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Home My WebLink About51255_DONNELLY, DAVID_20080926El CAMA DREDGE & FILL 51 90955 GENthAL PERMIT Previous permit # El New ElModification 0 Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources f I and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC attached. Applicant Name i Project Location: County Address Street Address/ State. Road/ Lot #(s) City State_._ZIP Phone # Fax #(_) Authorized Agent Affected U CW 1 EW PTA DES 7 PTS AEC(s): El OEA L J HHF F] lH � UBA F1 N/A [I PWS: C FC: ORW: yes / no PNA yes / no Crit.Hab. yes no Subdivision City ZIP Phone# River Basin Adj. Wtr. Body `-�- at'/man /unkn Closest Maj. Wtr. Body — MEN MINNOMMENMEM■MIMMOOMMIMESINE MOMEN MMIMMMMMIMM ME ■:::::■ M IEN OMN !■1: MEMEMEMEMINIMMIMME ME E :::::::ii■■■::■:■M■■:■:::::wIM■M■■■■:■:■■■ON M■:ME ■EM:I ME:■MEMO•• M. M. :■MMMMIMMMMIM I sm"M NME=MMM=■MM■ ME MINIMME EMEMMINE EMMMIMMMMMMMMIM ■MMM■E■:■■:� "I'l ON iMINEEMMENEEN N ■NONE A ■ ME r& 'WEEMEMSENNis ai WRIMEMMMMIKIM ME i■■.�: No■W W0- -0 -6. MOMMOMEME MONE Agent or Applicant Printed Name Signature Please read compliance statement on back ofpermit-** permit,** 61— Application Fee(s) Check# Permit Officer's Signature -, K / / % Issuing Date Expiration Date 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: euse River Basin Buffer Rules If indicated?nfro nt 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-rrles:- 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/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 FROM r <PR1>SEP 28 2008 75: 73/ST. 75: 12/No. 7500000523 P 7 NOVA PAIN MANAGEMENT, P.A. .................................................................................................................................................................................................................................... 1813 S. Glenburnie Road New Bern, North Carolina 28562 Phone number: (252) 672-0095 Fax number: (252) 672-9897 Send to: From Attention: Da e: 5,-2- -1-- iq Office location: Office location: Fax number: 27 _33� Phone number: �1 Urgent Reply ASAP 1_1 Please comment Please review For your information Total pages, including cover: Comments: THIS FAX IS INTENDED ONLY FOR THE USE OF THE PERSON OR OFFICE TO WHOM IT IS ADDRESSED, AND CONTAINS PRIVILEGED OR CONFIDENTIAL INFORMATION PROTECTED BY LAW. ALL RECIPIENTS ARE HEREBY NOTIFIED THAT INADVERTENT OR UNAUTHORIZED RECEIPT DOES NOT WAIVE SUCH PRIVILEGE, AND THAT UNAUTHORIZED DISSEMINATION, DISTRIBUTION, OR COPYING OF THIS COMMUNICATION IS PROHIBITED. IF YOU HAVE RECEIVED THIS FAX IN ERROR, PLEASE DESTROY THE ATTACHED DOCUMENT(S) AND NOTIFY THE SENDER OF THE ERROR BY CALLING (252) 672-0095 FROM CPR1>SEP 26 2008 75: 73/ST. 75: 72/No. T500000523 P 2 HU-1'—EH-eU0H li✓: S fF 1-KUM-' F ULLYY F ULtY 25263E--31i:� ( I U: b (ENb97 F . 1 f • ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (Bulkhead/Tip rap) I hereby certify that I own property adjacent to 's (Name of Pfoperty Owne property located at Block, Road, etc.) on LJ*e we V C in _ S i C_ , N.C. (Water body)(,,. e i� (Town and/or County) He has described to me as shown below, the development he is proposing at the location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (to be Riled to by Individual proposing development) 4fe A) el cj 2--- r , /V Z $-Z - d 2 1- Q 0 ?S" j( r �bli� B,YtIa_ t,s �k'Oct.iNt,'. i J 43l1 -'jf "'lisp r:�+ 70 ��i� �r�stlti Print or Type Name Telephone Number Date FROM l (FRI >SEP 2e 200e 15: 13/ST. 15: l2/No. 7500000MOO P 3 Q .• CD • r I'r' r r•r ...D m 110 Postage ru I'Ll Certified Fee 0 j ReturnPost. Receipt Fee to �e (Endorsement Required) ap J1-I 1 a Restricted Delivery Fee N Q�s O (Endorsement Required}Cc 4�8 Total Postage & Fees ru ESent70= ._.O ' o.; ..... ------ -----•- r`- x No. ------••---------- City, State. Z1P+4 ----•----•-•-•---•------•-•- -•--------•-•- Postal CERTIFIED MAIL. Tne- rn (Domestic Mail Only: No Insurance Coverage Provided) C w . p Pa cc Postage S+a Certified Feeru 1--3 Retum Receipt Fee Postrnar C3 (Endorsement Required) �r a 2 Restricted Delivery Fee (Endorse merd Required) `1 .-A Total Postage & Fees Ls ru � Sent i tree!, Apt. No.; or PO Box No. __._-'------------------------•---•--.--- —--- _----..-------.--------- City, State, ZIP+4 :Ir SECTIONSENDER: COrWPLETE THIS ■ 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. t Attach this card to the back of the mailpiece, or on the front if space permits. ---------------- t. Articlef Adddmssed to' FfON ON DEUVERY A. Signature ❑ Agent x Addressee B. Ived by (Printed Name) C Da of Delivery —� SS ic4--es D, Is delivery address different m Item 1? ❑ if YES, enter delivery address below: ❑ No 3. Service Type 16 17 Exp. Mail Certitied Mall ❑ Registered ❑ Return Receipt.f�x alese ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? 