HomeMy WebLinkAbout40954_WINTERS, KATRINA_20050302[�CAMA / 1DREDGE & FILL
GENERAL PERMIT
New CModification ❑Complete Reissue El Partial Reissue
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 I SA NCAC
-t
r '/���}41 �,) � use
f/ ,
Previous permit #
Date previous permit issued_
Applicant Name t? ' ! K, ?I tt ' :' Project Location: County__
Address p),-r `" ', �" i i f' - ;a Street Address/ State Road/ Lot #(s)
City State ZIP: "i,S-'/
Phone # ( } Fax # Subdivision_
Authorized Agent
El CW
❑ EW D PTA
Affected
AEC(
❑ OEA
C HHF ❑ IH
Ll PWS:
❑ FC:
ORW:
yes / no
PNA yes / no
Type of Project/ Activity
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
❑ Rules attached.
City _ ZIP -_
Phone # ( ) _ River Basin —
Adj. Wtr. Body (nat man /unkn)
Closest Maj. Wtr. Body
(Scale:
Pier dock leni_
gt j
Platform(s)_ r. J ! G_ C
Finger pier(s)
Groin length { y
number
Bulkhead/ Riprap length
avg distance offshore _ 7
max distance offshore k, ,
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
Agent or Applicant Printed Name l
Signature Please read compliance statement on back of permit
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
Local Planning jurisdiction e
Application Fee(s) Check #
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 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: 252-264-3723
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: 919-733-1495
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: 910-350-2004
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01
■ 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.
Article Addressed to:
Chu s i�htll DOA
o H,�e,r-��s'.
i -1
i`tt�(56aro�c5� j � °G,
❑ Agent
Q ❑ Addressee
by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered 0 Return Receipt for Merchandise j
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7004 1,350 0001 1,207 790.1
(Transfer from service label
PS Form 3811, February 2004 Domestic Return Receipt 102595oz-M-lsao'
1 R1449
UNITED STATES POSTAL S IIE First -Class Mail
FM Postage & Fees Paid
Us'ps
Permit No. G-10
• Sender: Please print your name address, and ZIP+4 in t is box •
C�i�Lv�-C� w,-��-
c ke
■ 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:
X Si Cure I �n ) � Agent
j/ I`1c ❑ Addre
B. Re eive jy (Printed Name) C. Date Deli
�U
D. Is delivery address different from Rem 1? CTYes
If YES, enter delivery address below: ❑ No
3. Servile Type
Certified Mail ❑ Express Mail
. red ❑Return Receipt for Merchandise
�J''4nsu Mail ❑ C.O.D.
-
--r e��r 4 13 5 `' O�
PS Form , ebruay- Domestic Ret 4
!livery? (Extra Fee) ❑ Yes
�,&6 9043
102595-02-M-1540
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
U3PS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
D6 � �� 0
KATRINA ANN WINTERS
NCDL 4728819 PH. 252-726-8282
PO BOX 1701.
MOREHEAD CrrY, NC 28557
BB"
BRANCH BANK1NCa AND TRUST COMPANY
MOREHEAD CITY,,NOQTH CAROLINA
'1769G
mate . s-' 12/531
02302
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