45737_PAGE, ARCHIE_20060613

❑ CANIA'* I-,'. DREDGE & FILL y
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
Address
City
State ZIP
Phone # O Fax #
Authorized Agent
Affected a CW Li EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA LI HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: n FC:
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
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body mat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name'' 1 JUN 2D.�6 PermrcOffijcpeer'sSignature
2 3Signature Please read compliance statement on back of permit Issuing Date _ Expiration Date
[V ore ne A�ay ®CIVI ;
ApplicationFee(s) Check# Local Planning Jurisdiction Rover File Name

r
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:
[_f 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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/0S

6 \3.(3-' NNNN(A
LAMA / DREDGE & FILL N? 4 5 7 37-c
EI'�IERAL PERMIT
Previous permit #
ew ❑Modification ❑Complete Reissue []Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources �� a�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Ru es attached.
Applicant Name%L� t �% t _ Project Location: County f erel--
Address /�% i 4� �� Street Address/ State Road/ Lot f(s)
City /v C tl ei �4' State /{/G ZIP aFF7o — ,�° t /s ac h'�'ro►�t Q ----- - —
Phone # (IP-113 — Z Fax # ( ) Subdivision_ K C/D't
Authorized Agent City ��"w ui` - ZIP I YI-70
Affected _`f--
❑ CW ErW �'FA ❑ES ElPTS Phone # (_; ). _ River Basiny�ilw 4
— ---
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s) : El PWS: ❑ FC: Adj. Wtr. Body __(nai ma unkn
ORno W: O& PNA yes //nJ' Crit. Hab. yes / no Closest Maj. Wtr. Body O�l"�
Type of Project/ Activity I X �� �Gt/,}+} /;-/w
(Scale: ._ � �l it rj )
Pier (dock) length_ _ i � ---- -- - , i
- - -
Platform(s) i
r
Finger pier(s) t--
F - �- i 1
I
Groin length
number - -- -- - - - - -. -
,. —
I �
Bulkhead/ Riprap length j 1 I
avg distance offshore i
---- 1_ - }
max distance offshore
Basin, channel
r .
cubic yards
__
r }
Boat ramp
Boathous Boatli
Beach Bulldozing -� � -- —�-----------+----t - � -T
Other
I_ T
Shoreline Length �0U - _ - ---
I i
1
f
SAM not sure yes - —
Sandbags: not sure yes n/a yes
- - - `O
Moratorium: 5
Photos: yes
Waiver Attached: yes -- - — I / 1----------
A/---- - --- --- - -- -- —
building permit may be required byp (�%F/T/y% �.0 ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions / tf; !t b A / 1 -C )riJ�- /
Agent or Applicant Printed Name
SignaturePlease read compliance statement on back of permit **
/ *I. 1 ter/
Permit �6r ' Signat e �3 0 6
Issuing Date ?jira ion Date
d

WCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
June 1.3, 2006
Archie Page
501 Blue Heron Dr
Newport, NC 28570
Dear Mr.. Page:
Attached is General Permit #45737C- to construct a 13' x 13' boatlift at 501 Blue Heron Dr,
Newport, NC 28570
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Ryan Davenport
Field Representative
Isb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
► (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adj acent to �{� (► �, (�(, F is
j� (Name of Property Owner)
property located at 50 @� �� �-� �- V-CAJ
(Street Address, Lot, Block Aoad, etc.)'
onLikIp.So(-xk�-o , in V i s A 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 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)
joj�� I do agree to waive the 15' setback requirement.
(initials)
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------------------------------------------------------
Signature
LK3io0r,-- �a(
k�Gl R to G i %
-----------------------------------------
Print or Type Name
/. 3 3(` &v-V- & -3
Telephone Number
Date: 6 O

0
r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
• (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to N,&., � W,C' is
property located at '50 U ,
ame of Property Owner)
11
(Street Address, Lot, Block, Road, etc.)
on ��LA-S' �c : lJ , in k CAV , N.C.
(Waterbody) (Town and/or Coun
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)
--- f
(initials)
------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
I do agree to waive the 15' setback requirement.
------------------------------------------------------------------------------------------------------------
Q
Signa ure
Print or Type Name
Telephone Number
Date: '

willaa,4t'4rellie Zpage' yr. ss-aoi 42 756
,VC,D.0 1,985431 Yh [phone]
501 glues aK l 03
N. ewpart,. W 28570 DATE ,c-�
PAY TO TH
ORIIER OFE N c- D P— 7 I$/ V C. ©O
DOLIARS
Look for: Micro:Print gnature line, gray type and Ilnexrork, First Citizens Ban31co on back. If not present, do not cash..
tsT CITIZENS I Zl'11rS 342
First -Citizens Bank&Trust Company
Cape Carteret, N.�_�84
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