43562_RANDELL, PAUL_20051118

CAAA / I I DREDGE & FILL
GENERAL PERMIT
DNew ❑Modification ❑Complete Reissue ClPartial 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
;? ( r
Previous permit #
Date previous perm t issued
Applicant Name J Imo. .f Project Location: County
Address % ` ,� rti/ Street Address/ State Road/ Lot #(s)
City-
Phone # ( )
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
92 0
State N ZIP
Fax #
EW C• iArA ❑-es ❑ PTS
HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / noCrit. Hab. yes / no
I Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number _
Bulkhead/'Ripraplength
avg distance offshore t
[s
❑ Rules attached.
Subdivision
City `rl� f ZIP
hoCnee # (- -) River Basin
Adj.�/tr. Body (nat /man /unkn)
Closest Maj. Wtr. Body `` " _.
max distance offshore
Basin, channel
cubic yards _
Boat ramp
7
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: 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
Agent or Applicant Printed Name
(Scale:
74
- 1
li
Signature _ "Please read compliance statement on back of permit"
Application Fee(s) Check #
__ See note on back regarding River Basin rules.
PermitOffi sSignature
Issuing Dante
Expiration Date
Local Planning Jurisdiction
Rover File Name

Y
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 F_I Other:
[l 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 06/29/05

Q
1,3` L/ "r�
NOV o 9 2005
Morehead City DCM

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09/19/2005 19:35 9194812568
PI-18-2ODS TUE 01:44 PM It DIV OF COASTAL riGN?rf
PAUL PANDELL/SUt5MIT
70, NO. 4
PAGE 01
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w . _1V�11l►�L •.1 F: t rstly x> _» ItCQ BD
MVISION OF COASTAL NJANAt,,, 4ENT
AX)JACXNT R11'"IAN t'RCyI�> K'fY t> Ni�K NOT>i�1CATtC)Nrr,�'�1tYt;[c FORIvt
NRIM 1)c I—livitlttai a nelvinQ fat li'Vttllt;
• - Acid<<.s% of Property:
(1 01 or greet N, Sheet or Road. City & Caun1)7
lwr6)y Certify. ! m.vjs ptvperty acljacent to the rbove Nrercncod property, The individual
Plying for this Permit I� is describ�(1 to njc as shown on the attached drawing the d�vt;lopmcnt
Ilwy %vc propusin4. A dcWription or cirawing With (1imensions, should be provided with this
14ttc.t. /
1 hzve na dljjcctlons to ti,is proposal,✓��'
If You have objections to whm is bei14r peope)sed, please ry to the Aiviii[w, of COasint
+11rrr►rrt erncrrt, llttilrr�a lYn:n Il, 151.11, Ifivy. 24, Marehearl City, AG, 28t57 or calf PS2) 808•
2803 willrin 1011140 of receipt of this ►tprice. lib respaltjc is considered rite Same ets no objerlion
(f you Ito►+e heert rtuliflerl by CarriJ7ed itluil.
1VAtVC4 SECTION v
11
i u1cl�rSt�ttt1 that ti ttncl: ttu+�t be
sit h;tick a minim- distance of IS' from my nrra ot'riptaian access unless ��a,�ed by n e. ((fyau
wish to tivai;e the,,, bac4:. You rttust initi,l' tilt approprioac blank bcla�v )
I do w1si, to wnivc the IS' scttsacl: fCqulrCntiCn:
1 tlu Itut wish to waive the 15' setback requircrtient
1 raAef Sor
Prink Nartt� �'� l �� f C
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09/27/2005 10:03 9194812568
ISILV=o94 IMN fat 261 784 977i n!C
PAUL RANDELL/SUMMIT
PAGE�02
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ERIC S. ELLIS
JASA M. ELLIS PH (2521 726-6775
205 NOTTINGHAM DR.
MOREHEAD CITY, NC 28557
3145
66-30/531
Date 133
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