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HomeMy WebLinkAbout58804_NC WRC_2011090117CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New _1Modification []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 j P 9)1�16 Previous permit # Date previous permit issued ❑ Rules attached. Applicant Name r . ,til Project Location: County Address ", bra %t c E4 N Street Address/ State Road/ Lot #(s) City__ - ! _.. State 4C ZIPS Phone # ( ) Fax # ( ) Subdivision Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no !] EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no 58SO4C City -F%•r, 1; ZIP �)�s _ i ES ❑ PTS Phone # ( ) — t2 River Basin U BA ❑ N/A Adj. Wtr. Body rn• jJ nat man unkn r� Crit.Hab. yes / no Closest Maj. Wtr. Body °f1 ■■Intl'■■■■■■�■■■�:::.7■■�:1■■■■i■■■■■1i'l�li oil M■■ owl , s2_1=44111 =.:r■■■■.%■ ■L71 i■JI ice:■i ■■®%i ■Vim■ ■F; I ■■■■■■I�.i■■■ I■■■■■��■■m ■■■■■ .■■ ■E i■nib■■■■■■■ ■/Ci■�■■■ . ■�■� Ifi�il ■■®■ ■■�■ 1■■I ■■■■■ ■■ �■■■■■■■■■■� M. .. • ■■■■■■■ ■■■■■■■■�I 11111010110 ■■■■■ ■■ �■■■■■■A■■■■ ■■■■■■■■■t � ■■■■� Elm Icll limilm�Mal�ommmomm ■■n- WE ■■ I■■■■iasomm ■■ NommummiLomm ■■■■■■■.. ■NUMMU ...� t••�....a. ■■■■■■■■■■■■■ 'M:■ a:■■ ::■■::■:: ■:■::::■C■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Permit Officer's Signature j Issuing Date Expiration Date ApplicationFee(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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST 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 Aug 16, 2011 9:02:34 AM OCP AP DOCUMENT PAYMENT GENERAL INFORMATION DPG NEXT FUNCTION: ACTION: HISTORY: 08/16/201.1 09:02:30 BROWSE: PAY ENTITY 17PT VEND/EMP NBR: 566000372 40 VEND/EMP SHORT NAME: DENR DOCUMENT NBR: STRAITS081211. DOCUMENT DATE : 08/12./2011 PAYMENT NBR: 001 PRTL PYMT NBR: 000 IND AMOUNT SALES TAX/VAT VAT INCLUSIVE:. N SALES TAX 2 EXPENSE IND SALES TAX 3 GL EFFECTIVE DATE: 08/15/2011. FREIGHT EXTRACT DATE ADDITIONAL COST ACCRUAL CANC DATE: GROSS INVOICE 200.00 CURRENCY CODE PAYMENT AMOUNT 200.00 DISCOUNT TYPE NOT TAKEN AMOUNT PAID 200.00 DISCOUNT TAKEN .00 PAYMENT STATUS PAID PAYMENT TERMS NET PAY IMMEDIATELY PAYMENT REF NBR 0000051877 PAYMENT DATE 08/15/2011. PAYMENT TYPE ELECTRONIC PAYMENT ROUTE CD HANDLING CODE FACTOR NUMBER ONE INVC PER PYMT: YES REASON CODE/DESC BANK ACCT PYMT CD: IGO Postal CERTIFIED MAIL, a' (Domestic mail , n Coverage� ru -0 - Postage S Certltled Fee r\� r Return d=R Fe, 3� l3 (EntlorsemeM Required __ Postrrra4l i' Herb._ O ResMctatl Oellvary Fee (Entlarsement Required) J O coTotal Postage 8 Fe" $ v Senr To N G DT Er 1 SSreer, Apt. gyp,,. vJ ..______ E3or PO BOX IZ No. /�_ •, _____________4Jrj..172t-rrw-.- CNj: ...... .__._.__..--_.... _ She1a ZIP+{ _._ ____.____.___----- • COMPIete items 1, 2, and 3. Also complete amandDelivery t os■ Print Your name dn thereverse so that we can return the card to you. ■ Attach this card to the back of the maiipiece, or on the front if space permits. t. Article Addressed to: !J S w►t,o.v�t�j,v Ad /r t�pa-f Ai L A. Signabae x,k. 43 ❑„mot .., 8. Received by1ftdedl fVerrrb gi �C )j6L�L. ) C. D. Is delivery address d-dfererrt from item 17 ❑ Yes 11 YES, enter delivery address below: ❑ No 3. Service 11 Certified Mail ❑ ExpMS Melt ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mao ❑ C.O.D. 4 Restricted 2. Articte Number - — _ . _Delivery?(Oa Fee) I] Ye$ (Transfer from service mil) 7009 2820 0004 0608 2860 -- PS Form 3811, February 2004 _. Don7estic Return Receipt m ,, • o •-p ITI Postage $ r3 _ r certified Fee U,/ �• Foetm6� l7 Retum Receipt Fee X \�`; \Rg,e E3 (ErMot=emeM fleWlled) V Y` r3 Restdcted Delhrery Fee O (EMareemenl Required) N \ US m Total Postage a Fees $ S IL Ir ant 70 0 `tuVeet,V W: I or Poh3x'ft. �O7 MS 1�1 �i��c� �LALL qy, Srare. LP,a f` NL Z�S�3 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front If space Permits — 1. Article Addressed to: /I Gcr7r4J� yc,-,�7•-.� MA.tJ/1�'IrIJ plsLc Ce-y —L A. X WFA B. Receiv®d by (ft'ted Nerve) I C. Data of Delivery D. Is delivery address di fern from item I? ❑ Yes If YES, enter delivery address below: ❑ NO 3. Service Type ❑ Certified Mail ❑ BP —Mall ❑ Registered ❑ Relum Receipt for Merchandise ❑ Insured Meil ❑ C.O.D. 4. Restricted Delivery? (Ekta Fee) ❑ yes 2. Article Number 7009 2820 0004 0608 3003 (transfer imm service Iabe>J Ps Form 3811, February 2004 Domestic Return Receipt ozsss-0z rMtsao