
Telephone Number
Date:
i�+.` ti:u.r-�y'a$ �s..",;'
66_4V531 348
ROBERTA H. MARSHALL 0000202309078
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2311 ARTHUR MINNIS RD. DATF. -6 /
HILLSBOROUGH, NC 27278-8388
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