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HomeMy WebLinkAbout33177_HARGETT, GLENN_20030204ETCAMA El DREDGE & FILL GENERAL PERMIT 4evious Cl New EModification EComplete Reissue OPartial Reissue permit 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 0 Rules attached. Applicant Name':) T 7-- Project Location: County Address Street Address/ State Road/ Lot #(s) City State zip. Phone # O Fax # O Subdivision Authorized Agent City ZIP Affected El CW L�EW CD^PTA El ES E PTS Phone# River Basin AEC(s): E OEA L1 HHF [I lH [-1 UBA El N/A Adj. Wtr. Body (nat /man E PWS: L] FC: ORW: yes/ no PNA yes / no Crit. Hab. yes no Closest Maj. Wtr. Body p le rap le istance offs distance o in,channel cubic yards t ram NINE MEN IM'i&ILIIINN� MEN ELI —MM--- MEN ME EI No I W IMP19011 111121111 F Ar a PC MOW", Iff, In ZM NO OEM ME MEN Iwo WW's miiiWAN III � n� ii f ��w��� ��1�r I�i�� Agent or Applicant Printed Name Permit Officer's Signature Signature "Please read compliance statement on back of permit" Issuing Date Expiration Date Application Peels) 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 (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax: 919-733-1495 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 Hall 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.nccoastalmanagement.net Revised 10/05/01 H GLENN HARGETT JR PO BOX 81 JACKSONVILLE, NC 28540 Pay To The Order Of Wachovia Bank, N.A. J-keor QI,, NC'28.340 Memo e;F&331 7 -7 i:05310IS291: 4L86 L05400110 �LL7 D HARL ND 2000 P .o LENNBoxeH1ARGETT, JR. JACKSONVILLE, NC 28540 1117 66-152/531 CC Date $ �WpD_ Dollars WACHOVIA WACHOVIA BANK OF NORTH CAROLINA. N.A. JACKSONVILLE, NC 28540 3440 66-152/531 PAY TO THE ORDER Date 1/30/2003 Or $ **100.00 NC DENR DOLLARS One Hundred and 00/100************************************************** aSecudry features t )=Detailsils on back. NP MEMO .33 i77 i:05310L5291: 4L86 10540011' 3440 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 91" '5# 9� x I hereby certify that I own property adjacent to k6%W 44kbiy'r is (Name of Property Owner) property located at P lya— f f (Lot, Block, Road, etc.) on tvtt't �4 Ck , in PA)0f ,i- ic�S�t�r� , N.C. (Waterbody) (Town andloir 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) Ak I c-L e A,6�k , Z/ 3� Q�"' , d� , -- - - Signature Print or Type Name 61(D ('' o Telephone Number Date: 7'4�' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT C/o -Yql;z 5- I hereby certify that I own property adjacent to is e (Name of Property Owner) property located at RJva ja-E&7- (Lot, Block, Road, etc.) on I"41LI- in -*44,r-)V,U4— 101064F"i 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Tobe filled in by individual osing..deyelovznent) Awlwik) J'.J 'e0JJr I q � o-1) '64(acyl-A 144 r 14vig io � _ � �, � � 3 N� �d�e. lvo � of -6 S' natu& Print or TName q I h - c) Telephone Number Date: IFFY 0 1 Q DO S