44572_TAYLOR, BELINDA_20060316

CCAMA / ❑ DREDGE & FILL k
GENERAL PERMIT r
LJNevv ❑.Modification If lComplete Reissue ❑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 i Project Location: County _
Address Street Address/ State Road/ Lot #(s)
City �r,� i t State f ZIP J
Phone # ( ) Fax # ( )
Authorized Agent
#' ❑ CW 71 EW h PTA ES PTS
Affected I OEA -1 HHF - IH UBA N/A
AEC(s):
t = PWS: FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Subdivision
City
Phone #
Adj. Wtr. Body_.__
Closest Maj. Wtr. Body --
'%
n�
/Previous permit #
Date previous permit issue
e v
f Rules attached.
W&
River Basin
gnat'/man (unkn)
Agent or Applicant Printed Name n. `;Peivg icer'sSignaturewO- -----
41
Signature Please read compliance statement on back of permit IssuingDate xpirat n Date
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name
i

I
V
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
Iandowner(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
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:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(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: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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EXPRESS PHOTO
ENTER
Tear off receipt on other side.

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952853 Express Photo Processing 1 x -? C
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625848 Express Photo Additional Set x
914801 Express Reprints 35mm & APS Film x
879965 Express 5x7 from 35mm & APS Film x
904825 Express Film Enlargement from x
35mm & APS Film
297432 Express Greeting Cards x
777334 Passport Photo x
914868 1 Express Reprints from Digital Media Ill x
Tear off this customer receipt
61 Not responsible for work left over 30 days
Name Time Due
LIMIT OF LIABILITY: Submitting any film, digital media, print, slide, negative, or videotape to ECKERD for processing, printing or other handling constitutes on AGREEMENT
by you that any damages or loss by ECKERD, a subsidiary, or agent, even though due to the negligence or other fault of ECKERD, a subsidiary agent, will only entitle you to
replacement with a like amount of unexposed film and processing. Our acceptance of your order without other warranty or liability, and recovery for any accidental or
consequential damages is excluded.
This agreement excludes sQecificolly any counter offers e.g. statements of value in excess of replocement costs, requests for special handling, etc., unless ECKERD agrees in
writing to the terms of such counter offers and you include our written acceptance of your counter offer with your order.

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#*.C61ACXN R I PAR IAN PROPERTY UNifV ZR STA'A`l"`XZNT
I hetroby certify that I own propdr•ty adascont to:
property laoatad at ; i{l �i .— _
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in reounty)
The applicant described to me ss uhowr. Ck l ova, the development
ho/*h* is proposing in that location and:
I have no ; zNDJ*cti3nu to th.'s propoxal ._-
I do have objections to this proposal*
Description and/or drawing of propo**d duvolopmeen::