30642_MONTEGUE, HARVEY_20020103

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<CAMA / ❑ DREDGE & FILL 9.91642
GENERAL PERMIT
Previous permit # i
New Modification Complete Reissue C'.Partial Reissue 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
C] Rules attached.
I
Applicant Name- ^, 4'C r: Project Location: County
Address 34.,. I" f< Street Address/ State Road/ Lot #(s)
City _- State-__:(_ ZIP
Phone # (_ _ )- -_- - -- Fax # O
Authorized Agent
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
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
Subdivision
ZIP
Phone # O _ River Basin
Adj. Wtr. Body _ _ (nat /man /unkn)
Closest Maj. Wtr. Body -
SAV: not sure yes
no_
--
Sandbags: not sure yes
no
Moratorium: n/a yes
no
+
Photos: yes
no
i
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
! 1
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
i
Application Fee(s) Check #
(Scale: )
C See note on back regarding River Basin rules.
ji
F l
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
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)
Wilmininon 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 IO/C

Ines MULii-LONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOT70M
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NOT VALID OVER $1,000.0(I � � 0 O
ISSUING BRANCH MHC—Main/6102301 6 Vu
DATE January 3, 2001 s:I ,411920
PAY TO THE Dr
ORDER OF *** loo • oo*
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(��J _--� — - _---- —� -- - SERVICE CIIAR��I
SB&T , AND OTHER IERMS ON 11 REVERSE SIDE.
:,TAWER IfiAVf 1.1=RS EXPRESS COMPANY. INC. lu��l` "' '� `� 'IBC c-b)4S(, RIP'
I'.O. ROX 9, 78. MINNLAPOI_IS, MN 5fi-0BR I II7(� IA5F�7 �}I�(JfJif I )f7 OI IAWER
II IAWEE: FIRST INIERSIATE BANK. HLLFNA. MI
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111610068?411' :09200S,111:01?0?10LS109211■
■ II IIS DOCUMENT HAS AN AR7119CIAL 1%'A I kRNIAlW MUN.rIiD ON'RII. IIACK ME Ili I'IRON 1011111 IHKUMI NI HAS A MICRO- I:IId I SIGNA IUli1i ITNii AND ITOKDER. AISSENCE OF THESE FEAP RFS WILI INDICATE A COPY. ■

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f.> L J, _f, VYL -,-t, : 1JL`�..�:'-' 1 V J-
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(FOR A PIERIU_ C-0VERF.D BOAT LJFn
L ma�6 U F_'s
I herebv certi`y that I own property adjacent `° — (?ti:Irme of property Omer)
rty located ac Cd
Prope - - I
(Lot, Block, Road, etc.)
on rn ( aterbody) (T o�cn andJor' County)
He has desc-ibed to me, as shown below, ;he developr',nerit he is proposing at that
location, and, I have no obj,--ctions to his proposal. I understand i',hat a pier/uncovered boat fir_
must be set back a minimum distance of nfteAn rat (i5 �) from my �� or nP acwss �u�nless
waiv by me. AIDrNO
-�-I
I do riot wish to waive the se�back requirement.uI do wish to waive that setbaclt re�utremenC. f(iAdFMENT
----------------
--------------- ----
----------------------------
----------
DESCRiP�'I'DN kN-DOOR DRAW-D G OF PRO POSED,DEVELOP'�L-. 1:
(To be jUled in by in-dividual prnposing develppment)
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Si-;iature i
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P I n t or Type N alrn e
Z5Z_ 3 29
TeleQhone Nume-fir -
Date: 1 S Q ------
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LAN220 DIVISION OF COASTAL IMANAGEN ENT
AD,��CENT RIPARIAN PROPERTY OWNER tiOTIFICATI OlV/WAIVER FGRti1
coos-1. f f2U�-
Name of Individual applying for Permit: �-f �NTA Q UE
t ddress of Prop
'PIN>E
"L Sf+O?rS
(Lot or Stre..-; = St or Road, Citv & County)
I hereby cerrary that I own propery adjacent to tr,e above reverenced proper y. The individua
applying for this permit has described to me as snow,, on the a tached dr.-wing the dev=•
money proposing. osingA desc.i �.o?men=
P P _ priors or drawing, wan c::T,ensions, Should be provid,.d w.'h tiilc
_
I have no objections to thi s propo S41'
Ir you have objections to what is being proposed; please ware the Divisors of Coasza_�
,�Ianagemenr, Hesrroa PLa- II, I�1-B, Hwy. 24, A1ore^?ad
%808 within 10 days o recez Ciry, �'C, 28 57 o r call (? ?) 808-
E pt of this nonce. A`0 re,001Zs_ is considered the same as no obiec�on
you have beers rzotijied by Cert Ted Afail. -
WAIVER SECTIO.
I=ndersta.id that a pier, dock moorns piiines, br��' ,v - -
e are., boar house. 1ir[ or sandhz_s
ca;.& a minimum distance of I �' rl om my _
area or", access unless ,
to waive the setback, you must initial the approc:;a_: biank beiow.) w� Veo by. m�.
I do wish to waive the 15' setback recuir�-ant
I do not wish to waive the 15' setback rec•:irenent.
.z0e)�
Si�;,a ure
Datetaco n'
Pli nt Name
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1 e•'pnone Numoer With Area Code
NA P, 5,.,I 7)
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