45152_MURPHY, LIDA_20060404

CAMA / ❑ DREDGE & FILL
GENERAL 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
Applicant Name
Address
City %} j c i
StateI
ZIP-<
Phone #
Fax # (_)
Authorized Agent
�� </ f l `" v ° 3
cjF . �j
❑ CW
❑ EW
❑ PTA [DES
❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA
❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / n
16.6
44
Previous permit #
Date previous permit issued /
v
Project Location: County
Street Address/ State Road/ Lot #(s)
ElRules attached
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
0
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
(Scale:"'Q )
Groin length
number -
Bulkhead/ Rlpra Ip ehgth
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
I
�
l
I
Shoreline Length
SAV. not sure yes no
Sandbags: not sure yes ino -
Moratorium: n/a yes fno
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
i
1
- -- --
_' See note on back regarding River Basin rules.
•l
APR 2 4 2006 ~
Agent or Applicant Printed Name Permit Officer's Signature
KA
arehdU UT nUm
Signature " Please read compliance statement on back of permIssuing Date Expiration Date
ApplicationFee(s) Check# 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, 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 (910-796-7215) for more information on how to comply with these buffer 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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL IIANAGEVIENT
ADJACENT RIPARIA_ti PROPERTY OWNER NOTIFICATIONA VAIVER
FORM
Name of individual applying for permit: 'L ate-
Address of property:
Da q Mt �Iph FAj-n, A,d
or street �(}Ereet or road)
A =
(City & County)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
V I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
dg nature Date
'—T.
Print Name
(C52,5a) S-' 3
Telep ne Namber With Area Code
l tit'eir

- ADJACENT' RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to k ( (da, M u-�- 's
(Name of Property Owner)
property located at
(Lot, Block, Roa(V etc.)
_�, m j?'Co �6.
on �a1 Ue Y , in e-1`�- t , N.C.
(W erbody) (Town and/or Coun y)
}He has descnbd to me as shown below, the development he is proposing at that locatron,
and, I have no objections to his proposal. .
DESCRIPTION AND/OR DRAWING OF PROPOSED. DEVELOPMENT
(To be filled in by individual proposing development)
Se� , 6Wi6-c-�
Signature l
q'
Print or Type Name
Telephone Number
Date:

FA

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to da,
(Name of Property Owner)
property located at
(Street Address, Lot, Block, Road, etc.)
on v �Y in �Gl /yt !/'Go d %%� P_-1-1-i
N.C.
(W erbody) (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 this proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
I do not agree to waive the 15' setback requirement.
(initials
I do agree to waive the 15' setback requirement.
tials)
--------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
gnature
Print or Type N
2)
T lephone Number
Date: 7

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Nj
3/22/2006

PHILLIP E. WILLIS NCDL 3092090
J. DAVID WILLIS NCDL 6205237 4 l-'e�, 11420
„
DSA WILLIS TRUCKING AND LAND DEVELOPMENT",\ 1': ; ,.;, , `S j -30/581
"
222'15 NC 55 HWY [phone] [phone] �% ~
Date -3 Z3 — 66
ORIENTAL, NC 28571 \'`J ` ' 471
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