HomeMy WebLinkAbout51261_HUTCHENS, LUTHER_20080918❑ CAMA / CI DREDGE & FILL m p J I
-. GEN EARL PERMIT Previous permit #
❑New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued i
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—.-.----
Address
City-_
State ZIP
Phone # ( )l
Fax #
Authorized Agent
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❑ CW
❑ EW
❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ 0EA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin--
Adj. Wtr. Body `` �. F' -;.r - nat /man /unkn)
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Closest Maj. Wtr. Body Ae C t Q f
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature-.,
Issuing Date ExpidatioRDat
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 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, certifythat this project is consistentwith 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 howto complywith 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/ 1-888-4RCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(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
.� ��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date
Name of Property Owner Applying for Permit:
Mailing Address:
s�ss-
PlNf V'tf-S I —A C
SEP 1 2008
Morehead City DCM
I certify that I have authorized (agent) 1� D b ; N �l� r%CA1 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) �_ U gJ t W P-`I d.
at (my property located at) SY q (`', ddj.e.� s
Ptri moll
This certification is valid thru (date) Q c:�- 3 I apo g
I-'
ro erty Owner Signature �
�/�rr
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to A,
(Name of Property Owner)
property located at l ( ��`c�4lP., ` i d ec`/`le ►�-I s�� G
(Lot, Block, Road, etc.) /
on O Q tu � S , in N e, k N d S k a� a (��, N.C.
r (Waterbody) (Town and/or County) /
Applicant's phone #:2 Sd Mailing Address: `J L14 r L' CfC[1 Q�t (S
He has described to me, as shown below, the development he is proposing at that location, and, 1
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
J1 6AM'
SEP 1 5 �008
Morehead City DCM
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
City/State/Zip Print or Type Name
�5Z-7-kt7-`lot-7
Telephone Number
�'-Y-oFr
Date
M
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1., , (Z,.t R _ -k-9LA ' tJ . f :, rs
(Name of Property Owner)
property located at �--o -i- , , 5 qtf
(Lot, Block, Road, etc.)
on `�6 _c S�7,v d in -i" ► �S( ciC_ n10 j� " cx,.: ) , N.C.
(Waterbody) (Town and/or County)
Applicant's phone 0r Mailing Address: G c.% q �i CJO' `S
pew Lodi
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 property owner proposing development)
jL"f i 26H
`it c 2�Sd�
Morehead City DCM
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit) ' l
Jt �L Ixe
Mailing Address Signature
City/State/Zip fPrint or Type Name
C-2) 2u_�-6^-7?0lj�
Telephone Number_
S i ature ate. ate
Telephone Number
gZr3 /n�r, 9 -I ?-p8
Date
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ATLANTIC
BEACH
',APrr
10
N/F
WILLIAMS
631 PG 310
B 26 PG 53
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4v. More ad Cit.
BEAC
PAY TO THE
ORDER OF.
ROBIN CANNON & ASSOC., LTD.
305 SALTY SHORES ROAD
NEWPORT, NC 28570
(252)241-4209
BB&T
MOREHEAD CITY, NC 28557
66-112/531
tl11
8234
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DOLLARS 8 L
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