HomeMy WebLinkAbout75671A_Troup, Gary G._20191114XCAMA/ YDREDGE & FILL
GENERAL PERMIT
YNew ❑Modification ❑Complete Reissue El Partial Reissue
No. 75671 fYf-
B C D
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
7-1 Rules attached.
Applicant Name GACL%M Ca (11 ,un
AddressIboG Good Rd.
City &C% Qrs CSbv ro. State PA ZIP 1'1(>50
Phone # W) S$p- 4'413 E-Mail � S,�t1000CC'fna��.Cb�h
Authorized Agent )t n tt, 5 �ck, ,4 AL
Affected ❑ CW MEW n PTA p ES 2 PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UIBA ❑ WA
❑ PWS:
ORW: yes / no PNA yes / no
Project Location: County 415 y It 0 Ct h�
Street Address/ State Road/ Lot #(s)
l u 1DeP L.-,o,3 d (� r
Subdivision CG 1C r C OY'L
City L 1, Lc, V,f-4 C;4�s, ZIP el `'IqO
Phone # ( ) River Basin PC' Sr? (' of C' � IC
Adj. Wtr. Body PG S k- V'( r(fnat Yman /unkn)
Closest Maj. Wtr. Body--
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Am
4� " 'ryale
nor Applicant Printed Name"' 114 -4 Y,
'
Signature ** Pleas read pliance statement on back of permit"
yoo. �c 119
Application Fee(s) Check #
Permit Officer's Pr' ted Name
h.
Signature
Issuing Date Expirkion 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-41RCOAST 252-946-6481
Fax: 252-247-3 3 30 Fax: 252-948-0478
(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)
(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)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17
1�
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: G P, t� 01,Lp
Mailing address'. / &, Ili
�'W5 A
Telephone Number; I I I I - - LA �
I certify that I have authorized [A-(ZTE S�KERC, mp'tz-1ME- — (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CANIA permits
necessary for the proposed development of V-L-K WE PPS I R Z
P m-c rj T
at my property located at - HLo-DR-tFTVJ00-DT)(Z-
This certification is valid through (date).
(Property Owner Information)
tignaiu—re
Print or Type Name
OU) K) -
Title, co. owner or tnistee for property
Date
71-7 - r) go - -qLE 3
Telephone Number
Email Address
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Tracking Number. 70181830000216020982 Remove x
Your item was delivered to an individual at the address at 11:10 am on October 22, 2019
in EUZABETH CITY, NC 27909.
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ELIZABETH CITY, NC 27909
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Result for Domestic Tracking Number 70181830 0002 1602 0975
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Clase/Servica: First -Class Certified trail
Class of Mail Codo/Description: FC ! First Class
Destination Address Information
Address:
333 LARLY LN
City:
SUMMERVII,I.E:
State:
SC
5.01911 LP Code:
29488
4•Digtt ZIP Code add on:
2329
DeBvery Point Code:
33
Record Type Code:
Street Record
Delivery Type:
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origin ! Return 1 Pickup Address Information
Address:
City?
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150911t ZIP Code: 17050
44NVK ZIP Code skid on: 9995
Service Delivery Information
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Delivery Option Indicator. 1 . Normal Delivery
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Payment
Payment Type: Other Postage
Payment Account Number. 000000000000
Postage: $0 55
We19ht: 0lb(s) t ogs)
Rail Indicator: Single Place - Letters
Other information
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Trackin8 Wmbar, 7018 1830 0002 1602 0916
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Destination Address information
Address:
4013 M€DOLESURG LN
City;
CHESAPEAKE
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State:
VA
5-018111 ZIP Coda:
23321
4-Digit 21P Code add on:
1866
Deilwy Poirot Code:
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Tracking bombers 701E 1830 00011602 0999
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