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Home My WebLink About56983_GEORGIA CAPITAL_20101117r� 'EDC ',MA / ❑DREDGE &FILL f�� r. L PERMIT J" Previous permit# C�NERA New ❑Modification ❑Complete Reissue []Partial 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 1 SA NCAC 11v', AC Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) ! City State ZIP Phone # (`) Fax # ( ) Authorized Agent 0 CW ❑ EW ❑ PTA C ES L PTS Affected AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / - no Crit.Hab. yes / no Subdivision City ZIP Phone # River Basin I ` Adj. Wtr. Body 1/111 (nat /man/unkn) T Closest Maj. Wtr. Body f ■■■■■■■■■■■■■■■■■ ■■■■■ ■■■■■■ :::_.■_■■■■==MMEMMEMN •. M. a' ME Mail JAN. ■■r■■■i■■■\(I�111■■■■■■■■■■■r■■■■\i1■■■■■■■ I■■■■■■ ■■■■�\�■■■■■ 1- 1Ma■■■■■EM■■■■■■t ■■■■■�■■■■■■1■�� ►�■■■�■■■■■ mill-ION■■ ■■1 ■■■■■■■■■■III■■■■■■■MMMMM\NONE ■■■■■■!g■■■■■■■■■ . ■�i RENOWN MEMO ■■■M■■■■1■■■1�■■■M\E['*,!.■■■■■■■■■ 1111111110111101111 3 ►l■tP'l■■■iilt� W■■\`■■■■■■■■■■■■■■M AINORN0■ili�i ■iiiilil■■■■■ Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" PermitOfficer's Signature Issuing Date Expiration Date Application Fee(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 complywith 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/ 1-888ARCOAST 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 NC Diviseon of Coastal Mgt. Habitat Impact Computer Shee- Applicant: Georgia Capital Date: 11 /22/10 Permit #: 56983C Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) ) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Shallow Bottom Dredge O Fill El Both ❑ Other 0 1140 1140 Shoreline Dredge ❑ Fill 0 Both ❑ Other ❑ 380 380 High ground Dredge ❑ Fill 0 Both ❑ Other ❑ 1140 1140 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised:02/03/10 ■ 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 N ,n�"^`,� IIt(%s 'T A. Signature B�ece}yed by (Printe�j N� Date of Deliver D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No \� 3.,Aprvice ent Type certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandis( ❑ Insured Mail ❑ C.O.D. 7 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7009 2250 0002 8368 6271 (Transfer from servk PS Form 3811, February 2004 Domestic Return Receipt 102595-024-15� I SENDER:• •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. / ❑ Agent ■ Print your name and address on the reverse X L�� 1� �.{ -�- ❑ Address. so that we can return the card to you. B. Received by ( rinted N�rr1e) C. Date of Deliver ■ Attach this card to the back of the mailpiece, or on the front if space permits. y� D. Is delivery address different from item 1? ❑ Yes 1. Article Addressed to: If YES, enter delivery address below: ❑ No y , 3. S icee Type i led Mail ❑ Express Mail r't t ❑ Registered ❑ Return Receipt for Merch ndIM ❑ Insured Mail ❑ C.O.D. a 8 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Numb 7009 2250 0002 8368 6288 (Transfer frorr ___ _ PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-154 NOY 12 2010 G id , 'm ..... ........ PIER 0 HIGH 0 Apr ?'0 r4OOAAi A030'Ace., Wti Al\fk)< i ku E ]STING G AVEL DRIVE O _ram 72� PE D OH 0H -1!:rp N�)/v .000, e 2- S2,3'34'58"W II EX. GRAVEL ROAD IN f , `t , !R, `� I -\JTILI Po TY\ L�-Pp /01 — V RIP -RA EX, GRAVEL RQAQ CA ScAp- 1 SO GEORGIA CAPITAL LLC GEORGIA CAPITAL LLC 4328 Department of Natural Resources 11 /8/2010 400.00 SIB RESERVE ACCT GENERAL PERMIT FOR HARKERS ISLAND 400.00 GEORGIA CAPITAL LLC 1 3525 PIEDMONT RD. NE 6 PIEDMONT CENTER STE. 305 ATLANTA, GA 30305 MORGAN STANLEY SMITH BARNEY p❑ FINANCIAL MANAGEMENT ACCOUNT E 800-634-9855 Ciubank, N.A. Englmood Cliffs, NJ. 11 /8/2010 PAY TO THE Department of Natural Resources $ **400.00 ORDER OF Fni1r Hundred and 4328 55-7265/212 DOLLARS Department of Natural Resources N f0 W ll. MEMO D�� .,�' I,..�WJ GENERAL PERMIT FOR HARKERS ISLAND AUTHOAZEos1GNATURE �i'004328,1' 1:021272655I: 108589261111'