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Home My WebLink AboutMartin, Kerri 79589C•jGAMA / ❑ DREDGE & FILL N9 79589 A B < C/ D WG,ERAL PERMIT Previous permit# 6-IT ❑Modification ❑Complete Reissue ❑Partial Reissue 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 El Rules attached. Applicant Name /�' f ' �' Project Location: County Cat- r � Address j I / " - ✓ /' Y / ^ r Street Address/ State Road/ Lot #(s) City /1-� r^:. �� State�� zip Phone #O E-Mail Subdivision ._- Authorized Agent City ZIP — ❑CW €w-❑P.'i`A ❑ES ❑PTS e# Phon( )_ _ River BasinAffected E1 AEC(s): 0 HHF ❑Ili El ❑ N/A Adj. Wtr. Body _ nat_/nbn /unkn) EJ PW ❑ PWS: Closest Maj. Wtr. Body - ORW: yes / no Pill yes ,/ no ME N ■®■■■■■■:■■■H■■■■■■ ■II/If/1 ■■■ ■■M :::CC...C::..�..C:■■■C■ ME ONE ME IMES ME No ME .�........■►��■.. MIME ...o......C... ■■N■`■■■■ ■■NH■■■■■■■SEE ■■■■■■ MEN ■■■:q■iiOil�1■G'\�■an■■■■■■■■■■■■■■ ■■■■■■ ��■■■■��■■ks\■■■\■■■■■■■■■ NIUE HOP an 0 ��ww�w�■w■ ,a ��■■s �■ ■■■ ONE P& MEa...... 1111MO■■■■■■■■■■■■■►`�.■■■■■■r. ..■�■■.. ■ N■ ■■■■■■ •■G■�fjM■■■■■ ■■■■■■■w.■■■■�■■■■w7■■■■■■■■■■■■■■ ■■■ C: '. :: Gam'.: ■■.... . EME MS �CC � M :�■■oj■■�w�:■:ii �::■::: �11'r I ��CIY}11'1 Agent or Applicant Printed Name A1� en �^1 X t k,ry A (Y .lVlaTUt1%, Siggature *• Please read compliance statement on back of permit•'' yq0 Application Fee(s) Check# lcel Printed Name Issuingbate % - 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 I) 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, certifythat this project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Neuse River Basin Buffer Rules ❑ Other: 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 complywith 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) 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 Pander Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 so that 7, 2 and 3 a Attach th/e canth ro d ada ess e 7. "Add front if acto fe back of o yourava�e ressed to: ce permits, the mail Oul P/ece `/tl a lw90 8402 22 p4 619 3. i� s/ertromsev 326p53 oA m381 l� 11 `g�a°0 Q r' dUIY2016 3l Z538 onl 3N's3p-oz- 16 98 ODD 9p53 8 rd ■ Complete -items 1, 2, and 3. 1 [A.,■ 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 frontifSD2Ce no"ifc I. Ar[ICIB HptlrB3e !t0' 3. III�III'II�II IIIIIIIIII III III II III'll'IIIII�II ❑ 9590 9402 2204 6193 3260 60 0 1 e11U 0001 1538 1681 �� "y"��pt, •Y'�*��02-000.9053 � r C"aV,� IQ G11 ❑ Agent 1 ❑ Addressee e) 10. Date of Dslivem D. 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