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HomeMy WebLinkAbout59632_CHANEY, MIKE_20111201❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue fk&' F/ �5 9 6 � 2 l-- Previous permit # 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 `, n �t Address 1, o l €} 7 ice_ City StateN C ZIP o_—)SyG Phone # (' 1 E `,) S S I ` Z -3ZI Fax # (_ ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA O ES ❑ PTS AEC(s): ❑ OEA ❑ 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 s a or I t icn d ZIP Phone # (`+ f ) _ `23211 River QBasin Adj. Wtr. Body " � 5 �- t C N at. man unkn Closest Maj. Wtr. Body C I « ■■■■OMEN ■■■f��■!�l1�11■n®■■��■■■■■■■■ • OE000OMAt N■ ■ENE■■■■N■E■ME■■EME■ • • - E■ENN■■■■ME■■EE■■■■E■EEO■■EE■■E M �s■■E OM jtl02=10■■■ ■■E ME M, Ei ME1,011R`iE NE ENE■ ■■O■01 ■■■■■■■■■■. ■11M■■■M■■■■OEOMO■� ■EM■EMO■■EME. ■ ENIM.1111" M■■E■■■■■■ ram "MRAM. NII■■N■■M ■NE■■E■E■■ wMool ■■i■■�■■■■■. ■11■■■■EOM■■O�■.■■■■■ ISAE■M■��E■■■�E! MI iME®N■�i0®��■��n�� . = EEr:!■I■■■■O■■. ■IOOO■OEM■■■ME■OEM■■■ ■MM■■ME■■O■M■■IEUV."- ■ EM MEM Agent or . pli t P ' t Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature 05U>! Issuing Date ' Expiration Date Local Planningf urisdiction 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-41RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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 DONNA J CHANEY 66-7704/2531 1086 ` MICHAEL D CHANEY PH.919-552-2324 date v 5112 OLD ADAMS RD. HOLLY SPRINGS, NC 27540-9112 916110 C T ��, Lut L ram , $ ap1 f Y (` S the order of 0 , �: _ /✓ collars State Employees' Credit Union® �1 � Holly Springs Carolina North ' 214 / L JC memo �� 1�� 1:2S31770491:08633245L,6911' 1086 IA DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN r'ROP5PTY OWNER NCTIFICATICN/ViA.lVER FCFJilil Name of Individual appljying for Pk(�— �errnit: )ICtin�l �_�rlra, of Pmr`erty: I p `� Lr) , CAr)A (sr, (Lot or Street #, Street or Road, City en 'County)'- 1 hereby certify. that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A scription or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is ,tieing proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252) 808-2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail, WAi Eft SECTIONSECS A� � Cl I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Applicant Information) 511 a O r A r-, Mailing Address K , tcS 1S'g0 City tat ip I I q Sl� 2-- 23 Z� Telephone Number Date (R�erian Property Owner Information) tore t or Type Name 72��Y�� _ Telephone Numbe-z r Date /5 IQ5 sda!s <=-- „ I -� DIVISION OF COASTAL )NI-AMAGE-MENT AD,JACFNT RIPARIAN PROPERTY ()y{li�ER Pl�i1F1C�T1��a'�'?�\.1����; FoRlii'41 Name of Individual applying for Permit: ,n��lr•1�a. of ��-r,rcrt;i i (Lot or Street #, Street or Road, City & Couvy) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development Ile are pro ing. A description or drawing, with dimensions, should be provided with this letter. c a� have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252) 808-2808 within 90 days of receipt of this notice. No response is considered the same as no Abjection if you have been notified by Certified Mail. WAIVER SECTION cC.nn I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Applicant Information) (Ri - 112_ 01-b A �S Marling Address City/State Lip 95?, 23�� Telephone Number 7 I 2�7 i i Date er Information) ,�/g1-104 d1-411&k "7' Print or Type Name Telephone Number i J , �// Date 1�/