31554_RENFROW, JAMES AND VICKY_20020322

[_ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT permit Pr vious# Previous
❑New ❑Modification []Complete Reissue El 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
Applicant Name .- Project Location: County
Address_ Street Address/ State Road/ Lot #(s)
City State ,v ZIP _
❑ Rules
Phone # (__)
Fax # (,)
Subdivision_
Authorized Agent
City
ZIP 295I2,
CW
Di EW �,-i PTA El ES ElPTS
Phone # ()
River Basin
Affected
D OEA
AEC(s):
❑ HHF , 1114 a UBA ElN/A
Adj. Wtr. Body
(nat /man /unkn)
C! PWS:
!J FC:
Closest Maj. Wtr. Body
-
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 ; ' y , "
Beach Bulldozi
Other
Shoreline Length
SAV: not sure yes , no
Sandbags: not sure yes 'no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes t_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: )
I
See note on back regarding River Basin rules.
" Permit Officer's Sig atuPeT'
Issuing Date Expiration Date
1 -!
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 I) 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 consistentwith 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
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

JAMES E. RENFROW NCDL 1934552
VICKY L. RENFROW NCDL 5231406
252-240-0137
P.O. BOX 1472, 307 PINE KNOLL CIRCLE
MOREHEAD C ^, NC 28�7� IV ^
to the r(Xd(er 01 L�
& U I1
4156
66-19/530 NC
201
Dale _"-----
1 $ lob-Uo
BankofAmerica��'
ACH R/T 0553000196
1:053000 196l: 00065 L887 L7611' 4 L56

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to �.,,� r�C 's
(Name of Pro erty Owner)
property located at L-a.+ Ir
Block, Road, etc.)
on C L , in'�►��f5 ��r°�� , N.C.
(Waterbody) (Town and/or County)
He/She has described to me, as shown below, the development he/she is proposing at
that location and I have no objections to his/her proposal.
---------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
----------------------------------------- ----
-----------ZrE- P- 12
-
CTI-�_-a A C �f6 '19 70- L(rkq
Print or Type Name
Telephone Number
Date: e� — ,-'� a 120 0�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCOVERED BOAT LIFT)
.— t
I hereby certify that I own property adjacent to i M s 1 's
(Name of Pro erty Owner)
property located at
l3) B10C/(/-OL-)1 5,4(-�
(Lot, Block, Road, etc.)
on 0,/, N41 , in P, ►,4 (� n c i � ho y-r. , N.C.
(Waterbody) (Town and/or County)
He/She has described to me, as shown below, the development he/she is proposing at
that location and I have no objections to his/her proposal.
----------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Llq/m s
'0�� ZD� �
i
----------- `-- ----------------------------------------------
signature
�.vN s
Print or Type Name
C2 S-?"�) <�� S��--'?,'`?-'z'; 'S
Telephone Number
Date: 2 - Oz�r' -- 6 2,