47383_PRICE, MICHAEL_20060803

�❑CAMA / ❑DREDGE &FILL
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
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City State ` ZIP
Phone # ( ) Fax # ( )
Subdivision
Authorized Agent - a
/ City J I } �' %'' ; �t' ZIP J
�J
" �
ElCW ❑ EW ❑ PTA ❑ ES ElPTS
Affected
Phone # ( ) River Basin �
: s AEC ElOEA ❑ HHF ElIH ElUBA El N/A
()
Adj. Wtr. Body" `'�'''
(nat /man /unkn)
ElPWS: ElFC:
h/c G A
ORW: yes / no PNA .yes f' no Crit. Hab.
Closest Maj. Wtr. Body
yes / no
Type of Project/ Activity
Pier (dock) length
-
I
--
Platform(s) —j
--
Finger pier(s)
Groin length -
number
Bulkhead/ Riprap length
-
avg distance offshore
max distance offshore . .
Basin, channel
-
cubic yards
i
Boat ramp
Boathouse/ Boatlift
Ir � ~_
Beach Bulldozing _ _ _ _ __ ✓� " '
IIf
Other YI
Shoreline Length
SAV• not sure yes no
Sandbags: not sure yes Ind
Moratorium: n/a yes ng
Photos: yes no,'
Waiver Attached: yes, no
A building permit may be required by:
Notes/ Special Conditions
(Scale: )
See note on back regarding River Basin rules.
vDI,J.y� AU(; 0 3
Agent or Appl cant Prigted Nam
Signature Pleaseread compliance statement on bac o per i
Application Fee(s) Check #
Permit Officer's Signature
4y to Expiration Date
Local Planningf urisdiction 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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/OS

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS -
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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■ Comple.a items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
�v
A. Signature
X �� G� ❑ Agent
ddre
O Addressee
B. Received by (P ' Name) C. Date of Delivery
D. Is delivery die m item 1? ❑ Yes
If YES low: 0 No
3.
❑ Regis 12 _� tW,,,. W'Recelpt for Merchandise
❑ Insured M - C:O.D.
4. Restricted Delivery? (Extra Fee) CI Yes
2' Artio
(Transsi 7005 2570 0001 7323 5966
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540

ADJACENT REPARL4,N PROPERTY OWNER STA.
(FOR A PIERIMOORING MINGSIBOAT UFTIBOAT HOUSE)
I hereby certify that I own property adjacent to pp l e_e 's
(Name of Property Owner)
property located at
(Lot, BIock, Road, etc.)
in
(%1 V41: i� `� � �A� � � � � �o , ILI. C.
Materbody) (`own an or County)
He has described to me, as shown below, the development he is proposiag at that
location, and, I have no objections to his 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 do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCREMON AND/OR DRAWING OF PROPOSED DEVELGPNWNT:
(To be filled in by individual proposing development)
I
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Print or Type Name
2 .§ Z -- Z' t-1C? % G
Telephone Number
Tate: / � t2

SPRING CREEK CONSTRUCTION
Ph 252-249-1810
2398 Whortonsville Rd
Merritt, NC 28556
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Wach-ia Bank, N.A.
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