HomeMy WebLinkAbout60136_CENTURY LINK_20120327NO. 60136 b^
❑CAMA / DREDGE & FILL
GENERAL PERMIT
Previous permit#
NNew I -]Modification ! JComplete 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 Name
Project Location:
County
Address �; L
Street Address/ State Road/ Lot #(s)
City _ State 1.._``' ZIP11
-
Phone # - 'IL° Fax #
Subdivision
Authorized Agent
City --.-its
ZIP
Affected Cw EW _! PTA _ ES -:J PTS
Phone # (_ _)
i fe'1 River Basin `
AEC(S): - OEA _ HHF -I IH _ UBA -_I, N/A
Adj. Wtr. Body
• "* 4- � h t ¢ 1 P1L hat man unkn
I- PWS: C FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr.
Body / #1
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cuDic yaras
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other �•�
Shoreline Length
SAV: not sure
yes
no
Sandbags: not sure
yes
no
Moratorium: n/a
yes
no
Photos:
yes
no
Waiver Attached:
yes
no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
(Scale: Al/p
See note on back regarding River Basin rules.
Permit Officer's Signature
Application Fee(s)
Issuing Date Expiration Date
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 (252-946-648 [)or the Wilmington
Regional Office (9 I 0-796-7215) 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/ I-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)
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Engineer:
CROOM, RACHEL H
Work Order:
276337
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Phone: W Creete:
252-726-8236 OI/16/2012
rint et-:
03/14/2012
Sheet: Of:
2 11
■ 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.
Article Addressed to:
MS.r-4- c�1 EcL . wlu.lAMS
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A. Signature ����
LT Agent
X / 919G / �? + �� < ❑ Addressee]
B. Received by (Panted Name) C. Date of Delivery i
s
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
RECEIVE)
3. Service Type
Jf Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7011 2970 0002 6386 5384
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1%0
UNITED STATES POSTAL SERVICE
, 411
• Sender: Please print your name, aciclress, and 'ZIP*4.
First -Class
box
RACLiEL cp-00M
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mcr,p�caY, /VcZBES7
'. . WPLETE THIS SECTION
■ 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,
J or on the front if space permits.
1. Article Addressed to:
MR. MIZ S. aEPALD �F�RDLSo
4 IZE&Y- CZD.
JRCIC501UVIL..LG)NG
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A. Signature
❑ Agent
X
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by (Printed Name) I C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
RECE1V-rD
3. Service Type
J4 Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7011 2970 0002 6386 5377
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE
First -Class Mail '
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
P,AC�fEL CRflokk
Cc-MTI4AYL.I Nam.
16Z-5 M. 20':� -5r--
M OP,Ek{E-AD CITY, NG 26SS-7
CENTURYTEL, INC.
ATTN: Controller's Group
P.O. BOX 4065
�. MONROE, LA 71211
1-877-386-7151
JPMORGAN CHASE BANK,
DALLAS
CenturYUnK" Void after 90 days
*** EIGHT HUNDRED USD***
Pay to the order of;
Check Number
0003895371
88-98/1113
03/16/2012
USD
***********800.00*
NC DEPT OF ENVIROMENTAL /\
AND NATURAL RESOURCES
400 COMMERCE AVE
MOREHEAD CITY NC 28557 rG)l�;L / ��
l.� l:i Protected by positive pay
119000 389 5 3 7 Lii' 1: L L 1 300880l: ii90 58000 798 7ii'