20090502 Ver 1_More Info Received_20090518

oS o a.
® North Carolina Wildlife Resources Commission
Gordon Myers, Executive Director
May 11, 2009
NF9@"1e0V[91
NC DENR/Division of Water Quality MAY ? 8 2009
1650 Mail Service Center
Raleigh, NC 27699-1650 WM-WAM-QU V
WERAWSAND STOOYYAMR BR40
Re: NCWRC Grifton Boating Access Area
To Whom It May Concern:
Per your request, enclosed are five sets of the application and associated
maps for the Grifton Boating Access Area located on Contentnea Creek. Also
enclosed is the application fee of $240.
Sincerely,
A?4
Lindsay R. Jenkins, roject Designer
Division of Engineering Services
SS
enclosures
Mailing Address: N.C. Wildlife Resources Commission - 1720 Mail Service Center - Raleigh NC 27699-1701
Telephone: [phone]
Page 1 of 1
TO:
DEPT OF ENVIRONMENT & NATURAL
RESOURCES CONTROLLERS OFFICE
1606 MAIL SERVICE CENTER
RALEIGH NC 27699-160
RE:
Direct Deposit Notification
A transfer has been created in CMCS for the amount of
$810.00
for payment number 17PT0000037646. It is your office's responsibility
to
confirm that this transfer has been passed and submitted in CMCS.
These funds were paid by the following agency:
WILDLIFE RESOURCES COMMISSION
CONTROLLER'S OFFICE
TRADE ACCOUNTS PAYABLE
1751 VARSITY DR RALEIGH, NC 27606-
2576
Agency Contact Phone: [phone]
Please direct all questions regarding this payment /trans'fer to the
agency contact phone number listed directly above. This agency
maintains information regarding your payment records. Any questions
concerning payment amount and invoice information/documentation
should be directed to the agency's Accounts Payable office and they
will be happy to assist you with your inquiries
PLEASE DO NOT REPLY TO THIS EMAIL.
CONTACT THE PAYING AGENCY AT THE NUMBER LISTED ABOVE.
Invoice Number Inv Date Invoice Amount Discount
Amount Net Amount
WELDON051109 05/11/09 $570.00
$00.00 $570.00
DWQ 401 CERTIFICATION FOR WELDON BAA
GRIFTON051109 05/11/09 $240.00
$00.00 $240.00
DWQ 401 CERTIFICATION FOR GRIFTON BAA
TOTAL: $810.00
This notification was sent from the North Carolina Office of the
State Controller.
If this notification has been sent in error, please contact the
agency
listed above to make corrections.
https://mail.nc.gov/owa/?ae=Item&t=IPM.Note&id=RgAAAACChSeOTRSCT5TN0706x... 5/14/2009
May 14, 2009 2:01:16 PM
OCP AP DOCUMENT GENERAL INFORMATION DGI
NEXT FUNCTION:
ACTION:
HISTORY:
05/14/2009 14:01:11
-------------------------------
-------------------------------
PAY ENTITY 17PT
VEND/EMP SHORT NAME: DENR
DOCUMENT DATE : 05/11/2009
CONTROL NUMBER : 0950
DOCUMENT TYPE : INVOICE
DOCUMENT STATUS : PD-FULL
CURRENCY CODE
GROSS DOC AMOUNT
AMOUNT PAID
COUNTY CDE/TRIP NBR:
PO REFERENCE
SIGN APPROVAL CODE
DATES APPROVED
---------------------------------------
---------------------------------------
VENDOR/EMP NUMBER: 566000372 40
DOCUMENT NUMBER GRIFTON051109
CONTROL DATE : 05/13/2009
APPLICATION AREA : KL
DATE ENTERED : 05/13/2009
DATE LAST UPDATED: 05/13/2009
240.00 PROV ACCTG DATE .
240.00
REMIT MESSAGE: DWQ 401 CERTIFICATION FOR GRIFTON BAA
May 14, 2009 2:01:26 PM
OCP AP DOCUMENT PAYMENT GENERAL INFORMATION
DPG
NEXT FUNCTION: ACTION: HISTORY: 05/14/2009 14:01:20
BROWSE:
--------------
------------------------
---------------
--------------------------
--------------
PAY ENTITY ------------------------
17PT ---------------
VEND/EMP NBR: --------------------------
566000372 40
VEND/EMP SHORT NAME: DENR DOCUMENT NBR: GRIFTON051109
DOCUMENT DATE : 05/11/2009 PAYMENT NBR: 001 PRTL PYMT NBR: 000
IND AMOUNT
SALES TAX/VAT
SALES TAX 2
SALES TAX 3
FREIGHT
ADDITIONAL COST
GROSS INVOICE 240.00 CURRENCY CODE
PAYMENT AMOUNT 240.00 DISCOUNT TYPE NOT TAKEN
AMOUNT PAID 240.00 DISCOUNT TAKEN
PAYMENT TERMS : NET PAY IMMEDIATELY
PAYMENT DATE : 05/13/2009
PAYMENT ROUTE CD :
FACTOR NUMBER
REASON CODE/DESC
VAT INCLUSIVE N
EXPENSE IND
GL EFFECTIVE DATE: 05/13/2009
EXTRACT DATE
ACCRUAL CANC DATE:
PAYMENT STATUS : PAID
PAYMENT REF NBR : 0000037646
PAYMENT TYPE : ELECTRONIC
HANDLING CODE
ONE INVC PER PYMT:
BANK ACCT PYMT CD: IGO
.00
$ p?-1 D oq- D s oa
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT I OMB APPROVAL NO. 0710.0003
(33 CFR 3251 Expires December 31, 2004
The Public burden for this collection of Information Is *estimated to average 10 hours per response, although the majority of applications should require
5 hours or less. This includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of Information. Send comments regarding this burden estimate or any other aspect of this collection of
information, Including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Service Directorate of Information
Operations and Reports, 1215 Jefferson Davis Highway, Suits 1204, Arlington. VA 22202-4302; and to the Office of Management and Budget,
Paperwork Reduction Project (0710-0003), Washington, DC 20503. Respondents should be aware that notwithstanding any other provision of law,
no person shall be subject to any penalty for failing to comply with a collection of information If it does not display a ourrently valid OMB control
number. Please DO NOT RETURN your form to either of those addresses. Completed applications must be submitted to the District Engineer having
jurisdiction over the location of the proposed activity.
PRIVACY ACT STATEMENT
Authorities: Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research and
Sanctuaries Act, 33 USC 1413, Section 103. Principal Purpose: Information provided on this form will be used in evaluating the application for e
permit. Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local government agencies.
Submission of requested Information Is voluntary, however, if information is not provided the permit application cannot be evaluated nor can a permit
be issued.
One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this
application (sea sample drawings and Instructions) and be submitted to the District Engineer having jurisdiction over the location of the proposed
activity. An application that is not completed in full will be returned.

1. APPLICATION NO. (IrEMSITHRU4TO
2. FIELD OFFICE CODE t COWS)
3. DATE RECEIVED
4. DATE APPLICATION COMPLETED
(ITEMS BYAPPLICANT)
5. APPLICANT'S NAME
NC Wildlife Resources Commission S. AUTHORIZED AGENT'S NAME AND TITLE (.,.aenrisnorreuu,c?J
6. APPLICANT'S ADDRESS
1720 Mail Service Center
Raleigh, NC 27699 9. AGENT'S ADDRESS
-L-APPLICANT'S PHONE . W/AR CODE 10. AG T' PHONE NOS, WJAREA O
a. Residence
b. Business 919 707 0150 a. Residence
b. Business
STATEMENT OF AUTHORIZATION
I hereby authorise, to act in my behalf as my agent in the processing of this application and to
furnish, upon request, supplemental information in support of this permit application.
APPLICANT'S SIGNATURE DATE
NAME LOCATION AND DESCRIPTION OF PROJECT OR ACTIVITY
12. PROJECT NAME OR TITLE (swkwrwtk* .
Grifton Boating Access Area
13. NAME OF WATERBODY. IF KNOWN ni., r:war 14. PROJECT STREET ADDRESS wopprr.w 7M101 ?RRContentnea Creek 510 Water Street rn,
ib. LOCATION OF PROJECT Grifton, NC 28530 L
Pitt. County NC SAY 1 8 2009
COUNTY STATE DENR - WATER QUAU7y IA- 16. OTHER LOCATION DESCRIPTIONS, IF KNOWN, rseairaawtAx ?

OFF US HWY 13, ® MAIN AND WATER
17. DIRECTIONS TO THE SITE
From the intersection of NC Highway 11 and Highland Blvd,start out going NORTH on NC-11 N
toward HARVEY ROUSE RD. Turn RIGHT onto NC-118. Turn RIGHT onto MAIN ST/W MAIN ST. Turn
RIGHT onto WATER ST. End at 510 Water St., Grifton, NC 28530.
ENO FORM 4345, Jul EDITION OF FEB 94 IS OBSOLETE. (Proponent: CECW-OR)
18. Nature of Activity (vosripb"of9-10r,il,eksasieerWCxl
Excavate deposits under the existing floating dock so that the dock will sit level during low
water. Add 1-81x201 floating dock section to the existing floating dock.
19. Project Purpose oescrNv the reason or purpose of the prgaG, sce k*s&mWu w
To extend the use of the site at low water and to provide more docking space.
USE BLOCKS 20-22 IF DREQGED AND/OR FALL MATERIALS TO BE DISCHARGED
20. Reason(s) for Discharge
21. Type(s) of Material Being Discharoad and the Amount of Each Tvt)e In Cubic Yards
22. Surface Area in Acres of Wetlands or Other Waters Filled rseornsorwrlaw
23. Is Any Portion of the Work Already Complete? Yes = No x IF YES. DESCRIBE THE COMPLETED WORK
24. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (If more than can be entered here,
please attach a supplemental list).
Town of Grifton
PO Box 579
Grifton, NC 28530
25. List of Other Certifications or Approvals/Denials Received from other Federal, State or Local Agencies for Work Described in This Application.
AGENCY TYPE APPROVAI_• 1nFNT19ZICAT1nN N11KA91M nATc ADD/ Icn nATr Aeoler„rrn

28. Application is hereby made for a permit or permits to authorize the work described in this application. I certify that the information in this
application is complete and accurate. I further certify that 1 possess the authority to undertake the work described herein or am acting as the
duly authorized agent of the applicant.
?'- JA 6416i) 412,104
SIGNAT E OF APPLICANT DATE SIGNATURE OF AGENT DATE
The application must be signed by the parson who desires to undertake the proposed activity lappiieant) or it may be signed by a duly
authorized agent if the statement in block 11 has been filled out and signed.
18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States
knowingly and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or
fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or
fraudulent statements or entry, shall be fined not more than 810,000 or Imprisoned not more than five years or both.
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