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Home My WebLink About34064_GILDNER, DAVID_20030616'-ACAMA / ❑ DREDGE & FILL >' C 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 Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Address City Phone # (_) Authorized Agent Affected Ll Cw AEC(s): OEA ❑ PWS: ORW: yes /. no State ZIP Fax # () _] EW i�] PTA 11HHF 0 IH ❑ FC: PNA yes /�o ❑ ES ❑ PTS Cl UBA ❑ N/A Crit. Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP ll Phone # ( ) River Basin Adj. Wtr. Body '- r ) rt'`T "h t Ca J�u - (nat /man /unkn) Closest Maj. Wtr. Body �■■ ��■■ ■ ■ ■■ ■■■■■■■■■■■ _ p � ■ ■■MOO■■■■ ME ME ME ME ■■■■■■■1i■%■■■i"r■■�I■■■■■■■■■■■■■ ■■■■■■■■■■ ■■■■■■ ■N�li■■■■■■■■■■■■■ MME No ENIMME MESONSO ■■■ MEN MWEEMEMMOMMEM MEMO■M■■S■■ SOMEONE ■■OEM■IIIO■■■■NMEMOO ■■■■■iLE■■■■ES■■■�iIMM SONMSOONN ''`�■�6AR�■■C,i■■■■A� �pNN■■■m■■■�■■■ ■�1�Illvl�!'O■■N�:■■/INEM■N■■MHO �■ 59N��■pMEMEN ME M■AH■M■M■NOWME ... a ESE■■■■EMS ■■YSEE■■EEO■ NO EMS ■ MM■M�N■i Oui�i�I1L MME MEO■•.R_ME ME MMENE ,,,� :.... • 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 (910-395-3900) 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 15 I -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.nccoastaimanagement.net Revised 10/05/01 1881 66-152l531 CC DAV NANI H GILDNERR Q Date 171 LOBLOLLY DR PINE KNOLL SHORES, NC 28512 Pay To The Order Of po Iors W_CHQMAW B 1'inr wu,ll Sh-"rc ' NC 211 5- 4 �-a-3 , �• 5469 L L3559n■ L88 L 1:053LOL529 • ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ,Of1d- d 6,/a�lvii�',e is (Name of Property Owner) property located at A ®t (Lot, Block, Road, etc.) on C191V114 "/"a' W'4ie , in Lye ka11 5AyRE:s , N.C. (Waterbody) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and; I have no objections to his proposal. y d,o W1,3A /V- rz"Aty'g� Rapel'R"slivivrs 7® I *MiM'MU.n a(At,wwc a D DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) I(�e�+o �+�r: art`' F r 15 ti n►y ,i7a cK A►v d P"/' ivy s w, / /L Ak?w aQj Signature bo'-�'AL-ID Print or Type Name (518) -75,3 -2t141 Telephone Number Date: NL LF, 2D0 3 -29- 30 Cocp1:R 140, p F-R s H; dE A w p y p!tj — KNoll Sbop ES 31 32 G Ids E� SHE I c Anr a ScNIE �8 3-5- ,)VLLEr� s ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to DA V c% C?is (Name of Property Owner) property located at Atqt '31 (Lot, Block, Road, etc.) on C,I,wAl IJWtektdo4L , in IVIi /6111dll 'Vewes , N.C. (Waterbody) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. i do uf,'sA % W A1Ji�; lie .9cri elk' f?c—q a e,.V -r DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) ,5 e e dMode-d Sk',stCA e �iagorR `s /- iCle,4Wih —29— Si ature Print or Type Name -3/3Z. Telephone Number Date: �S b4 73 NA coopER }IOC pER s o;cl5Rwtqy P�u, K,jolj shOR ES' 31 G IduER 35" M(LL�R N �+3777W .sT � I Q � � 1 Nb!L��3f'S � 1 S 3 01 S / / 6"y Y grid N-90,0011 0� x kl"- P0(