HomeMy WebLinkAboutCarteret Co. 77364CAMA / ❑DREDGE & FILL N° 77364 A B "-C i D
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NERAL PERMIT Previous permit#
w ❑Modification ❑Complete Reissue -]Partial Reissue Date previous permit issued
by the State of Nor[h Carolina, Department of Environmental Quality --"" //� %
and the Coastal Resources Commissioninan area of environmental concern pursuant to I SA NCAC ( /
(I Rulesattached.
Applicant Name ) ✓ f Project Location: County �`
Address / t) (_ j c / ! Street Address/ State Road Loy #(s)
City ) / I Sta e l ZIP 1 6/ V / �)
Phone # ()_
Authorized Agent
Affected OCW-._D6NY, . PTA El ES ❑PTS
AEC(s): El OEA /❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes // o �., PNA yes //Fo
Subdivision
Cityj '''y k� 4 T J w' ZIP
Phone # ( ) River Basin ( -
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Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature "`Please read compliance statement on back of permit"
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 [)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
❑ Neuse River Basin Buffer Rules
❑ Other:
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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/I-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
(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 - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to C j Co lL 1n s
(Name of Property Owner)
property located at Roo ZS�ar\d Road ,
Address, Lot, Block, Road, etc.)
on BacK Sound in Harkers =sland N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Telepho e Number
t7
Date
■ Complete Items 1, 2, and 3.
■ 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 mallpiece,
or on the front if space permits.
1. Article Addressed to:
J06 M k'TUX Eli2a6elk Br;j jVl-S
2'710. Salem Churzln Road
Goldsbora, NC 2-7530
by
(s delivery address gent from Item
If YES, enter delivery address below:
IIIIIII'I IIII I'II IIIIIIII IIII IIIII IIIIII III III ❑ Adult
Adult
9590 9402 2382 6249 6132 26 o cceem
❑ Colla
ae Number',?rensrer from service Isbell m cplle
91 7199 9991 7033 8050 2163
PS Form 3811, July 2015 PSN 7630-02-000-9053
❑ Agent
❑ Priority Mall Express®
O Registered Mail-
Restricted Delivery
❑ Reeggistered Mail Restricted
DelNery
sstdcted Delivery
❑ ReNm Recelpt for
ery.,
.Merchandise
ery Restricted Delivery
d.SignatureConfrmation-
- -
-❑ Signature Confirmation
:dated Delivery
Restricted Delivery
Domestic Return Receipt
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to CQr6rvk Cou. +� , s
(Name of Property Owner)
property located at 1(014 ISICAnd Rogd
Address, Lot, Block, Road, etc.)
on BO-CV, SOIAA in J4&rVerS =SI0.A8 N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
PF
Signature
(? �r/d
Print or Type Name
3:�4 yea �q7�
Telephone Number
(_ )j-2 a 2 l
Date
■ Complete Items 1, 2, and 3. WIIIIIIIII
■ Print your name and address on the reverse
so that we can return the card to you.
•_ Amon ach thIs,,card to the back of the mallplece
Cliff ETAL Coin Lal;n
g954 Htyhway yq
Denhn, NC 2-7239
III'IIIII I'III'I I IIIII I II IIII II I II Iil 11 l l� l III
9590 9402 2382 6249 6132 19
Domestic Return Recelpt
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