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Home My WebLink About61073_CLARK, TERENCE_2012101011CA)k4A / JI DREDGE & FILL �v W6 NO. 61073 GENERAL PERMIT Previous permit# OKew OModification ❑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 Name ° Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # (-_) _Fax # (_ ) ' Subdivision Authorized Agent City----- ZIP CW = EW J PTA ❑ ES ElPTS Affected Phone # ( ) — River Basin AEC(s): OEA _ HHF ❑ IH - UIBA ❑ N/A Adj. Wtr. Body_ (nat /man /unkn) PWS: 7 FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity (Scale: ) I Pier (dock) length Platfo Finge Groi Bulk[ Basin Boat Boad Bead Othe Shore SAV: Sand Mora Photo Waiv n rpier(s) :� (' - -- - - --- - length number i eara P P length d/ Ri avgdistance offshore max distance offshore channel cubic yards amp 1 '' - _ -� ouse/ Boatlift I I E i BulldPzing '� _- • --- I line Length — not sure yes no bags: not sure yes no ----- torium: n!a yes no s: yes no — -- ---- -- -- - - er Attached• yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Nam ..4-- Signature Please read compliance statement on back of permit See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date Application Fee(s) Check # Local Planningf urisdiction Rover File Name A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Nam ..4-- Signature Please read compliance statement on back of permit See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date Application Fee(s) Check # Local Planningf urisdiction Rover File Name 0 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 [)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 comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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) ty to the - INTRACOASTAL MARINE CONSTRUCTION 3515 WHITE DR. MOREHEAD CITY, NC 28557 BRANCH BANKING AND TRUST COMPANY 1-800-BANK BST BBT.c0, % 1I00000 29 2 211 2922 k. / ��— 66-112/531 Date `is � Da�uls an 8ac4. i — M+ 531011 211:00051983t-,99L,311, A:�,�� .am :: N CDENR Noah C'i olina t Ii;,partment )f Environment nd Natural F:asources a ivision of Coastal Mana( :,ment Beverly Eaves Perdue:, Gov°i: i )r James 11, Gregson, Direc I ::lr I:)ae Freeman, secretary Date 1 o._ cant Nam. z __�, -_ L Y`J� Appli - l I Mailing Address-_--- 8er -- -L t to act on niy I certify that I leave 1tuthori zed (agent). ' =�---- pe behalf, for the put P ,5e Of a plying for ;tnd obtainingIQA {• CAMA peymits necessary to eot�'1 install or consi_ru c:1. activit, �) �U at (location) Thiso6ertificalidate ,o (date) -----� - .-t- 400 Cc -nrnerce Awr oe, Morehead (.3. 1,, North CaraiinrO8557 Phone:5,,' 608-;?B B 1 FAX:: fib:? •247-3330 \ Intern :;t: www,ncc.oistaimanaoem'9nt.net A, E l ,al opf: od , pity 1 Affirmati ie a coon Employer — 5r':b :: .:cyded 11 O% F osl consumer Pbper