32359_ORMOND, WILLIAM EARL_20020805

CAMA / DREDGE & FILL / 1 ® 82359
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
E Rules attached. {
Applicant Name iA i jj a w. f o . L1 rv^ c ci Project Location: County r , -r j
Address
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State A/( ZIP 7 q 531
Phone # ('
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Fax # ( )
Authorized Agent
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Affected
CW
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[7XPTA ❑ ES ❑ PTS
AEC(s):
J OEA
HHF
❑ IH ❑ USA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / �nq�
PNA
yes / S Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
ir; Air
Subdivision
City_- A'/a0 zip 7t �-l'?
Phone # O River Basin y4 . / (,- k
Adj. Wtr. Body ?v Or 94, (nat /ciao /unkn)
Closest Maj. Wtr. Body hr-f Id isun{�
Type of Project/Activity ftt,t e r rl 15 ! 1 �.l yrr! �- ;'I ice+
Pier (dock) length
Platform(s)
---
Finger pier(s)
Groin length
numberS
av
Bulkhead/ Ri ra h
len h
g distance an e offshore
max distance offshore
Basin, channel -- - --
cubic yards
Boat ramp
-1
Boathouse/ ROat U0. L,,,(• -J
I"+k11,
Beach Bulldozing
Other
f
Shoreline Length
101
0
(Scale: We. N r )
SAM not sure yes no
I
Sandbags: not sure yes no
I
Moratorium: n/a yes eo
r,
l)awv
Photos: yes p0
1,
Waiver Attached: yes no
A building permit may be required by: I10 r)
See note on back regarding River Basin rules.
Notes/ Special Conditions
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MO. 61401"
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Agent or Applicant Prinfe� dame
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
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Permit Officer's Signature
0l5(0Z_
N/slc7
Issuing Date
Expiration Date
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, certifythatthis 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 / 1-888-4RCOAST
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

THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
OPAL T\ Pf'.,c'7 0 R D
NOT VALID OVER $1.000.00
6 0 9 5 715 5
ISSUING BRANCH
DATE i­:'! I - , , 93-541/920
j;
PAY TO THE
ORDER OF 472- $
DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
"DOZ I
-D-D 0 ry
DRAWER: TRAVELERS EXPRESS COMPANY. INC.
P.O. BOX 9476, MINNEAPOLIS, MIN 55480
,DRAWEE: FIRST INTERSTATE BANK, HELENA, MT
2'3OF' / 3 a25-q
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AND OTHER TERMS ON THE REVERSE SIDE.
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A Lir FOR DRAWER
A D PC,
CITY & STATE
o609S?jSI;ul 1:0920054L0:o007L045L092II0
M I I IIS JX)CUMENT I IAS AN AR I It It IAI. WA I I:KNIANK ITIN I IA) ON I I IF DACkl 111; FRONT 01: 11 IL IX)(_ UNII N I I IAS A MICROTRIN I SIGNA I URE LINE AN[ ) II( r1,1 H.R. ABSENCE OF 'I I IISEI:I:A'l LIKIN WILT. INDICATE A Ct IVY 0

a t .'='�,� a �'• r ',1 fit- =-, .3 a. - '�?i:) f 'A'FH �Jt .� % �.� 1` ?' 1 r.C..!
."FOR A PIERIUNC—OVERED BOAT I,IF7)
I hereby cert.:Fy t`,_-, i own orope ;ty adjacent to
(dame of Property caner)
property located a:
(Lot. I311o�ck, Road, etc.) _ -
on OCI -Lr
-
(Waterbody) �T (Town and/or County)
He has describes :-1e, as sha n below, the development he is proposin' at tea
location, and, I have no ob. :. cns to his proposa.l. I understand that a pier/uncovered boat
must be set back a minim.,—i :stance of :- .:ern feet (1.5') from my area of riparian access unless
waived by me.
I do not w: e waive the setback re-cuirement.
I do wish tc ,ve that setack r 7.:Lr=ent.
.----------------------------------------- ---------------'-------------------------------
DESCRiF'IZON A-' >- OR DRY VAT G OF PROPOSED DE' ELOP_-MEN-T:
(To be., ed irz o ti proposing development)
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ignature
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P. � or Type Name
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Teieohone Dumber
Date:

1 Lil i '`'1 L•ENTl €";- `c i�)�..
('FOR A PIER�UNC. OVERE'D EOAT LIB
1 hereby cer-:fy T pi 1 Drppe rty ad i ace , t to
`C, s
('iame of Property Owner)
property Iocatw a,
ot. 3Iock, Road, etc.)
Waterbod;-) (Town and/or County)
He has described c:_ me, as below, the development he is proposing at `a-
loccticn, ar.d, I have ;,c cc .::.ions to his proposal. I understand that a pier/uncovered boat
must be set back a (15') from my area of riparian ac;,ess un-Ie,
waived by me.
/ I do not w: : waiv-- th,2 ;e back recuirement.
✓ I do wish to a-aive that se:back re—quirement.
---------------------------------- - --- - -- ------------------ - - - - - - - — - - - - - — - — - - - - — - - - - - - - - - - -
DESCRIPTION A2- :} "OR DRAB �',I G OF PROPOSED DEVELOP-NfF—'r-T:
(To be _ ' in byind: vidzual proposing development)
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P : or Tye N a.rn e
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T--lephone Number
Date: _�,t�-•� a G o �.
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