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HomeMy WebLinkAbout50638_CLEMENTS, TRAVIS_200803143 -a 5 -v E lU-,4 ❑LAMA/ ❑DREDGE & FILL GENERAL PERMIT Previous permit# ❑New ❑Modification El 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 LDRules attached. 7 i Tom—.. — — Applicant Name i l ,r_> ( , r ! ,i �_..( ,) Project Location: County Address ' City ; t 4` State `ii t ZIP'1 Phone#( ��{.} ~.ii� #() Authorized Agent ElCW O EW O PTA ❑ ES ElPTS Affected AEC(s): ❑ OEA ❑ HHF ElIH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s)T Subdivision City 1'�"t C.l ) ZIP ! Phone # O River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body MEN ■■■■■■M■■■■■■■■■■■■■■ MEN ■■■■■mom ■mom mom ■■■■■■■■■■■■■■■■■■■ NONE ■■■■■■■■■■■ •.••.• . MEN ■■■■■■■■■■■■■■■■■■■ MEMO ■■■■■EON ■MEN . M■■■■■■■■■MM■■■■ME■■MEM MEMO ■M■■Mmom MM MOM ommm MEMO ■E■NEE■NEE=ME■■MMENM■M■M■■■■■E■■NONE■ NOEMN M ME■■ MEN ■■■IMEMENM■N■■N■NEN■■MM■N®NNE■.■■.....■..o..• mom E■EMEENO■E■NE■■■■N■MEM■■Nffis u aMN■■NM NMOE MNMMNMM■EOM■MNME mom EMME■M■NO■■E ■■■■■■■■.■■■■■ ■.IM■.MMMEMMIME SEEN■ ■ ■ ■■■■MME M131■9■■ ■■■■■■■ OEM NN■N'■■■E■■M/7�iMOO■EO■M■E■■NMOEON ■.■■■■MECi�ONI.s .?�■■■■N■■.■■■■■E■■■■ ■ ■ ■O1i31�i!,r!��1NM ■MJ■M■!�!1l�NOM■NEON 1310lam ME ■®■■■® ME ME ■ MOM ■N■Nmom MEMO ■■ ..■■■ME __I�I��IOM■■ IMME■■.■■.■■.■OEM■ ■Elmo ■IEN■MONOM■■O■■M■M■■MMM MOM 0MM OEM■■■MMwI®MO■MMM■MM■MO■O■MME ■E■■NME MIS ■N■MEOB■■EOM■E■ ■i■■■■■■■■■■■■NaM■■■■■■■■Ni■®i■■C�■■MMA r Agent or Applicant Printed Namig Permit Signature Please read compliance statement on back of permit Issuing ApplicationFee(s) Check# Local Planning Jurisdiction 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 Morehead City Headquarters Washington District Mailing Address: 400 Commerce Ave 943 Washington Square Mall 1638 Mail Service Center Morehead City, NC 28557 Washington, NC 27889 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST 252-946-6481 Location: Fax: 252-247-3330 Fax: 252-948-0478 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above (Serves: Beaufort, Bertie, Hertford, Hyde, Raleigh, NC 27604 New River Inlet- and Pamlico Counties) Tyrrell and Washington Counties) 919-733-2293 Fax: 919-733-1495 Elizabeth City District Wilmington District 1367 U.S. 17 South 127 Cardinal Drive Ext. Elizabeth City, NC 27909 Wilmington, NC 28405-3845 252-264-3901 910-796-7215 Fax: 252-264-3723 Fax: 910-395-3964 (Serves: Camden, Chowan, Currituck, (Serves: Brunswick, New Hanover, Dare, Gates, Pasquotank and Perquimans Onslow -below New River Inlet- and Counties) Pender Counties) Revised 08/09/06 FEB 2 8'1008 Morehead City DGM D9'e Isis) ? O "�03SW M2n,sm Charlea S, ,O g, D[T-ac"O Wflilam G. P,ass Jr., Serms r� aillc7ac� � �as:e; Ga�e:nor • o Fah U� �,c,_Em�N1"5 refit A9plicant Name _ Mailing nL,�ress r r C-Tvr '� - ari'1 A P-1 tJ F c�� Z6 to ac* On MY I cerdry that, hRve aathori7wX (sae»,f) behal#, fnr the pU,rpn,se na applyingfor and obtaining aIi C.AMA Per lb accessary to ingtall or constMcl (acti%*T) at (location) l 19 Sb f _ 'This cerrficalon c valid thr� ( ate) I Signature 0/_" s Aly SJUawaJO epUl� dE6'.90 8o t�L 9a_� Zd E� M666 G� (FOR A PIER/UNCOVERED 8OAT rRT 1 hereby crrifl that I orM property d_iac.nc ;1i$mc t3C Pru�ri; Qw11�ri property iccved u I let (L4t, 8iock, Road, etc.) cn MeI.1 CWalerb,ndy) IT M m ndi0 COua :) He has destibed to me, as shown belcw, Lye deve;opheat he is proposing at ti'ac locaaaa, and, I havc nc obj=doris to his proposal. 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