HomeMy WebLinkAbout44548_BARNHILL, COURTNEY_20060303I-! CAMA / DREDGE & FILL 1-S
GENERAL PERMIT Previous rmit#
❑New EModification Complete Reissue 1Partial 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 Street Address/ State Road/ Lot #(s) t j
City_ _ State'`
Phone # ( ) Fax #
Authorized Agent
Affected —! CW ❑ EW D PTA 0t5 ❑ PTS
AEC(s): L, OEA D HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FQ
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/ Boatlift
Beach Bulldozing_
Other
Shoreline Length
SAM not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
ZIP
Subdivision
City
Phone # (_ )
Adj. Wtr. Body__ --
Closest Maj. Wtr. Body
_ ZIP_
River Basin
nat /man a kn)
(Scale: )
See note on back regarding River Basin rules.
Agent or Applicant Printed Name MAR i 1 2006 Permit Officer's Signature
Signature * Please read compliance statetO i ssuing Date Expiration Date
tit t
Application Fee(s) Check # 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, 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:
F_ ] 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/OS
08/13/00 22:53 FAX
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( SENDER:
:2 ■ Complete items 1 and/or 2 for additional services.
FA ■ Complete items 3, 4a, and 4b.
d ■ Print your name and address on the reverse of this form so that we can return this
i card to`you.
L _ d ■ Attach this form to the front of the mailpiece, or on the back if space does not
d permit.
■ Write "Return Receipt Requested" on the mailpiece below the article number.
t ■ The Return Receipt will show to whom the article was delivered and the date
*� delivered.
C
I also wish to r%ceive the
following services (for an
extra fee):
1. ❑ Addressee's Address
2. ❑ Restricted Delivery
Consult postmaster for fee.
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` 6. Signatu e: (Addressee or Agent)
2 PS Form 3811, December 1994 102595-98-B-0229
8147 7378
Pe Certified
❑ Insured
❑ COD
(Only if requested
Domestic Return
UNITED STATES POSTAL SERVICE First -Class Mail
Postage &Fees Paid
USPS
Permit No. G-10
• Print your name, address, and ZIP Code in this box •
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John �' ')arrc
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following services for an
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■ Print your name and address on the reverse of this form so that we can return this
extra fee):
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card to you.
■ Attach this form to the front of the mailpiece, or on the back if space does not
1. ❑ Addressee's Address
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permit.
■ Write "Return Receipt Requested" on the mailpiece below the article number.
The Return Receipt will to the - a^ —Pd
2. ElRestricted Delivery
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■ show whom and the date
delivered.
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3. Article Addressed t
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❑ Return Receipt for Merchandise ❑ COD
7. Date of Delivery
5. Received By: (Print Name) 8. Addr ssee's Address (Only if requested
and fee is paid)
I 6. Signature: (Add r ee or Age
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T PS Form 3811 06eember A94 102595-98-e-0229 Domestic Return Receipt
First-Cfass-Mail
UNITED STATES POSTAL SERVICE -Qfitege,&-EgQ§ Paid
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