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Home My WebLink About56839_WEEKS, TANYA_20100921❑CQ.MAy / ❑DREDGE &'°FILL GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue El 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. Applicant Name Address City Phone # (`)_ Authorized Agent El CW Affected AEC(s): ❑ OEA ❑ PWS: ORW: yes / no _ State ZIP Fax # (-__ ) ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no .f Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP J Phone # (,) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body - • • MENNOMENNE INN ■■■■■■■■ ■i'i:uiii"liurlirl�illiii■ ■■■■■■■■tlli■■■■■■■ WOMEN■!!■ ■■■■., �■��NNEENNEEN_.�■ .M+ZI!■RROMEWW NZINFINAN■!■■■!!�■!� Will MWINEENNEMENNOWEENE ��i�!■ fit!■!■■■■■■■■■■■■■■■!■■ ■■■!■lily:■f�■t !■'!�If�■i��l�■■■■N■!■■■■■■■■■!■■■ �■■!■■■1�°ii !!■■■■■■■■■■■!■■■■■■■■■■■!■■! ■■■■■■!®■!!■■!I�i:�!■■■■�■■■■!■■■■■■■■■!■■! ■■■■1!'lIAan—EM!■awl.Isl�.�wl.�.`.�..u�...!■■!■■■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Permit Officer's Signature i I; 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, certifythatthis 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/ 1-888-4RCOAST 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 i Applicant: Date'9 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount CD r Dredge Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ rgv"Sa-d: 02"02"M RECEIVED SEP 9 2010 More..... 11eCtd Cify ®Cro RD North caroiiria Department of Environment and 11\141utura! Resources D'Wision foz Coastal Management Michael F. Easley, Governor Chadds S. Jones, Director William G, Ross Jr., Secret jr{ Date I E�pplicant;�iaaxae _1". )j l l ailing AcWress ;j sU S "h err I certify that I have authorized (agent) �D�� to act On axa�,- behalf, for the purpose r,, applying for and obtaining all CANLA_ Permits necessary to install or construct (acti 0ty) ---- 'finis certification is vakid thru (date) �igaaatu�,rc 1 �'3 (' l CD SEP -;.. � , ,- -- - - ...-�. V ... �.. _�.� i a l— .. • �,~ i Aft l .:� emu' t y � Vol 1.9� '�''�-; - r'~ y/'1� sa �' , '9• j CW# FIFP/vN CGV—EFz'D 501--I�1 Zf i r l�rNy '- y C::� 01A,'1-1 � �_ o�:cr:,'-' 2d c -t n: Cam• 0; i Gp ert 2/4"ucrj prop-ert-' lccated at (L-ot, Bleak, Road, etc.) on ,�N ADC ��►�H{-, Ln L ( aterbody) (To--n and/or C unto) He has desc.-ibed to fnc, ac shown be'_.ow, the developfient he is proposing at tt;at location, and, T have no objections to his proposal. I understand ghat a pier/uncovered 'boat lit must be set back a minimum distance or ila�e�n-lit (11 ') from myjarea of ripe amass unjess waived by me. I do not wish to waive the se back rev^ulrement. I do wish to waive that setback recuLrement. DESCR=O., A-ND/OR DR'WL--N G OF PROPOSED DEyB7 OP?rfE:'��I: (?o bet,/Wedin by individual Prnpoxi,7 development) �� c per l�f�ti_ I Ile U Ci G,47��5 �r-T Print or Typ,--- Pia;mr ACFIIED SEP g 2010 _ �,i a:.al a y J + !' t • ,/ J 9��1 r'ir. __ (f v _ l' - -_ �7% f.: �j Ira "v]), �.� .0 ✓f7, i li / p cc 'r'4-- rt-y Icralei 2C Mack, Road, etc.) on c N7g( in C 9K7r . ?v . C . ( aterbody) (To--n and/orj County) He has desC:Zbej to rye, a sao,bn be'_ow, the developtent he is proposing at that lc�:ation, and, I have no obje;:dons to his pro-pos—"I. I unde:stanc i 4hat a pieriuncoverEd boat 1i1= rust d set back a minimum distant✓ or" rii'�e~n rat (IS') tom my jarta or riparian acc-tss unless waived by me. I do riot wish to waive the seEback re4.;uirement. I do wish to ! r — waive that setbacc etuLrement. --------------------- RTPZTt�P, A--D/OR DRAWL'`+G OF PRO POSED; DEVELOP.'Ya:,f-T: (TO be JWed i,z by irzdivicucl prop rdevelp�ment) o Gk ►-)� C-- ✓ ,t �(Y1. L-1 e P ,W v�� P. n= r T� :.•- SAMMIE E. TURNER 5166 MARINE CONSTRUCTION ACCT ss-1lzrssl 252-725-3415 P.O. BOX 1885 MOREHEAD CITY, NC 28557 DATEPAY 6 [ 1 a TO THE l� C ORDER OF AA Security DOLLARS u °°l^ ��k BRANCH BANKING AND TRUST COMPANY 1-800-BANKBBT BBT.com NP FOR `�-\k J�✓ ((r/�/ -- II50000 5 L 6611' i:0 5 3 10 L L 2 Lt:000 5 2 L0 58 40 C3 r