31583_MCLEAN, HELEN_20020425

CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
New Modification Complete Reissue 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
ff 0 Rules attached.
Applicant Name_ j4yjh Project Location: County T u • (f •( -f
Address �9L �, I f E w N -
I—I—r
City State State ,fit zip C�2
Phone # (� l�f) S'fi" ��� Fax # (`)
Authorized Agent 0\/,- �4
Affected ❑ CW F EW ,C PTA ❑ ES ❑ PTS
AEC(s): ❑ IDEA 1 HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / A j PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
I1 d. /it V1/ Fled
Subdivision
City zip_ S%Z
Phone # ( ) River Basin JA&
Adj. Wtr. Body jV& 446c L!ku i (nat /man /unkn)
Closest Maj. Wtr. Body ��+� uP �+r✓ut,d _
J
Type of Project/ Activity p!! c) 1 x fly t7 t40'*
l• F r r��tu: d4?,-z (Scale: AJlcNam' )
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/ Bkatr
7k r��l
Beach Bulldozing
Other
1 ��- f•
- \ -- ---
C: O V
I
}
(i _ I
bes 5'
I• C
�t.f lit j• ����
I
i C
i
Shoreline Length
SAV: notsure yes no
Sandbags: not sure yes noWIN
—i" - ► �q.j �i
- - —1—
Moratorium: n/a yes no -� r
Photos: yes
� ��---- i --r— --ram---
Waiver Attached: �tes�� no
7.
A building permit may be required by: %Q11►�i See note on back regarding River Basin rules.
Notes/ Special Conditions iT I ! Pic, L M 11
Agent or Applicant Printed.Name
Signature Please read compliance statement on back of permit
li;(C,rc
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
,e ��L Jt:I/I`1fg
Local Planning Jurisdiction Rover File Name

r
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/C

— -o ANn RrITTC1M
THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY
J 1JI
1Ch1,1� J�
NOT VALID OVER $1,000.00 61007327
ISSUING BRANCH
93-541/920
DATE
PAY TO THE �\ 2
ORDER OF
w;,�_:jl [;,1-iL.i_F:r;•:'' ri„il I.�'-� �I`'�• �' DOLLARS BY SIGNING YOUAOREETOTHESERVIE
CHARGE
AND OTHER TERMS ON THE REVERSE SIDE.
D {^P�(J�RCH NER FOR DRAWER
DRAWER: TRAVELERS EXPRESS COMPANY, INC.--/��—�'==J-. �" AD Es!
P.O. BOX 9476. IRS INTERSTATE
MN 5548E � __ll--^n� � f — —
DRAWEE: FIRST INTERSTATE BANK, HELENA, MT
I � CITY &STATE
LEW m
n■6L00732?II' i:09200SL,1 11:01707L04SL0921l'
■ THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE HACK. THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. ■

24/04 02 WED 09:20 FAX [phone] Helen McLean C�001
`'i®,r1iCE%��� Ltt--r'ii�aciii i�'�0 ru�� �' ��►1�T?i•���1'`�•�
(FOR A P.TER/Ujv t:oVER.ED BOAT LJFI) -
�CC.�41
I hereby eetdt that I o�4n property adjacent r.o Li me of Property Owner)
� � .
pproperty�66 1 e �u� leGated aG ` (L.ot, Block, Road, etc.)
cjqNj+-C , in 7 87- C_ ;
C-
oll (To�1 and/or County)
(i�4'aterbady)
He has described to me, as shown below, the deve.aVrherct he is proposing at that
location, and, I have: no obje--dons to HIS provosal. I understand 11hat a pier/uncovered boat lift:
must be set back a minimum distance of rtfte°n feet (15') from mY lain 01 ripa-rian access unless
waived by me.
i APR Z 4 2002
I do not wish to waivs the sarbar-k re=?uirement.
C,-- I d_Q wish to waive that setback reauuQment.
DESCR.LpTj,D A-N-D/OR DRAVY-D G OF PROPOSED DEtiELOPNLEST:
(To be fdIed in by individual pmpasing deveL pment)
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-�----------------------------- _--------- 4---- - ------------------------
Al
Signature
_ 1 LL-L
Print o r ype Name
Tz-l?phorie Numb r
Date: i r
a

MEW
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,i -75 -�

6oc� Ba►� � ABC

24/04 02 WED 09:20 FAX [phone] Helen McLean
0 002
=! f C�`v 1' t►.':': ice►': JL'�� �r�F�']. Y �� iVi�R i�3�x�
(FOR A PIER/U:yLQVERED BOAT LVI j
MC
I hereby cerciPy that I own Qroperry adjacent to a oMcp-�elrtro
('+ltxzr
property lccated af_
(Lot, Block, Road, etc.)
2v . C -
o n rn 14N ► �' f ' � �, tit _ f -rn - -i C
�Waterbodv) (Town andr'ariCounty)
He has desc-ibed to me, as shown below, the deve:oprhenc he is proposing at ri:at
location, and, I have no objections to his propo+h
sal. I under iat a pier/ uncovered boat lif
must be sec back a minimum distance Of tetit (1 a') from my la.zea of riparian ac;�s' anless
waived by me.
I do not wish to waive the seiback requirement. APR
I do wish to waive that setback : e��.tisernenc_
DESCRjp-'J,DN :k-14-D/OR DRAWLNG OF PROPOSED DE`ELOpNIF—NffT:
(2-o be filled in bL individual prnp0sirz9 dev6l�pment)
.F.nnr or i ypt L-1111-
i02-- 7J6��� ��
T�lzphone Numb r
Dace:
t

0
N
75

TRANSMISSION VERIFICATION REPORT
TIME 04/20/2002 19:27
NAME
FAX
TEL
DATE,TIME
04/20 19:26
FAX NO./NAME
2476286
DURATION
00:00:32
PAGE(S)
01
RESULT
OK
MODE
STANDARD
ECM