32374_SHIPP, KENNETH J_20020806

❑ CAMA / ❑ DREDGE & FILLly
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
❑ Rules attached.
Applicant Name i'rrr, 'i "i._ Sl7ir
Address ` 3 I Fa, < < .,, if
City l F W f ,-1 } State /d f ZIP 71C,
Phone # ( 7Q ) -,y3 -4 : Fax # ( )
Authorized Agent •-ctwe
Affected 0 CW El EW ❑ PTA ❑ ES ❑ PTS
AEC(s): Ll, OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / n� Crit. Hab. yes / no
Project Location: County (n, i J_
Street Address/ State Road/ Lot #(s)
14
S9 iG
Subdivision
Cityt P:K' ZIP 7,-57 L-
Phone # ( ) River Basiny)k
Adj. Wtr. Body hr co O�ap /man /unkn)
Closest Maj. Wtr. Body '`; It ✓„
Type of Pro ect/ Activity ; ,: cj �ti i S p r(p .; r r
(! U (1 � r^ f ' �.J �
} S x7 ! ,, j 4(
4�. G C
r tnr f'' or r (Scale: I)ovf )
Pier (dock) length
Platform(s)_
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other r•J i'
4
Shoreline Length
SAV: not sure yes
no - - - ---
--.
-
Sandbags: not sure yes
r�
Moratorium: n/a yes
. no
Photos: yes
Ind
rr i
Waiver Attached: yes
no —.----- �'
f�-
A building permit may be required by: 110, 1,
_ See note on back regarding River Basin rules.
Notes/ Special Conditions
N{-, i f , ; r i i
'; f �1-
t f-W i & ,
} �-c , r z %ram t It 4f .
Agent or Applicant Printe me
Signature * `Please read compliance statemgn>; on back of permit's
F,
Application Fee(s) Check #
Permit Officer's Signature
CZ
Issuing Date Expiration Date
Local Planningf urisdiction Rover File Name

h
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 ❑ 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 / 1-888-4RCOAST
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)
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

AD J AC ENT RI kRLAIN PRO P.ERT-Y O �NL ER STATE: LEIN-i
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATXOC'Sc)
�L1 1
I hereby ce:�ry that I awn grope �y ac'iacent to �)_;)7� s
me of Property
prose. �y ic,—.t�d at L �� O L
(Lot. Block, Road, etc.)
S
-t , N.C.
(Waterbodv) (Town and/or Countv)
He has desc-LIed to me, cS s'own below, to deve:oprn-..:t h2 is procos: _ _. char loca,Lion,
and, I have no objectlor.s to his pronosai. I u-cersi:d t':a. _ pie-; noorin
pllingsr Goat! :- Vboathouse m u s : be Se_ OacC a rrii.iir-Tm cisi.ance c. r-i �et,i rtz: (._) i, 0t1m my a1-- Z,
or riparian access Unless waived by me.
I do not wish to ware, the setback recuireme^c.
I o wish to waive setback rec emeni.
-------------------------------------------,-=--------- -----
DESCRIPTIOti AND/OR DRAWD G OF-ROPOSED DEVELO_ %1-,ENi:
(To beF%led i s by indivO-,',a1 propos-L.— de.r,.-
Offs
•
_ Gr-c
O A„y off A41k 1,1"lly?Yes 00 SeO �
k)ke,l Jot/ g(ifjA" Mecuutit4"V"4
-7 L
�
9.e- M OV
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ADJACEN-f REPARLA.N PROPER Y OWiNTR STATE:NIJ_ N-I
(FOR A PIER/WOORING PILINGS/BOATLIFI'/BOATHOUSE)
I Fereby ce:� i� that I ow-,, prone-tv adiacetnt to < '`
(Na e o Property 0=t—
rope. �y locat. d at _C � U ki �f
P ,
(Lot, Block, Road. etc.)
1 l
on�r 4c� C,Y pe , in C nE , N.C.
(Waterbodv) (Town and/or County)
He has desc bed to me, as si:Own below, the dev.-;opine-: he is propose_ _. C:a: locaLOn,
and, I have no objecniOr.s to his proposal. I uno--r3mn' L":a: = p:--'rr
mooC,nC
pilinss, Goa,!iit%boaLhouse musz be s�--: baC< a m nlmum disicnce or nrtet:, i:.': (:-) c:0ir! my a:ez.
of riDc ia:"I access unless waived by me.
I do nn wish to w•a:v-- th-- setback ra ulr.emenz.
I Sin_ w'isi to wzive t.'_. setbac'.:
DF.-SCRrPTIOti AND/OR DRAWL`IG OF PROPOSED DEti�ELO::�tE` T
(To be flied is by indiv&-ual proposir:; dz.eloprrer::)
Ss�
�1,xlweea, t I "
oTy_, iNamd
TeIhor.e iNumbe:
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