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HomeMy WebLinkAbout59318_BOYLES, JIM_20111024❑ 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 ❑ Rules attached. Applicant Name City-- State, Phone # (,) Fax # Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A C1 PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no ZIP 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 Type of Project/ Activity (Scale: Pier (dock) length i Platform(s) , I Finger pier(s) Groin length number i Bulkhead/ Riprap length 1' X f avg distance offshoreLL T� max distance offshore Basin, channel cubic yards �" Boat ramp Boathouse/ Boatlift Beach Bulldozing Other { { Ilf ^ - I f I i i I Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no ' Waiver Attached: yes no j A building permit may be required by: 0 See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Permit Officer'sSignature Signature ** Please read compliance statement on back of permit Issuing Date Expiration Date Application Fee(s) Check# 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, 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/ I-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 ' C3 d I a CO Cr Postage O $ M Certified Fee C3 Return Receipt Fee Q(Endorsement Required) Restricted Delivery Fee Q (Endorsement Required) Er M m Total Postage R Fees I $ � !"IIII . v, 02 a.J- Postmark Here 1 •1-- �5-.T 10/07/21311 d Sent To /t L --------- O street, A t No.; """"•"-"""""""" i, (- or PO Box No. � "--"------ --------------------------------------------------------------- Crry, State, 2tP+4 I 3800. August 2006 See Reverse for Instructions i Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail& a Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047 'Q-(Domestic M O For delliwnv information visit our website at www.usps.come EO Q' Postage $ M v- 132 M Certified Fee OO Return Receipt Fee - Postmark O (Endorsement Required) Here Restricted Delivery Fee t(- • IN p (Endorsement Required) Er 1ia/((712U11 C3 Total Postage & Fees 'm PS Form 3800, Au;tiist 2006 See ReversWInstruclions Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Maile or Priority Mail& ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, August 2006 (Reverse) PSN 7530-02-000-9047 ■ 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: A Si ure /--"e--------6 1y7 ❑ Agent Addressee B. Received by elTint Name) Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter = 'very address below: ❑ No 00 I Off' \vv It Oo,60 Serve Type QQ ❑ Certified Mail ❑ Express Mail O ❑ Registered ❑ Retum Receipt for Merchandise OG�O ❑ Insured Mail ❑ C.O.D. O Q 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service I%' PS Form 3811, FebrUL fO04 Domestic Return Receipt 102595-02-M-1540 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 • jowl£ S V�. ciX o2113 {F?I?II?t�ii�?441F3iiliil}?t}�1}tl}I1111�11�llliil�Fll1}}liiSt U5P5.com® - Track & Confirm i Fnplleh Luetomer Servlca USPS Mobile uspss . Quick Tools Ship a Package Send Mail Manage Your hhail Track & Confirm GET EMAIL UPDATES PRINT DETAILS YOIIN LIBEL HW 9ER SENILE 70103090000309800097 First-Clsae Mail® Check on Another Item What's your label (or receipt) number? • LE. Pmecy, Policy, Tom or Use, FOIA x No FEAR Ad EEO Data x Copyngh%Q2011 USPS. AI Rights Reamed. ON USPS.COM Gowmment Sertioes s Buy Stamps S Shop, Pnnta Label with Postage, Customer Santo r Site Index, SL11tly OF YOIM near OMTF MIaIE Delivered October 19, 2011, 11:40 em Notre Left October 11, 2011.1:40 pm M.I.tUnit October11,2011,7:53am Processed through USPS Sort October 10, 2011,8:41 pm Facility Acceptance October07,2011. 10:44 am ONABOULUSPS.COM About USPS Home x N.—mom, Mail S—ce Updaaa x Forms S PubhOatons , Careers, https://tools.usps.com/go/TrackConfirmAction_input?qtc... Regleter I Slgn In Search USPS.com or Track Packages Shop Business Solutions .OG110N FEMMIEy JACKSOMALLE, FL 32225 Expected oethary, By. October 11. 2011 CsrEEed Mail Realm Receipt JACKSOMALLE. FL 32225 JAGKSONb1LLE, FL 32225 JACKSONVILLE. FL 32203 BEAUFORT NC 28516 OTHER USPS SI E$ Burin as Customer Ga.—,, Postal hp—n, r Inspector General r Postal Explore, lofl 10/20/2011 11:19 AM