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Home My WebLink AboutHarris, Worth❑CAMA / ❑ DREDGE & FILL N2 70459 A B C D GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue ❑Partiatl Reissue Date previous per issued As authorized by the State of North Carolina, Department of EnOronmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ` Rules attached. Applicant Name Address; City `_ i. Sta� . Zip - T i r Phone # ( ) Mail Authorized Agent El CW �Tw d4!TA ❑ ES ❑ PTS Affected ElOEA ❑ HHF 1-1IH ❑ USA ❑ N/A AEC(s): ❑ MS: nRw• nn PNA Yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City 4 1 tl t t l..'i _ ZIP_ t Phone # ( ) _River Basin _- Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ��;■�■iiii�■■■Ii■■►ll��'lt#■ ■NOR C�IN►lt�ila.a� HW ■�■��t/■■■■■■■■liSl■■■ ■i':'1�■t1�1■■■■■■■■■ ��■ ■■ Ohl ��■■■'��■��■■■■■ ■■�l■■■■■■■■■11�1■■(nl!■■■®iil!■■■M. ■■■■■■■■ ■■■■■■■■■■■■■1!■■■I!+■■fir �■■'.S"'..'�■■■■ ■■■■ ■�■■i�■■■■l:.iililii■ ■■■ ■■■■ ■■■■■■■ ■■■■ ■■■ ■■■■■ ■!1■t■1!■ ■■■ ■■■■ ■■■■■■!!■■lIi■�■■■■�■■■■■■■■■■■■■■ ■®■■■■■■■ram■r■■■■■■®■■■■ ■■■■■■■■ Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Permit Officer's Printed Name Signature Check# Issuing Date Expiration Date 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 Resources. Contact the Division of Water Resources 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 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home 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 - South of New River Inlet - and Pender Counties) Revised 7/06/ 17 PRINVOR wohddmw 51dbbrpw 1S to ..��-�-'" �� , o0ed� adlatent Ctc, Read, ��e A u00 t� at a oWn p` , . d�$ t,Olt� la , ,: R awe ardlat G° <hed at the above i hetebY cep > tPd , in 1G1t'3 meat pro�os $ \oGat St top � g\o� � the p l U,- � t° `W�tecb0 m$ as Shown b on osai � to cant has deSorib®d to this prvP �V�`ppM t►Si} p\� 01�1$ot�on Sala $ site dta e aP o to top° � O� pRO t o� �#off or a ao ation:\ have r tk��s p aCtlanS \ heye ob1 NofQ,�,'�`�1� to ��at1R Ust elopme qG .'� 1 p boathojse, breakwaan aocQss IPicW of r\parr bIartk be Ilins� area SiatB °r' p lal the �ppro� "� tlock ino of 15 froth tangy that a Prt ��mUm dicta ck, `log must In \ T\ be set h to Waive tihe 5etba 15� setback regv�remar`t i. me. of° ao Wish to Waite the 15 setbok reQuiremer 1 da rat w15h to the (M Wave acer� rope WOO Information) grope '� Si not or Y re - Si r aiiinq print or' T Vf {try fat Numb er /email address TeteAhone ate .val\d i or one calendar year after 5\�na 9 RnRIM182PER I tweby Certify that 3&*e�qt t0 -)d M7i 4 €a " iNanw of Property W � t (CftylTy CO r ) ....., The app : t has descnbeC to ate, rhowr bsavix. proposed3 ��avri have nn ot4ectjor W !Ns ovoposaf, eaetvakomern must rdt in dtmodwmn». h --Me dmwinq) i �s . .__ - WA . E, t r, dock, moorkV 04rwgs, boat ramp. btea ble setback ! ids 'a r.* . { you: v;> to e seek "}must in"inftf ttm �a,r., A U ek`"°tkfttart 1 do n*t W wnfv the ' Sethaa t6q Te nt,