31635_SMITH, CLARK_20020424

❑ DREDGE & FILL '
GENERAL PERMIT ,�(��
Previous peF t #
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 I SA NCAC J %�
❑ Rules attached.
l /- .l 1 Applicant Name �• - 1 )1... � �4�1 j �� Project Location: County_-___.
1 ��
Address j �. ` �� 1 l..� i��� Street Address/ State Road/ Lot #(s) r
City' —C State
. ZIP'.,
Phone # (r . ` Fax # O Subdivision
Authorized Agent ---f-i'i �;, Cityi '� '�' .., t:--,� �T�: ?1 � � ._ � ZIP r�� �• .� '�
❑ CW tiE] EW &APTA ❑ ES ❑ PTS Phone # ( �,) lJ J
Affected ❑OEA River Basingl) 1�
❑ HHF El ❑ UBA ❑ N/A ��^,( ( na man unkn AEC(s): Adj. Wtr. Body_ ,, / / )
PWS: ❑ 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
Beach Bulldozing
Other
I
--------
r"'
rs+, I
(Scale: ' )
Shoreline Length
SAM not sure yes no --- —
Sandbags: not sure yes
Moratorium: n/a yes nq
Photos: yes .^ no/
Waiver Attached: yes , no --------- —
A building permit may be required by: /! ~ ! [ See note on back regarding River Basin rules.
r
Notes/ Special Conditions
it Printed Name
Si a re ** Please read compliance statement on back of permit
IIQ- -
Application Fee(s) Check #
Officer's Signature
Issuing Date Expiration Date
Local Pla rnngJurisdiction Rover FileName(�,

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
landowners).
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 / 1-888-4RCOAST
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

BBBT 5366
OUTER BANKS MARINE CONSTRUCTION BRANCH BANKING AND TRUST COMPANY
1501 FIRST AVE MOREHEAD CITY, NC 28557
MOREHEAD CITY, NC 28557 66-112/531
[phone] 4/24/2002
PAY TO THE s ** 100.00
ORDER OF D E H N.R.
DOLLARS 8 ,
One Hundred and 00/100
************************************************** ***********
D.E.H.N.R.
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APR 1 1 2002
COASTAL MANAdE�AE
.� f"IEW rrNCOV a-R 110A 7- t err)
1 hereby cer#x`
� ;y that r 0"�rn prrapcny arijEicent tc.t,.�r�,����'`
(Name of F..-Gjxor€y OwDer)
Pral�erly located
a (Lent., N(Wk .Ituad etc.)
He fias described to nae, as sh+owr7 below, the devePuprner't hn is pi-opusing at that
� lcatic,r,, anal, ? i vr_ no oi3jW-dom to his Proposal. I und' tend tizat a pieF/uncovcmd ir,,oat i,lft
must be yet iaac : a ;r;irximi n� distance of fificten feat G5') f-om my area of -Ipa
waivod by tz;e. r an access unless
t d4a not wish to waive the se-tback requirerrten:.
. T dQ wiSh to v4ve that setbick requireme.tit. MsreA
_.___-__----_--_-_ _ Y/
DESCItIk'`';"'I{3N-AD/OR DRAZVLNG O ROD
�y_-*"_--_}eO_"---w-T_^-�-7-7---- ---
A1l�.0 [J.7J:.�D 1JFT E.l.i,ff ,fit �. F:..'T R,:
(7n he filled in bY IrrrdiWhfual pru�oasing development)
5i°gnat�re -
Print or T py•. game.
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• Apr-16-02 07:23A ETHERIDGE ASSOCIATES 252 291 4670 P.01
Aar-15-02 13:46 From -Mail Boxes Etc. 2527262636 i-234 P.002 F-181
(FOR A PIERINOORING PILINGSIBOATLIFTIBOATHOUSF)
I hereby certify that I own property adjac_-it to [..WW1 J t' 's
(Name of Property Owner)
(Lot Et
Road, etc.)
t
on , in N.C.
aterbody) (Town and/or County)
fie has dexifbd to me, as shown below, ttt development he is pmposirs a. &;r locator.,
and. I have no objections to his proposzi. I understand tth t a pierImaarns
paLip inaa_'df catho= must be se 'aacic a minimum diswce of fsfte-zi feet (15 `) from my a_*e:-i-
of riparian access unless waived by me.
I knot wish to the se:b2Ck te?uiremenr_
APR 1 6 2002
I AU wish to wcive --zT setbccic recuiremenr.
DESCRnInON AND/OR DRAwLNG OF PROPOSED DEVELOP.NMN'T:
(To be felled iz by individuc.! proposing development)
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