HomeMy WebLinkAbout57988_NEWMAN, JAMES_201107010 CAMA / ❑ DREDGE & FILL
r. GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue []Partial Reissue
Previous permit #
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 '? f i . ! -00
Ike Rules attached.
Applicant Name i` Q „j,, %
Address - C.} ttsf ZY�.,3
City -I, �� State �IC ZIP W
Phone # (AF—) Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: 'yes:/ no PNA yes / no Crit.Hab. yes / no
Project Location: County � c.rq e r , -
Street Address/ State Road/ Lot #(s) }}
Subdivision �. ��a m+r u r
City - a %.y �. ZIP.
Phone# River Basin ��f1,,�, tic
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Agent oApplicant Printed Name
Signature* Please read compliance statement on back of permit
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Application Fee(s) Check #
Permit Officer's Signature
Issuing bat6 ExpirationDate
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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 [)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/ 1-888ARCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
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
JAMES T. NEWMAN, JR. 66-7704/2531 6 212
ELIZABETH W. NEWMAN 08630372032
2609 CHURCHILL ROAD DATE
RALEIGH, NC 27608
a PAY TO
THE ORDER qOF
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State Employees' Credit Union®
Raleigh, North Carolina
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US. MAIL
CERTIFIED NUIL -- RETURN RECFIYI: REQUESTED
DIVISIO�r OF COASTAL iYIANAGE?gENT
ADS< -WENT RIPARIAN PROPERTY OWNER STATE -NIE T
Dame of Property Owner: �a►r - fG� e ry s �_ �e _( _ .�� ✓ t_ _
Address of Property;
6W
([.ot or Street 41 Street or Road,
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Sc County)
Applicant's phone /I 25 y Mailing Address: -30cz
..AV
I hereby certify that I awn. property adjacent to the above referenced property. The individual applying for this permit
has described to me as shown on the attached drawing the development they are proposing. A description ofdrawia
with dimensions, mgst be provided with this letter.
4E�-I-have no objections to this proposal. I have objections to this proposal.
If you bave objections to what is being proposed, you must notify the Division of Coastal Management (DCM)
in writing within 1.0 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Est.
VVilmington, NC 28405-3843. DCM representtrtives can also be contacted at (910) 796-7215. No response is
considered the -same as no ob ection ifyou have been notified by Certified Mail.
WAIVER SECTION
I understand_ that a pier, clock, mooring pilings, breakwater,_ boathouse, or lift must be set back a minimum distance of
15' from my area of riparian access unless waived by inc. (If you wish to waive the setback, you must initial the
appropriate blank below.)
A6)i�—do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City ! State / Zip
Telephone Number
Date
(Riparian Property Owner Information)
Sig flture
Print or Type Naine Ak ash -may % �S Sw .
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Mailing Address
eme w-t�- 1.sie- oc , 2,C6S'q q
City / State / Zip
Telephone Dumber S5Z j 4 - 4 f a�
Date
127 Cardinal Drive ExL, Wilmington, North Carolina 28406-3845
Phone: 910-796-7215 tFAX 910-395-39fA l Internet: www.nccoasWmanagement.net
An Eouai O000rt dirt I Afiumative Action Emoiover - 50% Recviced 110% Post Cormirnpr Pamr
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JAMES T. NEWMAN, JR.
ELIZABETH W. NEWMAN
2609 CHURCHILL ROAD
RALEIGH, NC 27608
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66-7704/2531 6212
08630372032
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State Employees' Credit Union®
Raleigh, North Carolina
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