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Home My WebLink About56932_CLARK, WINFRED_20101029❑CAMA / ❑ DREDGE & FILL r,v EN E RAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue /ll 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 Address r City State ZIP_ Phone # ( ) : Fax # ( ) 1 Authorized Agent t ,j Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City. ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ■■■:■■■E■■■ M■■■ !■:!■■:!■::■■■■:!WM1M■ dG1l■!■f1f1■■■■L�II■■■!45!■!!■!!■■■!■■!!■■■■■ :- !■ ■■■■■IIiR.'I l��l ,�'l■ir■■�■lOrrl■il�:[I!1!!��i''i■!!!■■■ ■! ■■■■■■M ifilMEMEMEMMEM �i�■■!!!�►!!!■!N!h!1■!■■■■■!■ No ■!■■■■■ ■■ ON ■R■®!llWil■1�3/itii:s■a'�,;�". WSW, ■ l�F�■!!!■■I■�IC!■■ o■.■!!■■■■ ■■ !■ ■Ihi�ll■■■■��i'�fli�il�■l�ii�■��J■■!�■Qi�:■Qi\■■■■■■ ■■■■■ ■■■■r■i1i■il■�■lfi�l■■■■■■■■■■■►1'■®■■■■ ■■IO/J■ ■■■■!■■I«!!!I■■■!�i!■■■1!!■■!■■■■\ CIN■■■■ iiiii■iii!liiiiii■iMEii■■iiiii®i■iia ISM01 Agent or Applicant Printed Name Permit Officer's Signature I Signature ** Please read compliance statement on back of perrpit *'*, Issuing Date Expiration Date ApplicationFee(s) Check# Local Planningfurisdiction 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 (252-946-6481) 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 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) Revised 08/09/06 Applicant: 4 Date,: 1 M �1��I0 Describe below the HABITAT disturbances for the application found in your Habitat code sheet. All values should match the name, and units of measurement Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or mp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other ' ❑ Dredge ❑ Fill P Both ❑ Otherj7n s2c Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I HERBY CERTIF THAT I OWN PROPERTY ADJACNET TO?/ a� .r (NAM OF PROPERTY OWNER). PROPER ON (WA HE HAS I PROPOSING AT PROPOSAL.. DESCRIT DEVELOPME] a5e-d Ljl� )4` LOCATED AT 100�, at),,' (LOT, BLOCK, ROAD, ETC.) ,IN ' k"e' d` ,NC 'ERBODY) (TOWN AND/ UNTY) iCRIBED TO 111E AS SHOWN BELOW, THE DEVELOPMENT HE IS [AT LOCATIION AND, I HAVE NO OBJEACTIONS TO HIS ----------------------------------------------------------------------------------- ON ANUOR DRAWING OF PROPOSED (TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT) k WLA-11 7w A I- i re print type name ?` Telephone number I fin`, / " IL V DAT Oct 15 10 10:31a Jean Joyner 10/15/2010 FRI 9:57 FAX 2526383022 Terminix Office LODI Od 15 10 08'32a ALdrery ARP40LD 2919567 P.1 F9002/002 252-726.3018 p.2 ADJACENT I HERBY CERTIF4 PROPERTY: (WA' HE HAS DES PROPOSING AT TIH PROPOSAL.. DES( DEVELOP. pra P05<d I `C ARIAN PROPERTY OWNER STATEMENT T I OWN PROPERTY ADIACNET TOV NAM . OP PRVPERTY O1W m i ' ►GATED AT 17 %D 3, (LOT, BLOCK, ROAD, ETC.)- i •� � �S�-' ,1�zC ;BODY) (TOWN ANDI UNTY) UBED TO M6 AS SHOWN BELOW, THE bEVBLOPMENT HE IS C LOCATIION AND, I HAVE NO OBJEACTIONS TO HIS ON AND'OR DRAWING OF PROPOSED (TOBEF1LLW rN BY M-DJVIDUAi, PXfJP091',G DEVELOPML•Nn b � f7 d A �9 D J4 i .i ! 1` T fSd DoG 0 S N W* -qqj-Lvfe# k � kd--I Iv JP print or type name -?y3-la5Qa Telephone number DATEJp -L T-!0 LARRY G ARNOLD SR DBA LG ARNOLD DOCKS & SEAWALLS PH. 252-241-2636 2779 MILL CREEK RD NEWPORT, NC 28570-6011 BRANCH BANKING AND TRUST COMPANY 1-800-BANK BST BBT.com T L - i 2063 66-112/531 , 01, I:053 1011 2 Li: - I 0005 295798 IS911.0 2063 H.Ae Clarke.