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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 Adj. Wtr. Body 1�G, ) awl\0 nat. man unkn Closest Maj. Win Body o... M. . ■►few , ■ ■■�■■■■�� ���■■■,���■■�■■■■■►�■■ � i�■\� ��■�■■OEM ■■■■�■■N MOMI[F ■! OINI■■■■1[■N MEN MEN NON HEEMPISMSOMIM COME 1■O■ll■■■!■■■■■■■ ■■Iw!■[■■■I�kii■■■■■■■�!■■ ■■■!!■■■■■■■■■■■■ ■II■r■!■1[II■■■■■�■■■l�■■ IVENEK NONE�■■■■■■t■�1�■■■■■■■■■ ■■■■H■■ ■■■�a■��■■■■■■■■■■■■ ■�i■■■■■■■■■■■■■■■■ri■■ ■t■■■�1■■■■■■■■■■■■■II■■■■■■P!!�!!■!!■[�w !■i■■■■!■■■!!■■■■■ ■11■■■■■■■■■■■■■Ju■■■■ '� iiiii���='�ii���iiiiiioiii�ii�jniii�i��■ v■�■�■■■■■��■��.■■■■■■■■■■■■■■ sW■■■■■■cl■■■■■■!!�!■■■■ ■■■■f�l■[�l�lrl�i■Dill!■■[1� Agent oApplicant Printed Name Signature* Please read compliance statement on back of permit 00 Application Fee(s) Check # Permit Officer's Signature Issuing bat6 ExpirationDate Y -- 'nQ1-J •L r3 t 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 ' / DOLLARS State Employees' Credit Union® Raleigh, North Carolina /_ �7 MEMO ��'.�' �� - ^ �� l D 1:253i770L,91:086303720320 62i2 5 - M aNC W. JUN-29-2011 15:10 From:DIOSYNTH RTP 9194689258 To:9198338787 P.2/2 MAIND Ut.LlVtK A -DJ ACENTIA WA RIAN PRO.VERTY OWN ER,S�rAl"EMENT (FOR A TLIFTMOA THOMW hel Oly talify thrit, I ov.-M glco y adjaccIT41 to s : .. --, (N;%otc offtom ly Qwm&wl I wx I PC roy k;Mcd 11 /4 . &)c P-...--- CL (W�Itcr�Wkly) Applicmit'4 lkzs 4tscntmd ki) mcl 'IS S[W' -.un Llpemw, qhc &Velopmm, s.c d Of fccc ( J,-T) jam pty M= 0 f li pw= tr:� Ntsss triu.,A bt sd IKLA H iniminmwit &M=c- rbilrTn icy ?'um mitzlin-1-611 iUk I-PP"PdzWbbat Wn4Y�Nl by TtX. t) f YOU Wl!ih rQ WItIve'lbC S'"W llcl(Av.) 4 0 mi."ol it) W'Aivc ghee �-clhmk R)MCM PTLON ANIVON DIWVING, OF IN.RoPOSED DEVELMNIVO' qp 1'r,rilitedim by --------------- - —I......—l- --- Chvii-cir A pp9yi3% for 1",cmdut.) 7 z� Dam SAO== cans 0�6 —7� IJID 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, �s I 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 . �- 0 6vx y 2� 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 v I JAMES T. NEWMAN, JR. ELIZABETH W. NEWMAN 2609 CHURCHILL ROAD RALEIGH, NC 27608 //// r nnv Tfl /�v 6 " 66-7704/2531 6212 08630372032 DATE ~- f _,Z, DOLLARS State Employees' Credit Union® Raleigh, North Carolina iir /L Zf,�/� 1 � r .. . 1:2531770491:08630372032�1°"�62L2 ouE P,