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Home My WebLink About51533_SMITH, GREGORY_20071016❑CAMA / ❑ DREDGE & FILL j. G,ENERAL PERMIT E]New ❑Modification El Complete Reissue/nvironment Partiat'Reissue As authorized by the State of North Carolina, Department of and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Previous permit # Date previous permit issued Applicant Name (,y�p�_(�pq� Project Location: County Address -r Street Address/ State Road/ Lot #(s) City State' ZIP Phone # O Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Subdivision City Rules attached. ZIP 533 ❑ES ❑PTS Phone # ( ) River Basin ❑ UBA ❑ N/A Adj. Wtr. Body y .. � i j' ' \,' ; t (nat /man /unkn) Crit.Hab. yes /'no Closest Maj. Wtr. 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Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date xp� iratti6nn 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 ❑ 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. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 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) 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT F C6vn P S /W r- ,4 I hereby certify that I own property adjacent to!;- -s property located at �Q %'MP G uT PLo A 0 %�La) fiJ c' Lot, Block, Road, etc. on 1% / in Am ) [ m , N.C. Waterbody Town And/or County He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT {To be filled in by individual proposing development} F}%A(JJe'/ Pek'v 1✓,r-yL Jg,jL)LN-eAQ To %e,eie� e�v�✓� fD (LeTu�N rT T4--e aLSO iek�b L X L 'V 4ggnat�ure� Print or Type Name tea- s�0 Telephone Number Date L / 9-- r% ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent toop L` Cad/' �j �AuL r'19 f property located at,� TLot, Block, Block, Road, etc. on , in Pt+th Ll Cr, N.C. Waterbody Town And/or County He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT {To be filled in by individual proposing development} T7+�cN w V) -KoL)64L--i0 Tetet?y 6/3RONL2 xis L1�la e,90 �,✓Q Cd�7; L= �. d2 �/a ` /�c 20S'S P2oPe2Ty f}T TT�-e e 'Q/ IV i D e 2 iq "'- 0 / 1 C' o 1,, i -rj4 I a' L D A-i0 . L (l ►4M. P Pt( To C e (� O LX'14P 64fd Pi N y L Signature 7—X— Print or Type Name (?/�? .— 5-V5>—d 76 C Telephone Number Date l%� GREGORY SMITH — nm NCDL 3039849 PH. 252-523-7160 66-770412531 4058 6604 WYSE FORK RD. 08606228516 DOVER, NC 28526 / PAY TO i _-_j, ryR ORDER OF � State DOLLARS r Em Ioyees' Credit Union® 186 Kinston, North Carolina 1:2531??o4ril:06606 228516u■ 40-S,