HomeMy WebLinkAbout33177_HARGETT, GLENN_20030204ETCAMA El DREDGE & FILL
GENERAL PERMIT
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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
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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)
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Signature
Print or Type Name
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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)
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Print or TName
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Telephone Number
Date: IFFY 0 1 Q DO S