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Home My WebLink About52111_GASKILL, BARBARA & CLEMENT_20071210111 ❑ CANIA / I�DREDGE & FILL GENERAL PERMIT revlous permlt ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Res rces and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC C t ❑Rules attached. Applicant Name ` 0-14 .� i Project Location: County _ Address Street Address/ State Road/ Lot #(s) i, City _ State ; -.. ZIP Phone # ( ) ; -), i -Fax # (— Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Subdivision City ZIP Phone # ( ) _ -` J Y� River Basin Adj. Wtr. oody�I ,t�4 t'� is ��. { .I ti 'y1 � „( t /man /unkn) Closest I1 Sody t. ■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ .. ■■■■.....��..-----------�■■■■fin■■■■■■■■ ■■■■■�:�w�� i`.■■■�■■www.�e�■■■■■■w ■■■■■■■■!t rir��i�■■■■mow■u�■i�■■■R�!�ww�r■■ ■■■■■��■■■■■■■■■■■::■■■■::o::■■■■ Agent or Applicant '?rinted Name Signature ** Please read compliance statement on back of permit'* Application Fee(s) Check # i Permit Officer's Signature issuing Date Expiration Date Local Planning Jurisdiction Rover File Name f 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 ❑ 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 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 �a1v(nO 4,130AJ ,;).p)S y�,46)N 0 10 Q,/)l -77le Mi 4 z L-: - (71 /-v-�' L,-� / �y -Z1,9-oe -Aofv alv MO I "S: I arm) Vil �IW80 � h1 J� ENVIRONMENTAL HEALTH WVFSION--__ �p ��• J CARTERET COUNTY HEALTH DEPARTMENT 's10 ROVE ENT PERMIT BEAUFORT, NC 28516 (91) 728_8499 Gad ID FOR 60 MONTHS bject to revocation i,f site plans or if ite is altered or intended use is changed. DATE ELECTRICAL PERMIT REQUIRED: Yes ( ) No ( I OPERATIONS PERMIT REQUIRED: Yes( ) No( v), OWNER:C 6<1S ! L L ADDRESS: r bHONE: Z S 1 / L/ PROPERTY LOCATIQN`. Yg— SUBDIVISION: / / /,J7 L� JV )N LOT: BLOCK: TYPE STRUCTURE: r/ oJi c NO. BATH!S: NO. BEDROOMS: NO. PEOPLE: by(Z (F3 DESIGN FLOW: 31 GARBAGE GRINDER: Yes () Nov) SEPTIC TANK: GAL. PUMP TANK Cn„ 827-2-1 M.E. CLASSIFICATION. —Z-New-,C�on'struction ❑ Repair ❑ Existing System -SYSTEM HALL NOT BE INSTALLED UNDER WET COND 'Trench b ttom depth to be no deeper than' /•ff naturally o curring s�rface. NO: GAL. LINES: �� WIDTH: � ( � � TOTAL.:LENGTH:. FT. TOTAL: 2-6) WATER SOURCE: NO, `SQ.FT. \� HORIZONTAL DISTANCE FROM WELL: SITE MODIFIED: Yes ( ) No FT. \ DRAINAGE REQUIREMENTS: EASEMENT REQUIRED: Yes No DRAINAGE MAINTENANCE REQ.: Surface( Sub -surface( ) MAINTAIN MINIMUM 10' FROM WATER LINE � L 0 C ,M us7 13E liS COMMENTS: . k'? Jr 'Prior to any change in system layout, approval must be obtained from Health Department. NOTICE: Construction must comply with all state and local regula- tions. Do not install well until well site has been approved. Do not cover any portion of the system until approved on inspection. NOTICE: Beware, much property in Carteret County is subject to Wetland Regulations and properties containing wetlands should receive approval from U.S. Army Corp of Engineers priorto develop- ment. "ADDITIONAL/REQ�UIREMENTS ON BACK OF PERMIT. IMPROVEME9TS P MIT BY: ENVIRONMENTAL HEALTH SPECIALIST /QQ 8 EW47?T 'w? I V t% ENVIRONMENTAL HEALTH DIVISION CARTERET COUNTY HEALTH DEPARTMENT N BEAUFORT, NC 28516 (919) 728-8499 f CERTIFICATE OF COMPLETION: I., . Ground Absorption Sewage Disposal System G.S. 13OA-337 Notice: This certificate of completion in no way binds the Environ- mental Health Division of Carteret County Health Department nor > implies a guarantee that this system will function in all circumstan- ces, but that the system is properly installed in accordance with applicable rules and Article 11, Chapter 130A of the North Carolina General Statutes. OWNER: L_ -Y' SITE hO ATION: C_U ( rl LAJ H 1 .71 / ' U• C % +�JQ//V6 INSTALLER: `a. ry C �t SNG� f roCK - INSTALLATI N INSPECT TED BY: N S I N iU DATE: 1 ()' I {- c( Ll 8272 lid New Construction ❑ Repair ❑ Existing System l✓. 101 S )� �, P ELECTRICAL INSPECTION BY: DATE: \� LANDSCAPE INSPECTION BY: DATE: CERTIFICATE OF COMPL .TION D/A-FTrE 'ADDITIONAL REQUIREMENTS ON BACK OF PERMIT REMARKS: N0:D5 DIAGRAM OF INSTALLATION AS INSTALLED (if different from Improvement Permit layout) c x BARBARA A GASKILL NCDL 6206607 4718 530 CLEMENT W GASKILL NCDL 794279 BRANCH 775 r � 55 336 Stewart Dr Ph 252-504-3520 Beaufort, NC 28516 42�L- /o` r Date Pay to the Order of Rm Z"I-,O//w Feaiu�es Dollars WACHOVIA Wachovia Bank, N.A. wachovia.com For , ' L L C�L/t1 cr1t KltlL-- — r nv I:053000 2 L9i: 105466 L9 257 2811' 47 L8 BARBARA A GASKILL NCDL 6206607 4694 CLEMENT W GASKILL NCDL 794279 66-21/530 336 Stewart Dr Ph 252-504-3520 BRANCH 77585 Beaufort, NC 28516 �'� f� '� —L! ate Pay to the / i c ao L /u�C Order of oil r7 i `J► / i tiS�jt.1 G{ C/t �✓�c L�J Dollars WACHOVIA. Wachovia Bank, N.A. wachovia.com For i:053000219[:L05►,66L92572811' 4694