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Home My WebLink About59166_LEWIS, MARK_20120308❑ CAMA / DREDGE & FILL GENERAL PERMIT ❑New ❑Modification L-Complete Reissue El Partial Reissue 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 Applicant Name t f ") ia':f. Project Location: County Address r .~' S Add / S R All# City--- _ _. r - - -- — State ZIP Phone # (_ )_. _ Fax # O Authorized Agent Affected ❑ CW EW ❑ PTA i ES ❑ PTS AEC(s): ElOEA HHF ❑ IH UBA - N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no treet ress tare oa of (s) Previous permit # Date previous permit issued ❑ Rules attached. Subdivision City ZIP Phone # River Basin Adj. Wtr. Body r:i /(/' // (nat /man /unkn) Closest Maj. Wtr. Body7t PAPIPM . . . - m■I/■■■■■�''■®ii■■■■■■%7�Ail�1■�lu)■i■ 01001 .ammo■■■■■! i`Ir MMICi■ ■rii� ■■1 ■■■ ■:�■■►.I■■■■■■■■■■w■■■■■■■■■■■■■ ®■I■■■ ■IWi(■■■■■■■■■■��■■�■■�■■■� ■■■i■■■mmomm1■�� ur■■®■mmm■■■■rug■■®■■■■■■■INow■ OR ■■■■■■1 1110 :"'A ■■■■■■■■l HEME■■■■ ■■■IM ■■■ ■■■: M � ::■m■■ l ■■■ NEE■■ ■■■ ■■■ mmmol ►!■■■■■■■! I,'. I■■■■■■■■■OMEN ...�:■■■:■■■� ■■■■■■■■M■■� JIMENi►� .. - • .. ■■ ■'L ■ ®■■m■■■■■miwl■■®■■■■■�■■■ I ■■■■■I�.-•■■■■■R,■®n�■■■■■■■1-9.1KN■■■I■■ ■�■■■�■■r�►MAC■.i��■■■��■■rr��sr��■■�rsl■■ ■I■■■■i■�■■► �I■Ifr■iir:il!®■�1■■�iiili 11■�1'' �T�• iiWIVIN ■L■■■■1■i�\■►A`.�(1■ir�r■■■■■■■il■■■ ►f1��TfLf■iifi■►li �.u'�r'�■ ��I�i ■■■■��■�:��iG«�■ire Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Permit Officer's Signature Issuing Date Expiration Date Application Fee(s) Check# 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, 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-888-4RCOAST Fax: 252-247-3330 (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