32322_LEE, RODNEY_20020712 (2)

4 K CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
[]New ❑Modification ❑Complete Reissue El Partial Reissue
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
Applicant Name
Address r a
r
City �, { r'r ❑
State ZIP
Phone # () f L% -
Fax # O
Authorized Agent I
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
Type of Project/ Activity
Previous permit #
Date previous permit issued
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
J
Phone # O River Basin
Adj. Wtr. Body � G"14- gnat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
Pier (dock) length
Platform(s)
- i
Finger pier(s)
Groin length -
--
}---------
number
Bulkhead/ Riprap length-
avg distance offshore
i_
1
-
❑
max distance offshore
i �{/
_
_
'
_
Basin, channel
I
i
�I"
cubic yards
Boat ramp1
\`
Boathouse/ BoatBft
Beach Bulldozing
Other_
- I
- - °- - - - --- -- - - - -
'
— ----- - i -
�
I
Shoreline Length M '
SAM not sure yes no
- .. .._
- 7 -T�- - -
Sandbags: not sure yes no
-
Moratorium: n/a yes no
-
-
�r-
Photos: no
i"
! f.l i/
Y
yes
Waiver Attached: es no
A building permit may be required by:
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
r; t N
P, 100�e &/ A -F
Agent or Applicant P in N
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planningjurisdiction 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 10/05/01

R. M. LEE 6979
SUE H. LEE _
P.O. BOX775 252-745-5434 �
BAYBORO, NC 28515-0775 Date
�- 68-1/510 VA
1203
Pay to he Order
Order of
© �l
.sr u.� i P i� ollars
Bankof America,
ACH R/T 051000017 Premier Banki'
For —A �. �,4 G3 Z 3 Z L
1:0510000L71: 00002920533EO 6979
00-1kr ilmr.Kan GUARDIA" SAFETY BLUE TSBL

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Rodney M. Lee and
I hereby certify that I own property adjacent to Sue M. Lee 's
(Name of Property Owner)
off the east side of the Seawell Loop Road
property located at it being Tract 1 of the Seawell Subdivision
(Lot, Block, Road, etc.)
on west side Chanel Creek ,in Pamlico County NE of Bayboro N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
The 70-foot long pier N,Tith adjacent covered boat lift shown on the
attached map showing the eastern portion of Tract 1 of the Seawell
Subdivision.
Signature
Walter N. Collison, Jr.
Signature
_Mary W. Collison
Print or Type Name
y10-9G4/. R-sdc
Telephone Number
Date: o a 316
-29-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Rodney M. Lee and
I hereby certify that I own property adjacent to _ sue M. Lee �S
(Name of Property Owner)
off the east side of the Seawell Loop Road
property located at it beinq Tract 1 of the SeataP 1 1 Ciih(9
(Lot, Block, Road, etc.)
on west sidennP 1 ('re-.0 Pamlico County NE of Ravhnrn N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
The 70-foot long pier with adjacent covered boat lift shown on the
attached map shoe-,ing the eastern portion of Tract 1 of the Seawell
Subdivision.
Signatu e
Dorothy P. Seawell
Signature
_William A 1, TTT
Print or Type Name
S6''- z77-_27/ l
Telephone Number
Date:
-29-