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HomeMy WebLinkAbout57905_NC DOT_20110610ACAMA / M'DREDGE & FILL GENERAL PERMIT 19 ew []Modification ❑Complete Reissue El Partial Reissue NY 5'7905 Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources ? G L y C p; L and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC U -7 N / r ffTRules attached. Applicant Name r �' pp Project Location: County Address CiState NIL ZIP 7 3 Phone # (fn y f?2-'7�f�'7 Fax #Authorized Agent Agent�a� Affected ❑ CW L4W G�TA EIS ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes /G� Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City lNz,�� %z �/C_. ZIP�`��I Phone # () River Basin Adj. Wtr. Body VTr ` Z� P)6Au 1M (nat /man unko} Closest Maj. Wtr. Body �el a ``+" I, — r., r MINN 0 MEN MEN IN IN No M NONE WHOM momomignommom IN MINMEMMEM Imommisommommommommmmm No MENEEMENE IN -mmmullmmmm"mmmm IN ONION IT 110 ,IRIML31ramm,o-jlpg IN . IN MEN ONE IN mom Emmomommsmoom ONE mmmmmmliimim No I EMOMENEEMEMENEEMEN EMMMEMENEEMENNE MEMEMMEM ME IN M I rrm OMEN No IN I 111 IMME MENEM o o INNOM MINNISIMEMMOMMEMEMENEM L- 'y'. 1 4 " 1 7 7 f4 �.lai�i o f . f1✓i �.:.r�r.: i ., r :_ , c,.,. r-s �.. Agent or Al5plicafit Printed Name PermitOfficer's Signature12. • / CcO `� r` T—�— Signatu�r/e— "Please read compliance statement on back of ermit "" Issuing Date Ex®iratipn Qat Q/ Fi c. C U W l7 i 7 t' y 1 4 +% C 5, '� n 3� ') 3"1 O '!' n N ApplicationFee(s) ? fa x"_, 'Check# Local PlanningJurisdicnon d Rover File Name A� RCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary June 13, 2011 NC DOT 113 Airport Drive, Suite 100 Edenton, NC 27932 Dear Mr. Willis: Attached is General Permit #57905C In order to validate this permit, please sign the permit as indicated. Retain the white copy for your files and return the signed yellow and pink copies to us in the enclosed, self-addressed envelope. If the signed permit copies are not returned to this office before the initiation of development, you will be working without authorization and will be subject to a Notice of Violation and subsequent civil penalties. 4 We appreciate your early attention to this matter. Sincerely, Stephen Lane Coastal Management Representative SL/lsb Enclosures 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper