The URL can be used to link to this page

Home My WebLink About38882_WHITEHURST, WARREN_20040618C'CAMA / `i DREDGE & FILL GENERAL PERMIT C,New Modification ❑Complete Reissue C'Partial Reissue 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 Previous permit # Date previous permit issued_ attached. Applicant Name A//;f%� , �� `j vl^•� Project Location: County Address__—_ 1' "6? ,cy 4,,t Street Address/ State Road/ Lot #(s) City--- State '� C ZIP '�` -- Phone # ( ) Fax # O Subdivision____ Authorized Agent City_ ZIP Affected ElCW EW [;)PTA ❑ ES ElPTS Phone # (_ ) River Basin r AEC(s): ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body j� " (nat /man /unkn) ❑ PWS: ❑ FC: ORW: es/ no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body MENEM ' ■■ . • ... ■■ ■ ■■ ■E�rnEEEN i�E • OO■■n ■■��0\OOO� • ,.,,..,,,, ._, MEN ■■ ( I ■■■:■ tRn�■■■■■■ ER N■■■ NOON NOON■ NOON■ 1 ■�Ism0 M■ ■■■� NE EEEN■■■■■■■■■■■■■■ !■■E�ME■■■■ vnvEn ■ n OMEN OMEN --- MEMO ■■■■■■■■■t �,i�■■�� - resat- PREEN ■■■■■■■■■■■I■ ■■■■■■{a■ ■NONE m OMEN ■■NNE■■■■■ ®■■■■E■■O■E■MO■■N ■■■■E■■■■■Elo■ ■■■E■■EE■■OE■ MEN ON iwamms N■■■■■N■��n�- NNNN ■fiO■NIZEM ON■ �* � ■■■■H�!iii� _ .r rLwIst"Israw Agent or Applicant Printed Name t Signature ** Please read compliance statement on back of permit ii/Ii&. Permit Officer's Signature Issuing Date Expiration Date s� Application Fee(s) Check # 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 (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST 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) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 910-395-3900 Fax:910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 _1 WESTERN MONEY INTEGRATED PAYMENT SYSTEMS INC. • ISSUER UNION I I ORDER- Greenwood Village, Colorado 06-706589271 AGENT 326145 DALE U180-; t, any , a2-4ono21 TJME 1619 17 u !'11 1 f 'a` 067065892710 LOCATION 0(i0i08 •�e'�'`n�� "N 43-0 .: PAY EXACTLY QNE fgUt4D, EU DOLLARS AND NO CUIT' PAY EXACTLY PAYTHE n ORDERER OF 7'„�j�--7 /W!'1 P R ASE . S F DPAWEq PUNC fl BY SIGNING you AGgEE T N TX PSE SIDE Western Union Money Order and Design is a service mark of Western Union Holdings. Inc./Payable at Wells Fargo Bank Grand Junction - Downtown. N.A . Grand Junction. Colorado is LO 2 L004001: 4006 ?06 589 2 7 LOii' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/ OB ATLIF (BOATHOUSE) LL 1 I hereby certify that I own property adjacent to (Name of Property Owner) property located at (Lot, Block, Road, etc.) on , in , N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. 1, -ff/� I dQ wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: r� (To befilled in by individual proposing development) -------------------------------------------------------------------------------------------------------- -- Signature`/J i� �rT` i/ r ;,fir C �J Print or Type Name 72t� Telephone Number Date: � " I Z , �� ` a ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to a s k4z (Name of Property Owner) property located at 5 �JZ'�-� � - 7 (Lot, Block, Road, etc.) on J 7,1, in ",4-' &e N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ------------------------------------------------------------------------------------------------------------------ Signa ure /:4. is rint or Type Name Telephone Number 7' �y Date: ' - 1 / '�2