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Home My WebLink About34076_BILLING, CHARLES_20030717F—ICAMA / 7 DREDGE &FILLcy(� GENERAL PERMIT Previous permit # ❑New 'Modification ❑Complete Reissue CPartial 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 I SA NCAC ' ❑Rules attached. Applicant Name 1 % i -),I ?, Project Location: County i Address , 1' t d _ Street Address/ State Road/ Lot #(s)i City State ZIP Phone # () Fax # ( ) Subdivision --- Authorized Agent Affected ❑ CW ❑ EW ❑ PTA Cj ES ❑ PTS AEC(s): ❑ OEA ❑ HHF -1 IH ❑ UBA D N/A ' J PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no City , :,t ; .: ZIP Phone # (_) River Basin Adj. Wtr. Body_ (nat /man /unkn Closest Maj. Wtr. Body.. NE, ENNEN IMMFJ a N �. �!...M �..1.�■■■■■ 0 r�■!■ �■■ ►- NIEMEN MEWWROMMI1111111111 .. ■■■■■■■� n No v■ON ■■■ d■■■ll ■®■��■r�■■■■■■ No0 ■ No EMS MEN MMIIIWMMMMMM MEN NO ME ■■!■'/■■■■LFrn■■■■■■■■■■■■■■■■■■■■■ ►�W� ■■■■■ ■■■■mmm ME N�0■I/■W 1■■■■■I NME [3LL'�1291� M—qM .A /■■■■■■■■■■■■■■■■■■ ■■■■■V�N�■■■■■■i�iiiii�iy�i�::�■■■■■ • • • • ■■■■N.MWVA■■■ ■■■■■■■■■■■■■ N■■■�■N:i�■■■■■■ ■�■■■■■■■■ E-- 3 7 Agent or Applicant Printed Name ' Signature Please read compliance statement on back of permit Application Fee(s) Check # 1 Permit Officer's Signature i • i 1 � j �.f..? ; Issuing Date I Ekpiridfn pate 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 [)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 (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888ARCOAST 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) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www, nccoastal management. net Revised 10/05/01 THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM NOT VALID OVER $1,000.00 ISSUING BRANCH __�-,�_"...'•I' __6*22 5 0336 DATE JI 200t,_-5 __ __ -.-- - _ 93-541/920 PAY TO ORDER OFTHE 1 n, 111,q! DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE 1 AND OTHER TERMS ON THE REVERSE SIDE. 0 rip BBOZ 11 fwNrY C04.S-r- Ar _ r f3,*JRj&�GNER FOR DRAWER 6-m-34ogo o 8 CS r M F44FB NC CITY & STATE it, E 2 2 50 3 3EIiio 1:09 200 Si.. L 0:0 L 70? LOL.S L09 21" 0 tilts I)k,L I, Nii,\l IIAAN AkIlIKIAl INAll rk1%III,O1. III] 1;\, i, IIII 1 1 , .. ,I III, I,- I \11\1 IIA \ ,it, 1(11 J:I%I - \It ; , I ".I \11�1\( I 11I lllj:',[ 11 \11 I I\I)ft \11. \ (Of') m ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1-3 5' kAIJ J.A.jd E on (Waterbody)_ i so- a l b Property located at a4 (Town and/or County) -�- NC. The applicant described to me as shown below, the developmen he/,she is proposing in that location and: I have no objection to this proposal _ I do have objections to this proposal [ 4 »»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»> DESCRIPTION AND DRAWING OF PROPOSED DEVELOPMENT INCLUDING PROPERTY LINES, SETBACKS FROM EACH LINE, SIZE AND LOCATION OF PROPOSED CONSTRUCTION, LOCATION AND DISTANCE FROM WATER, AND ANY OTHER STRUCTURES ON PROPERTY. LE * "ALL INFORMATION MUST BE COMPLETE IN ORDER FOR APPLICATION TO BE ACCEPTED, Signature �-n�-�'�� ccx'�� a"-f' Print or typer!jENCF\ w 8,640 L k Telephone Z5 z - _ 13 (:�, Z_2, X' Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ta - AJP-AM LlgAJ fZ- on (W,ate�rrbod .Property located at I� (Town and/or County)' NC. The applicant described to me as shown below, the developmen he�she is proposing in that location and; I have no objection to this proposal \, I do have objections to this proposal NA, »»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»»> DESCRIPTION AND DRAWING OF PROPOSED DEVELOPMENT INCLUDING PROPERTY LINES, SETBACKS FROM EACH LINE, SIZE AND LOCATION OF PROPOSED CONSTRUCTION, LOCATION AND DISTANCE FROM WATER, AND ANY OTHER STRUCTURES ON PROPERTY. 13 * "ALL INFORMATION MUST BE COMPLETE IN ORDER FOR APPLICATION TO BE ACCEPTED, Signaturen�'^ K Print or type ID3E j ct-\ AL�� QP-dSL�Ls� k Telephonezzy- X' Date 7 --�L