32074_SMITH, JOHN E_20020708

❑CAMA / ❑ DREDGE & FILL
GtNERAL PERMIT
New ❑Modification ❑Complete Reissue ❑Partial Reissue
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
Previous permit #
Date previous permit issued
❑ Rules
Applicant Name �2rnIA4— Project Location: County
Address �_ > Street Address/ State Road/ Lot #(s)
City_ State i'ti•k ZIP,y =? 1/,,'- 2
Phone # O Fax # O Subdivision
Authorized Agent City �', ! 1I^ :� r! ZIP
Affected ❑ Cw [I;ZW td TA p�W WTS Phone # ( ) River Basin
❑ OEA ❑ HHF ElIH ❑ UBA El N/A AEC(s): Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
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
Shoreline Length
SAM not sure yes no — -
Sandbags: not sure yes no -
Moratorium: n/a yes - no 1? 7
Photos: " es ; no
Waiver Attached: yes no'
A building permit may be required by: j . See note on back regarding River Basin rules.
Notes/ Special Conditions ��,- %��+A,v CY�41f ,;rime's ..�r�S
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit +�
U�
Application Fee(s) Check #
.. - Permit Officer'sSiignature
7
Issuing Date I Expiration Date
Local PlanningJurisdiction 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, 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 / 1-888-4RCOAST
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

ERIC B. ELLIS NCDL 65047 2229y
JASA M. ELLIS PH (252) 726-6n5
205 NOTTINGHAM DR.
MOREHEAD CITY, NC 28557 Date2&16,--;),
66-30/531
133
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FIRST CITIZENS,,
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GUARDIAWSAFETY BLUE ESBL

06/24/02 10,12 FAX [phone] SMITH & SHURE
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own pro erty adjacent to -Jo � N r� ��.^.� • '
p J s
(Name of Property Owner)
property located at d /C e�1 t,s o .2 -4 G-4—
(Lot, Block, Road, etc.)
on �l /C w < <`-)r�-1 `t r in Lalux, , N.C.
(Waterbody) (Town and/or County)
He/She has described to me, as shown below, the development lie/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)
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Signature
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Print or Type Name
(2�i) 2q-2- -72 S'1
Telephone Number
Date: o z_

06/24/02 10:1. FAX [phone]
'FROM
SMITH & SHORE
F FHX NO. :
N
Ti n. 23 2oo2 03: 4:3FM P1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
i hereby certify that I own Property adjacent to J o 4 0J rc!-";, , � ,S
(Narne of Property Uwaer)
property located at / d 'r 'e e a --�
/� 11 , (Lot, Slock, Road, etc.) �~
on q- in ,
_ �� S L,u,� , N.C.
(Waterbody) (Town and/or County)
He/She has described to me, as shown below, the development helshe is proposing at
that location and I have no obiections to his/her proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP?b1ENT..
(To be filled in by individual proposing developmenr)
L-3 > >
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Wv..
Ida �,� his
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S1�.Y.1 j
Pant or Type Name
Telephone Number
Date: CG /-4�6,