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Home My WebLink About54136_FILE, JAMES_20090611! . � �Diql!E 112,C4MA / 1DGE & FILL ENERAL PERMIT Previous permit # ElModification ElComplete Reissue ElPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources /?4 //00 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC I " Elfkules attach d _+Y7 C Applicant Name Project Location: County Phone # Authorized Agent Affected Li CW "W7 LWA E�Ael L3 PTS AEC(s): 0 OEA EJ HHF El 1H 0 UBA El 1; N/A 1-1 PWS: F'), ORW: yes /(ncJ EIFC;— 1/1 - V -PNA yes /tio,/ Crit.Hab. yes no Stre FAddress/ State Road/ Lipt #(s) Kkv�-r Cityn"U AAJ t 17� ZIP Q A Phone # r as Rive B j'n Ad 1. Wt r. Body aman /u Closest Maj. Wtr. Body ON P1915 IIIFA � VL. MEMO MEMM■■■■..■. long MI ►•� .w M ■NOMMEM WNisomMENMENOM M11VMMMMMMM==M MENEMOM 11C....�.............. EMEMMENEEMEMOMEM r, =M=NMMM Up L WE a Pr P, a N_ -5. I" ■I MERVA.MMEEMENEEM■M■ M.■ M. WA 011010200 IAN �Elt>�ilt.�_ a 01P_ r, i i i i a 0 M M M MOMEM 0 MOM■INEEM SO NOMMEM 0 0 MON E ON Ea t, .�.C�■..'C�■C.�CCC. CM.:::.'M:...0 CC■CCC■■CCCCCC.■C NE Mom ■■.■■■■■■■C■ ME! W, MOMMMMMMEM■ FAMMMENIMMEMEM■ ON w 0 � ■ram CCiiiiC MEN Agent ' or plicaii;it, ) Printed Name Sign` re P1 "ad compliance statement on back of permit" Application Fee(s) Check # PermitOtTicer's Signature ISSU91gDate Expi tion to Local Planning Jurisdiction Rover HeName' �'L---'CAMA / ❑DREDGE & FILL GENERAL PERMIT Previous permit # []New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural �esources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Address City State ZIP Phone # O ` Fax # ( ) Authorized Agent ❑ CW ❑ EW G PTA ❑ ES ❑ PTS Affected AEC(s): El OEA a HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision / r City. ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body M. • • ■®...■........� ................... MEMENE 5. IMEMEMME !1 ■t�i■ 111!■W■■IlilIi!■NINKUMINE t°�ii1 ■■■■■ ■■■■■■■■■■■■�■■■IIF�' s�ii�iir�ii�■■!/Jfl■A■■■■■ MOEN MENEIVEN MEN ONE MENEM MENE 0 r, 140 & FAIN ME ONE 0 IN ON ■■.��..�■............ 00, NINE.. ■■■■■■■■■■ ■//Il■i1H■■■■......... ■■■■■■■ ■■■11■■■■■■■■■ ■■■■■■■■■■� +_ !■■■■NOMME■■■■■■■ ■■■■■ ■■® 0OWN!MEii■■iii■■■ ■■■■■■■■■■■■■� ■i!�� ii��l.ri■■■ Agent or Applicant Printed Name t Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date k Local Planning Jurisdiction s `" 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) 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 I hereby certify that I own property adjacent to (� ame o Property Owner) Q 21)09 property located at / Izi la2i- L ;? � City ®C (Lot, Block, Road, etc.) nCon C , in , N.C. ( aterbody) (T tivn and/or County) Applicant's phone �/ Mailing Address: 2� C �z�-�" 10 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 property owner proposing development) (Information for Property Owner Applying for Permit) Mai ' g Ad ress �- City/State/Zip gd ff (Riparian Property Owner Information) I Signature SA //I 'E'_ CdN I/V6b Print or Type Nagle S Telephone Number 4 of I Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to "UI`I1 0 ZQ09 (dame of Property caner) I � � i % ' head property located at ' �, ll7 �/ ;®�� (Lot, Block, Road, etc.) on tti'l.' , in (Waterbody) (T can and/or County) Applicant's phone #: U 41 ( n - c6iling Address: 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 property owner proposing development) -------------------------------------------------------- (Information for Property Owner Applying for Permit) Mailing Address City/State/Zip -------------------- —=--------------------------------- (Ri ian roperty Owner Informa Sign a ure Prine or Type Name umber C� Telephone Number ✓ 4-L-( Date Date JOHNNIE L. FILE PRIMELINE 147 LORENE W. FILE (�=3641 2220 ODDIE ROAD ' 4---+— 531 a500087t' SALISBURY, NC 28146-1289 PAY TO THE ORDER OF VBANK sz/ GRANM. Q?JAftNY.. V i1 MEMO i1 n 1 1:0 5 3 10 3 6 401: 4 50008 7 1 $ �cc' C) .DOLLARS 8 .... . IV MONITORING & COMPLETION REPOR [CAMA Major Development & State Dredge & Fill Permits] V, r PERMITTEE' S NAME: PERMIT # LOCATION: i FIELD REP. MONITORED BY PHONE: WQom] - ��I(� DATE REPORTEDLY COMPLETE: DATE OF INSPECTION 1) Do thLasured dimensions of the development differ from those indicated in the permit and workplat? vV� n r11... ,._. 2) SEDIMENTATION & F,40SION CONTROL disturbed areas? YE O [circle one] n 3) COMMENT: Has Permittee seeded, grassed, or otherwise stabilized all FUTURP79NITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action