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HomeMy WebLinkAbout50736_FUNK, WILLIAM_20080427❑CAMA / LL DREDGE & FILL .j. < + 15)R 736 L ' 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 I SA NCAC Rules attached. Applicant Name r r� Project Location: County Address City__ State ' ZIP_ Phone # ( ) Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA t J ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) = - ,•� ,r',,; ' i- Subdivision City ZIP Phone # ( ) n'` "�.i ,-River Basin `, Adj. Wtr. Body �.t' \� 1'10% _. natl/mom) Closest Maj. Wtr. Body �✓ t S ' w ■■:■■■■■■■■■■■!■■■■■,■■■�i■■■■■■■■■ - ■■■■■E■w■■■■■■■■■■■■■■■■■ci■■�■ate■ __ 9��::::o::::■!�:■iii:::::::::■i:::i■EMO ■■■■■■■■■■■■■�`%■■■�1■■■■■■■■■w■■■■■NONE ■■■■■■■■■ELL'JOQ iii■®■O■■EEO■■■G■ir■■■■■■ . ISM MMEM::: MEN M■::i■ MMEMEEM EME: ■■■■■ ■■■■■■■vre�■■■tea■■■■■■■■■■■■■■■■■ ■■■..■..E■■...■■■i.■■.....■,.....E■r�■■■■. ME - NOON■■■:■I■■■■■■■■■■■■■O\NOON■®O■■■■■ ' N■ON ■■■■■ll■■I■■■■■■■■■■■■■O■■\\OIOI'OO/�lllJ■■■ •--NOON■■I■■■■■■■■■■■■■■■■■■■■■■■►\■■■■■■■■ NONE L 006 ■ ...■■■RJN■ii■■■■■■■■■■■■■■■■■:■■■■■o,00 Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # Permit Officer's Signature J 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, certifythat this project is consistentwith 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 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 Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST 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 ■ 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: Thow tit 2. Article Number (Transfer from service label) PS Form 3811, February 2004 -0� A. ❑ Agent 4L / (� Q c'" p Addressee B. Received by (Pent Name) C. Date of Delivery D. Is delivery address different fro14 item 1? ❑ Yes If YES, enter delivery address below: ❑ No 0 ❑ Insured 4 Mail Receipt for Merchandise 4. Restricted Delivery? (Extra Fee) 0 Yes 7006 0100 0004 9789 0346 Domestic Return Receipt T':�-' I�J � � 102595-02-M-1540 r UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid LISPS Permit No, G-10 • Sender: Please print your name, address, and ZIP+4 in this box • $ CoM+r�A 6\,J IIIIIIIIIIIIjIIIIIIIIIIIIlIIIIIIIIIIi;I1IIIIIiIIIIiIiIIIIIIIII ■ 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: ycm k gosgz' A. Sinature f 0 X ❑ Agent ❑ Add essee B. a by ( rinted Name) C. ate livery j ^ive_d V _' � U D. Is delivery address different from item 1?0 Yes If YES, enter delivery address below: ❑ No i 3ice Type XCertified Mail ❑ Express Mail Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7006 0100 0004 9789 0292 (Transfer from service label) - PS Form 3811, February 2004 Domestic Return Receipt j 102595-02-M•154o UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • 'DK Y1 'ev't,2L, NC U.S, Rostal ServiceTM 'CERTIFIED MAIL. RECEIF � .. OT Y�<� ? �� CO Er Postage t M Certified Fee O [:3 ReturnReceipt Fee (Endorsement Required) Postmark Jet IHerg �1 p Restricted Delivery Fee O (Endorsement Required) IS rq O Total Postage &Fees E-3 Sent To C3 rti --------------- Street, Apt. No.; / or PO Box No. 6� - ------- --- -- -- ---- - - --------------- ----- FYN City, State, ZIP+4PS G/ciJ Form :rr June 2002 See Reverse for InstructioW—: Postal CERTIFIED MAILT. RECEIPT m(Domestic . . J _ CU Q' Postage $ y- Certified Fee 1 Postmark O O Return Receipt Fee (Endorsement Required) Fee Here p p Restricted Delivery (Endorsement Required) r-i O Total Postage & Fees `3 O Sent To C atm Street, o.; or PO Box No. J� Y ` I IkW' City, State, ZlP+4 :rr June 2002 B PRESCOTT MARINE CONSTRUCTION PO BOX 874 252-249-0149 ORIENTAL, NC 28571 PAY TO THE ORDER OF First Citizens Banffrrstckns.com FOR 1018 DATE 66-30/531 472 OLLARS II'0❑ 10 L811' 1:0 5 3 L00 3001:00 t, 7 L 20 20 4 q 711- w