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Home My WebLink About43275_HENDERSON, WINSTON_20080815�GlMEL PERMIT Previous permit # f aw odincatlon OCompioto Reissue Opartw "ISSuo Date provious permit issuod As suthcrhod by ttu Swa of Nord Carolina. Caparanentof Envlronmontand Naturai Rpfourcos and me CoasmI PASOLrCOs Commission In an aroa o(orwlronmorital C4ncorn pursuant to 1 SA NGC 7,�/, If m atsathad Appiit;art Narrla�f�✓•^� � �� js`� r� � Addrws S !o it City CJ,cd� Scats !!C. ZIP Ph.4ne # Autl.crkad Agent . e- C1 Cw Ci&6+ Ci 4*- yG& ❑ 1'TS EC( AG 13OFA CI Ili HNP ❑ ❑ tl9A D N/A /icC(s}: PW& o CRW: ya, PNA yo Crit. Hah, yes / no f'ro}w Location' County twr� - Streat Address! Stmc Road/ Los Subdivlslon / r_�,. City G .J AG e- aA¢�C� ZI¢ �_._!A.. phone# (____) ,f River�8asln��_ Adj. Wtr, Body�t+l_O_L_ Of r tow Gasast MI. Wtr. Body-- Type,niPmjacVAct1v1ty,�%.+l��r+✓1ffr� r , Plar (dock) IWO — -� ' T[ — �t' ii� : 'Z— � T i -rT` riTr'1� l I I r- T - -" - Platform(r)__ . Anwar plat(=) j Groln Iorph number 54kh4aN Alprap bno —� aVA distarica offshore — max dir"a offshore gas hannol lj- l cu6icyerd► _Z! Bwt ramp 6oatF.oucJ 3wdlft _ _ __ I Basch 80dozirC Other T I-• j t shorAllns u��z�� I•_' SAS►. not dun ym SindUW: not ours ye7 i Norslarktm' rva yf Photcs: yes . YmvarActschodr yet A Wilding parml; may, be required by: ❑ See noto on hack re`ardit Rvor Basin ••alas, r i19OrWME•MN5 r3.'":»sa —mu arApp4ln41°�i�tedNanm 1 , Slanuv^`'r'e� �� Pleaso►'esc�com pllancn antornet�rr�aGiraf perrnlR �' Appticatlon roe(t) Check 00 Por*Nt0(Ilar'sS�nawre r /t Isw Que Ex don Oates Local Plannln jjurisdicson Plover Fits N:nna ]CAMA / ] DREDGE & FILL _e:J 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 =� Rules attached. I j Applicant Name ?G -4 Address City w, s State ZIP .: Phone # ( ) ! /' ' `1 / Y Fax # ( ) Authorized Agent 7' ep I ;r', f /, ; �rrg.�C. �✓ Affected Fj CW ❑ EW ❑-PTA pES ❑ PTS AEC(s): OEA ElHHF ❑ IH ❑ UBA El N/A PVC/S: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Type of Project/ Activity Pier Platf Fing Groi Bulkl Basir Boat Boat Beac Othe Shor SAM Sand Mor: Phot Waiv Project Location: County_ Street Address/ State Road/ Lot #(s) Subdivision_ City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn� Closest Maj. Wtr. Body (Scale: / - �4 j) ' ) ■■■■■■■■ ■Fown �■■■■■■:■■■M::�■■■■■■ 011 ■ �i■ ■■■■■■■■ N ■ ■ .�.�_ C..■.■■■■ .. c ■■ ■■jell •��I/',rril�./ _ I�■■■■■■■■■■w■ � a■ ■■■■ Pr` Ism" 'zii Ci�iR�� iir■�ioi M. .. ■■ ■ ■■ I A UNAMA"WIN■■■■■M■e■V■r1■ ■ illoomNommo ■■ ■■ ■■■■ IN.=■■I:I■.■■=C. MnvMM lvEuviMEMEN l ■■■■■■■■■■■■■■�IM■■■�eYC■■■■■ i■■■ ■■w■■■M■ e� �.1901 � ■�■■■ ■■■■ ■■■ ■■��.��..■■Ef �■■i.■ A building permit may be required by: Notes/ Special Conditions Agent or Applicant Signature ** Please read compliance statement on back of permit Apptication Fee(s) Check # L See note on back regarding River Basin rules. r I `,..l..__ Permit Officer's Signature s r f� Issuing Date Lt ',y Expiration Date 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 i � Other: Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmer:,,d Ma !agement 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 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 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 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST 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 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Orslow -below New River Inlet- and Pender Counties) Revised 06/29/05