30538_MAYO, CHARLES_20020131

O CAMA / C DREDGE & FILL rt
GENERAL PERMIT
Previous per mit#
EINew ❑Modification ❑Complete Reissue ❑Partial Reissue Date permit ermit issued
P
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 I SA NCAC f
❑ Rules attached.
Applicant Name L_'6c't lc", i n
Address � 4 )$�- So c-Y{F_ r ! G -4-el C' f
City aR e' State 6,1C- ZIP
Phone # '(; i ) ? - icy o cl Fax # ( )
Authorized Agent 1- ct i ,1 , A , i o i c
/
Affected ❑ CW E'EW `gPTA ❑ ES ❑ PTS
AEC(s): -1 OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes F o PNA yes /c..n..a' Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
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 no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Project Location: County
Street Address/ State Road/ Lot #(s)
E >(s-7
Subdivision
City , S �`^k"c ZIP
Phone # ( ) River Basin easr—
Adj. Wtr. Body tV6jT'o na /man /unkn)
Closest Maj. Wtr. Body i \L1 I, `-`Je e r
<- .
(Scale:IJa )
_ See note on back regarding River Basin rules.
Notes/ Special Conditions
T i
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's;Signature / r
Issuing Date Expiration Date
')C,151 r�y�
Local Planning Jurisdiction 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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules L 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 10/05/01

NITEDSTATES .. 1s 800
POSTAL SERVICE® PO.S .SAL MO Y ORDER 000
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ADDRESS F R 0
1 � ED FOR oRCif aJw.7�
NEGOTIABLE tiNL 'phi TH U. � � POSSESSIONS
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Ail. 3l 2uii2 t 7 A M T�INVEI E� HEAE":
ADJACENT RrPARLAN PROPERTY 0"TE t STATE,"YMN' •
(FOR A PIERIMOORING PILINGS180ATZIFTIBOATNOUSE7
I hereby certify that I own property adjaccnt to r'" 's
(Name of Property Ow r)
property located at
M
(Lot, Block, toad, etc.)
on _Oel- a�_ .v im , in N.C.
(Waterbody) (To and/or Co ty)
He has described to me, as shown below, the development he is propos;r.g at dhat location,
and, I have no objections to his proposal. I understand that a pier/mooring
pMngslboatlifVboatllouse must be se- back a minimum distance of frftee;, fret (15') from my arra
of riparian access unless wasved by me.
I do _nwish to wale the setback requirement
I wish to waive t; at setback re;uimrnent.
DFSCRI'MON AND/OR DRAWING OF PRO
(To be filled in by individual proposf,
c k1'--�
D VELOP�f'N i
p ent)
--------------- -------------- _ - -------------
Si
LAliz . �.
Print or Type Name
Telep one &Lirnber
Cate; �� ��—

Jan 30 02 11:13a MWT LEASING INC 919 553 1738
ADJACENT REPARLa,N PROPERTY OWNER STAMMNT
(FOR A PIERIMOORING PILINGSIBOATUFTIBOA771OUSE)
I hereby certify that I own property adjacent to C4&I
(Name of Property caner)
property located at
(Lot, Block, Road, etc.
on � R, in 40a:j� , N-C-
(Waterbodv) ( can and/or C nty)
He has described to me, as shown below, the development he is proposing a; that location,
and, I have no objections to his proposal. I understand that a pierlmootina
pilinss/boattifr/boathouse must be se: back a minimum distance of finer feet (15') from my area
of riparian access unless waived by me.
I do not wish to wa:,-e the setback requirement.
I d-a wish to waive traz setback re--uirement.
DESCRIPTION ANVOR DRAWENG OF PRO D VELOPNIENT:
(To be filled in by individual proposirU e e10
U Q�
l { Signatu e
` 1 '32.a,c-7'N
Print or Type Name
{ �w� jq/q) ss�-9g6/
Telephone Number
Date:
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252 247 1121 JAN.30'2002 10:54 RECEIVED FROM: 9195531738 #6596-002