HomeMy WebLinkAbout58113_COLLISON, WALTER_20110727❑ CAMA / ❑DREDGE &FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue El 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
Fi f r ❑ Rules attached.
Applicant Name f ' Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
Phone # O_
Authorized Agent
Affected ❑ cW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body (rat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s)
Check #
Local Planning Jurisdiction
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
B PRESCOTT MARINE CONSTRUCTION
PO BOX 874 252-249-0149
ORIENTAL, NC 28571
AY
TOO THE ENI-
ORDER OF
2518
55.301531
DATE L !� 472
DOLLARS
First Citizens
Ban
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FOR 4
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07/20/2011 08:09 14102663975 STAPLES PAGE 01/01
Authorized Agent Form majifiox:///Cl/Users/Owner/AppData/Roaming/*I*nun(lemircL.-
North Carofina. Deparknent of Envkmmnt and Natur
DWhkm of Coastal Maoag tent
Pedw, CxJames K &agson, WmAor
Name of Property Owner AppIyk9 Ibr Pftuk*.
Maging Address:
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RWGRIM
I cerffy that I b&VCMRRAAL OLVIA)
behaK for the purpose Of aPPWft liar $Ad obftWn aR CAMA B
howl Ow"Ostract(activity) IcCUA
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at (my property located at)
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Property C*mer Sigmabire
I 2of3 7/20/20111:50 PM
■ 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:
�.W
j _ �i ❑ Agent
A ��jGO Addressee
B. Received by (Pri ed NameC. ive
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D. Is delivery iff t item 1? Yes
If YES, ent eli a es I
low: No
4.1
3.
❑ Registe
❑ Insured
4. Restricted
Gress aid
f
❑ um Re for Merchandise
❑ C.O.D.
❑ Yes
2. Article Number 5
(rransfer from service label) 7004 1350 0001 6538 3691
PS Form 3811, February 2004 Domestic Return Receipt cc)Lz--I '�D/U 102595-02-M-1e40 i
UNITED STATES POSTAL SERVICE
First -Class Mai)
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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■ Complet@ ite_Ws 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.. _.
,I ■ 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:
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�,yl,��o, tiica g�►s
A Signatu /���
Agent
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B. Received by (Printed Name) I C. Date of Delivery ;
D. Is delivery address di i ❑ Yes
If YES, enter del' ry ad ress below: O No
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Certified\4ail Express Mail
Registerreedd 13 Return Recei r Me
❑ Insured Mail' ElC.O.D
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7004 1350 0001 6538 3646
(Transfer from service la6eq
PS Form 3811, February 2004 Domestic Return Receipt CCU L4p�1� 102595-02-M-1540I
UNITED`: Liu CAL.` 1 1 i x 4A s
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• Sender: Please print your name, address, and ZIP+4 in this box •
B Prescott Marine Construction, LLC
PO Box 874
Oriental, NC 28571
252-249-0149
www.prescottmarineconstruction.com
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ADJACENT RIPAR AN PROP rry OWNER grATFACgNT
I hereby ceaffy 6W I own property adjacent to Uy l Te VUhsc)n
=s
(Name- Of Prowty OWUW)
property located at _ rQXA !2L OF r maw e 11. FOA m Po(
0104 Mack Road, eft-)
on Lhape � C- (e e. IL. in
(Waterbody)
Appfieantit's phone #:
o_�aw� fco Co. N.C.,
mown and/or County)
-zg Address• 0 CC 1(iS c)v, PA.
/`I\ n nU'Ov i-I M D 5 van/
He has desmbed to nee, as shown below, the development he is proposing at beat location, and, I
have no objections to his proposal.
IMSCREMON ATaMR IDRAMIMG OF PRCWOSM DEVWOPpAMXp.
M'a bed in by popemy owwff prepamv devekvrav
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(hIfarMafi®n Jar PIrOPerty Owner Applying
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He ba dam bed Io me, as shown below, the deveiopsemho is pcoopm&g atim Iocatiam, and, I
have no objec600s to his praposaL
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Pamlico County, NC Parcel Number: 104-13 Deed Book: 270
�y NC PIN: 6582204012 Deed Page: 123
Owner Name: COLLISION WALTER N JR ET UX Plat: E/OFF 1212
PROPERTY MAP Owner Name2: Deed Acres: 15.3
Owner Address: 30 COLLISON RD Land Value: 69484
Owner City: ANNAPOLIS Building Value: 0 N
Owner State: MD Value: 69484
i � 1The data provided on this map are prepared for the Inventory of real property found within
I Pamlloo County. INC and are —piled from recorded plats, deeds, and other public records Owner Zip: 21401 Sale Date: [unsupported data type]
and data. This data a for Informational purposes only and should not be substituted Situs Address: . Sale Price: 14000
t. rr,r iNry for . true bile aaarchproperty appraisal aorveyr or for zoning venflcahon. One Inch = 2853 Feet
L��1 D�� T�A�T #22 - - - - - - - - - - - -