HomeMy WebLinkAbout54609_FITZPATRICK, HUGH_20090825❑CAMA / ❑ DREDGE & FILL
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 �; • 1 j
Rules attach--'
Applicant Name
Address
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City i
Phone # ( )
Fax # ( )
Authorized Agent
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Affected ❑ CW
❑ EW ElPTA ES ElPTS
AEC(s): ElOEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA yes n Crit.Hab. yes / no
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Project Location: County L i"
Street Address/ State Road/ Lot #(s)
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Subdivision
City l' icrS c��� r ZIP
Phone # (')S;' ) 211- 2GS3 River Basin i.`dk 1
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
;1 �Lil,
Application Fee(s) Check #
Permit Officers , ignature
4�5 %d`i i 1C
Issuing bate Expiration Date
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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:
❑ 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
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/ 1-888-4RCOAST
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
UNITED STATES POSTAL SERVICE
f;�E:SE'ARCH�. T,�UANa- ;z 1;z -41
1 I
• Sender: Please print your name, address, and ZI
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
�p M
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
A.
X
B. Received by (Printeq�lame)
D. Is delivery a5l t different from item 1?/ U
If YES, enter delivery address below: ❑
AUG 15 2009
- —u
Agent
Addressee
of Delivecv
3. Service Type
❑ Certified Mail ❑ Express Mail '
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
Domestic Return Receipt
102595-02-M-1540
ADJACE
I HERBY CERT
PROPER
NZI
HE HAS L,t K1BED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATIION AND , I HAVE NO OBJEACTIONS TO Inc
PROPOSAL..
I
---------I --------------------------------
D
I
� T E3%--f F1 I LION ANUOR DRAWING OF PROPOSED
DE v ELOP11'1EN 1 (TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT
RIPARIAN PROPERTY OWNER STATEMENT
'THAT I OWN PROPERTY ADJACNET TO
(NAME F PROPERTY OWN)
LOCATED AT
(LOT, BLOCK, ROAD, E
D
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��ORCO�UNT�Y)�'
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signature
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print or type name
q 1-Yz-e -x-7 1
Telephone number
DATE `�
L
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ALF WA
N ENR
North -Carolina Department -of -Environment and Natural Resources
Division of. Coastal Management
Michael F. Easley, Governor James H. Greg3on, Director
William G. Ross Jr., Secretary
Applicant N i
Matling Address = 3
I certify that Z have authorized (agent) ZAAto act on my
behalf, for the: purpose of aPPiYiU9 for and obtaining all CAMA Permits necessary to
install or construct (activity) �'
at (location) 491J i7 . ,, 0�'� _ D / "7
This certi
Signature
thru (date)
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LARRY G ARNOLD SR 1416
DBA LG ARNOLD DOCKS & SEAWALLS PH. 252-726-3018 66.112/531
2779 MILL CREEK RD _ i1
NEWPORT, NC 28570-6011 U
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BST BBT.com
1: 53l-0�12 1:0005295798 15911'0I
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