31593_MACLEAN, RON_20020404

*,D,CAMA / - DREDGE & FILL
GENERAL PERMIT
❑New DModification ❑Complete Reissue ❑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
31593
Previous permit #
Date previous permit issued
❑ Rules
Applicant Name (k C co's - Project Location: County
Address CC, (� Street Address/ State Road/ Lot #(s)
City ! " State i r1 ZIP
Phone # ( ) Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected ❑ CW C EW C_PTA ❑ ES ❑ PTS Phone # ( ) River Basin
❑ OEA ElHHF C IH C UBA C N/A
AEC(s): Adj. Wtr. Body rc(', C k (nat /man /unkn)
C PWS: ❑FC: - ---,,
ORW: yes / -no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platforms)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes Jno
Sandbags: not sure yes no `
Moratorium: n/a yes no
Photos: yes no y:
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: q�i,
l
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f
II pp e L-
See note on back regarding River Basin rules.
��ermitOfficer's 4ig tune 2CC
Issuing Date Expirition Date
Local Planning Jurisdiction Rover File Name
ii

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
Iandowner(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-B 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/C

`..�F-z. �UNbr INC. 7983
Ph (252) 2 J[xc 23
Q�WII Creekview Court ` 66-152/531
Merritt, NC 28556
DATE
PAY TO
THE ORDEROF
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Wachovia Bank, N.A.
Nlybom, NC 28515
a Wad /1IA--4'c q
FOR p— 3n3c -
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ADJACENT RIPARLAIN 1'Rt:il'ERTY 01VINJER .S-1'ATL',lMf .NT
i hcteby certify ttlat i own propeny adjacent to ��Vv A14'?
y (Nasrs� irt' ►'t•ut)�rhY :�1y�ser)
Bj(j
prt�Eterty ioCdtCcf at �� � �„�� �- r
ck, Road,
on j,� G) 61Z ,<r ��_, in .. �-:5 oar,*) 41G6 �C7t~f.C,
('Waterbady), (7owu and/or Coulltvj __._._
He h'Ll described !o Me as shown hclov4, the development hA_ is rrnnt)Tinal drat 1oCaUon,
md, I have no objecuons to his proposal., 40 A-7 0 i' I/o, S GdC 40
171�SCRIPI'ION A IOR DRAIYNG OF l'6iOK)SED DENTLlGUt'!ltEAT
(To beNed in 0 lndiruduul proposing dev"'/opmYni)
y coTament:s should be made t.1-
d Tyndall, CcHht* tfor�t�pad
ty, Nt W 6U3 2800
Signet x
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110
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{ T _phone Nurtlber - 7 3ca 3 j
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ADJACENT Rfl>ARLAN PROPEATY 0 WNER STATE IME NT
I hereby ceitfy that I own property adjacent
(Name of Property Owner)
property located at'--tx le 6 Ila-
(Lot, Block, "o -d, etc.)
on 0 r1t in Ila
N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the dei,elopment he is proposing at that location,
and, I have no objections to h.is proj)()sal-
DE,SCRrMON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Print or Type Name
Telephone Number
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