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HomeMy WebLinkAbout59680_ANANDA, LLC_20111213❑CAMA / ❑ DREDGE & FILL r. GENERAL PERMIT ❑New ❑Modification ❑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 Applicant Name Address City State ZIP Phone # O Fax # (} Authorized Agent ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no i� Rom' .... .. • : � �a ;_',�CPO Previous permit # Date previous permit issued ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ME .. ■ ■ ■■■�■■■■■■■��■■■■■tee ��■■®■■■■■■■ ■�■■■■■■■■■E■IM M■ MPER■■■■■■■■M■■■■N■■ MEMO No■: Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit Issuing Date Application Fee(s) Check # Local Planning jurisdiction Expiration Date 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 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/ 1-888ARCOAST 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 0097 66-30/531 471 Date Pay to the L- I V i+\ 7 C Order O of � � CIIPC-1 _ Dollars First Citizens --- Bank I:0 5 3 L00 3001:00 L, 7 1 7 5 9 5 26 Sm, 000 9 7 MIN MR u �R• .' Ky „s.�yy �;:, LET FREED h a. N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date ././// 7& Name of Property Owner Applying for Permit: Mailing Address: � 0, 146t g � I certify that I have authorized (agent) &es6O to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) bc—)c L q at (my property located at) This certification is valid thru (date) Property Owner,Srg"ture RIPARIAIN'ii PROPERTY OWNER STAX1'ET'1,1ENA` I hereby certify that I own property adjacent to �)JI t.41(AL (' C ,S (Name of Property Owner) property located at ` (Lot, Block, Road, etc.)YY tt-- on f ¢ , in �f rt A+ , N.C. (Waterbody) (Town and/or County) Applicant's phone #: � ` Mailing Address: Q, CO3 °> C) i cy t _Af 4 N C � V3 71 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. LL` Dl.1Clr 11V1\ t>1\L/Vri L14t111711� V T1r0;0S (To befilled in byrerty owning development) i 3 A v � i it' -14 to. 1?I AT - D & 11 ------------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) — f"N l-_ K `� 3�? Mailing Address _ or % ems ' W City/State/Zip 0 Telephone Nutiiber, ,).tee //// ' Signature Print or Type Name Telephone Number Signature' / Date Date f f ?y 12/8/11 English USPS.com® - Track & Confirm Customer Service USPS Mobile Register I Sign In fiausp.S.COM' Q:iick Tons Track & Confirm GET EMAIL UPDATES PRINT DETAILS YOUR LABEL NUMBER Check on Another Item What's your label (or receipt) number? LEGAL Privacy Fbky Terms of Use) FOIA No FEAR Act EEO Data, Shi.p a Package Sand Mail VarlagS VOL' Vaii Search USPS.com or Track Packages 5:^.ob Bi:Sn83s Sal::i6t33 SERVICE STATUS OF YOUR ITEM DATE & TIME LOCATION FEATURES First -Class Maim Delivered November 28, 2011, 3:49 pm IVARLBORO, NY 12542 Expected Delivery By: November 25, 2011 Certified Mail' Return Receipt ON USPS.COM Government Services) Buy SGunps & Shop Print a Label w ith Postage + Customer Service Site Index > Notice Left November 25, 2011. 1:29 pm MARLBORO. NY 12542 Arrival at Unit November 25, 2011, 9:22 am HIGHLAND, NY 12528 Dispatched to Sort November 22, 2011, 4:51 pm BAYBORO, NC 28515 Facility Acceptance November 22, 2011, 11:03 am BAYBORO, NC 28515 ON ABOUT.USPS.COM About USPS Home > Newsroom, Mail Service Loates + Forms & Publications Careers OTHER LISPS SITES Business Customer Gatew ay + Postal Inspectors Inspector General + Postal Explorer , https://tools.usps.com/go/TrackConfirmAction_input?qtc_tLabels1=700801... 1/1 12/8/11 Y USPS.com® - Track & Confirm • English Customer Service USPS Mobile Register I Sign In aus s. o. ' Qulck Tooia Track & Confirm GET EMAIL UPDATES PRINT DETAILS YOUR LABEL NUMBER Check on Another Item What's your label (or receipt) number? LEGAL Privacy Policy > Terms of Use > FOLA > No FEAR Act EEO Data > Search USPS.com or Track Packages 'ShIp a Package Sand Uai Sus ness So LA nsWa/ SERVICE STATUS OF YOUR ITEM DATE & TIME LOCATION FEATURES First -Class Maid Delivered November 29, 2011, 4:13 pm ISLIP TERRACE, NY 11752 Expected Delivery By: November 25, 2011 Certified Mail' Return Receipt Notice Left November 26, 2011, 12:26 pm ISLIP TEPRACE NY 11752 Arrival at Unit November 25, 2011, 8:01 am ISLIPTERRACE NY 11752 Processed through November 24, 2011, 10:45 pm FARMNGDALI; NY 11737 USPS Sort Facility Dispatched to Sort November 22, 2011, 4:51 pm BAY BORO, NC 28515 Facility Acceptance November 22, 2011. 11:03 am BAYBORO, NC 28515 ON USPS.COM Government Services , Buy Stamps & Shop Rini a Label w ith RLstage Customer Service) Site Itdex ON ABOUT.USPS.COM OTHER USPS SITES About LISPS Home • Business Customer Gateway > Newsroom, Postal Inspectors Mail Service Updates Inspector General Forms & Rlblicetions Postal Explorer • Careers , https://tools.usps.com/go/TrackConfirmAction_input?qtc_tLabelsl=700801... 1 /1 1 I p ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse y 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. `i 1. Article Addressed to: LU.DW 1&- T. 5 , VVN ME✓` 1 S 1i �,L E � -1 c�aRL S0 ,2,o1 r') y 1 a s 4 Z- A. Signature X ❑ Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Se ' e Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7008 0150 0003 6074 3727 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595.02•M-1540 UNITED STATE, • Sender: Please print your name, address, and ZIP+4 In this box • Nywk24 N i�— L P r2 D ME 4A QC- UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • T �i t+v�rJ ags S 11.,11*11J., 1".).J..J.1,.1L,I I-J]!;jj,"..tv,,J,;1.l,1�,.1.Jf ■ 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; ED1'JA-"2-0 T- T9 1 12 O T► S 350 MA1Pt✓E111)0OzS F—SL, �' T�✓ZRa4c� f N y t t - 5 2. Article Number (Transfer from service label) PS Form 3811, February 2004 A. Signature X fx/ ❑Agent ❑ Addressee B. �teceiv% bey (Prinj�darn,) - C. Date of Delivery 4 OD D. deliveryD. Is delivery as rent from item 1? ❑ Yes If ❑ Yes If YES, r delivej Ie ss below, ❑ No a m oti � 3. Servibd" type ❑ Certie� ILlaiyK N cpress Mail ❑ Registered Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7008 0150 0003 L074 3710 Domestic Return Receipt 102595-02-M-1540