HomeMy WebLinkAbout32089_BRANSON, SHILDA_20020618r�
❑ CAMA / 1,! DREDGE & FILL % n 3208b- f
GENERAL PERMIT Previous permit
New ❑Modification ❑Complete Reissue ❑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
O Rules attached.
Applicant Name .1 i�- i \ I Project Location: County
Address { I ! Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) ; Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
-
Finger pier(s)
Groin length
-
i
--
L i - - r-
1 - T
number
Bulkhead/ Riprap length-
i
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
i
Beach Bulldozing -
Other
- -
v - -,
- ---
=Vl
- -
--+ v
-+—
Shoreline Length _ .....: .�__ ._ t
r" _ ..:2L
-
-
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
_ -• -
-- - -
A building permit may be required by:
_ See note
on back regarding
River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
I
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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1 638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-888-4RCOAST
Fax: 919-733-1495
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)
Revised 10/05/01
ERIC BRANSON NCDL 4754259 6j-?�320ii 4880
SHILDA BRANSON NCDL 1552097 17704/2531
PH 919-876-4700 Qv DATE
3100 BARNSLEY LANE
RAL'EIGH, NC 27604
-r-j r n E A[ 12,
"L--1)b
State EmployeesCredit Union
Raleigh, North Carolina
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■ 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:
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A. Received by (Please Print Clearly) B. Date of Delivery
C, ignature —T
❑ Agent
❑ Addressee
D. Is delivery address differerefrom item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
jUN :J 2002
1 3. Service Type
r ACertified Mail ❑ Express Mail
0 Registered ❑ Return Receipt for Merchandise '.
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
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2.
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PS Form 3811, July 1999 Domestic Return Receipt ,'
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees P^j i
USPS
Permit No. G-10
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■ Attach this card to the back of the mailpiece,
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❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. - - - -- —
7001 0320 0000 6918 9035
PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
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■ 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.
A. Received by (Please Print Clearly) B. Date of Delivery
�Ci �- i t,� 5.7
gnature
r. n ❑ Agent
/f/ ❑ Addressee
D. Is delivery address differe from item 1?
If YES, enter delivery address below:
❑ Yes
❑ No
1. Article Addressed to:
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3. Service Type
XCertified Mail ❑Express Mail
❑ Fegistered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
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4. Restricted Delivery? (Extra Fee)
❑ Yes
2.
7001 0320 0000 6918 8649
PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952
■ 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:
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D. Is deliveryagdr ss ,,-differe`ttfrom item 1? ❑ Yes
If YES, erg f4ET9'addres5,below: ❑ No
51
3. Service Type _
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. .. .. _
1 7001 0320 0000 6918 9035 _
PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952