17EXIM. Fea) (DYes 2. Article Number ? a 0 7 2680[] [} Q O r u J — rr .,cf—fin-�amn*iabe✓) - ,� William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Coleen H. Sullins, Director Chuck Wakild, Deputy Director BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION A riparian buffer authorization is required for shoreline stabilization activities within the Tar - Pamlico & Neuse River basins per Division of Water Quality (DWQ) regulations 15A NCAC 026.0233 & .0259. Activities covered by your Coastal Area Management Act (CAMA) permit are deemed to have a Buffer Authorization from the DWQ only if the project can meet ALL of the conditions listed below. If ALL the avoidance and minimization guidelines described below cannot be met, a separate buffer authorization request must be submitted using a Pre -Construction Notification (PCN) application to DWQ at the address below. A PCN application may be obtained on the DWQ web site http://h2o.enr.state.nc.us/wetlands.htm1. Questions regarding this process should be directed to wetland/buffer staff of the DWQ in the Washington Regional Office at 252-946-6481, or the 401 Oversight Unit in the Raleigh Central Office at 919-733-6893. A written authorization from DWQ MUST be received prior to any construction activities in the riparian buffer, including land clearing. Failure to secure a Buffer Authorization prior to construction &/or land clearing shall subject the property owner & the party (contractor) performing the construction &/or land clearing to a civil penalty of up to $25,000 per day per violation. ❑ Minimize removal of woody vegetation in Zone 1 to what MUST be removed for the installation of the shoreline stabilization project. Zone 1 begins at the most landward of either the waters edge or the coastal wetland line and extends 30 feet landward. Unnecessary clearing is a violation of the riparian buffer rules and may result in a civil penalty assessment of up to $25,000 per day per violation. ❑ The property owner is responsible for site restoration of woody vegetation. Pre -project site conditions MUST be re-established. A site that was wooded prior to this shoreline stabilization project MUST be restored with native hardwood trees at a stem density of 320 trees per acre. Hardwood restoration must be completed by the first subsequent planting season (November 1 through March 30). ❑ Disturbance in Zone 2 of the riparian buffer, which begins at the landward edge of Zone 1 and extends 20 feet is restricted to uses listed under 15A NCAC 2B .0233(4)(b) & (6), and 15A NCAC 2B.0259(4)(b) & (6). Clearing and grading of Zone 2 is allowed provided that it is re -vegetated immediately and Zone 1 is not compromised, which includes maintaining diffused flow of storm water runoff through Zone 1. North Carolina Division of Water Quality Internet: www.ncwatergpality.org One 943 Washington Square Mall Phone: 252-946-6481 NorthCarohna Washington, NC 27889 FAX 252-946-9215 Nahmally An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper ❑ For vertical shoreline stabilization projects (bulkhead) only; sites where wave overwash is expected to be severe, the first ten (10) feet landward from the structure may be maintained as a stable lawn in order to provide for structural stability. This certificate condition is intended to apply only to projects adjacent to larger water bodies where the conditions may routinely produce severe overwash. ❑ Construction corridors are allowed for shoreline stabilization projects, but they must be satisfactorily restored, see the first condition of this authorization. ❑ When restoration is required Please submit a project map of your property indicating the area to be restored, and a restoration plan. The DWQ website (Helpful links), http://h2o.enr.state.nc.us/ncwetlands/RiparianBufferRules.htm may be helpful in the preparation of the restoration plan. This Buffer Authorization is not considered approved until the DWQ has received both this signed form AND the project map. Submit the requested information to: Division of Water Quality Attn: Surface Water/Buffer Program 943 Washington Square Mall Washington, NC 27889 By your signature below you agree to be held responsible for meeting ALL of the above listed conditions and verify that all information is complete and accurate. Only the property owner is responsible for the second condition. Please be aware, violations of the above -listed conditions are subject to civil penalty assessment of up to twenty-five thousand dollars ($25,000) per violation per day. Applicant/Agent's Signature CAMA General Permit Number: North Carolina Division of Water Quality 943 Washington Square Mail Washington, NC 27889 Intemet: www ncwaterqualitv.ore Phone: 252-946-6481 FAX 252-946-9215 An Equal Opportunity/Affirmative Action Employer— 50% Recycledl10% Post Consumer Paper S-Z41-e Date NorthCarolina Naturally - -'' TONI RITTENBERG, L AC.` ^ 66.11?J531 2836 DAVID DONNELLY, DC ��ie1��Ok zr Frautl Protection ` 2� V 1813 S. GLENBURNIE ROAD \O/ NEW BERN, NC 28562 do e � n� ro rl�e ji=t $ L1 C/j� 0 ✓ f (lJi owciew Co I SSeconry -`�--- d dott,v; 8 o I ' nal.= - BB&T rTit BRANCH BANKING AN TRUST COMPANY �e NEW BERN, NC 28562 S F ,fOw i:053101120:000521L81,7242ol 2836 Harmony IZ230 0 2005 The Styles Check Company 1-e00-355-0353 yrwW.stylaschacks.com :Y