45236_RAY, WALTER_20060501

�DCAMA / ❑ 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
[-I Rules attached.
Applicant Name
Address
CityState ZIP
Phone # O Fax # ( )
Authorized Agent
❑ Cw ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑FC:
ORW:
yes / no PNA 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
SAV. not sure yes
no
Sandbags: not sure yes
no
1
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
❑See note on back regarding River Basin rules.
MAY 2 - 200E
Agent or Applicant Printed Iame Permit Officer's Signature
-`%:' �-":✓- - Morehead city
Signature Please read compliance statement on back of permit ** 7 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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
_j 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 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
Fax:[phone]
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

APR 2.5,2006 08:16 Lorri Wiley 252-636-5585 Page 3
Llt r
ADJACTIKII TA.RJAN NI �QPFY
,I*rl*)-,,, cel til'y IliaL I U'-VII I)fOPCTIY Io
W J)
h:
their pl.t)perlv j, joc.'plted at
(I tit.. 1.31cie.k, Road., CtC-)
-ev Zo av
q)&Or COU111Yj
bj.,.j to r?,c, a,., :;jjoNv,, t kc
The applicam his d�,Scli devolqment popt , I - I
TI cl back ) miIiinluut JiSt-MIC-c
;iho c location. I c -' J 'I h�
(if fifIck-11 5').from my '11-w$ k)r wxived bi�- aw. 0 � , liparial, tmics
%e,tback- d(ses not 1ptdv it) thehti11 boo ramps, 11INIalld
h a
and ;mcud.nt struciures. je,,,jpOron* stmowr,.s,, ripra 13 f6r wellmid
duv(,Jiipment
I llavt: 110 ohjvwtiull to Ow project pioptvt;vd. but (10 1-1
sislt to 111C
tjo oh,V.wtion 141 the 41)LI do k-,,Vh
to %v;j'vt-, the (J;-) rtqhaj.- requilemVIII
i.he, pto.it;C1. :1^
I S C 0 1 r1l —K )KT-,—Nf)7Tk VVrNG 1, eROKYSED ))'FI-JTITM�T
(7-t) be filled in by individual proposillP, 11IL: dcl-clopmoill)
!"RUNTOXI 1: ?1;. NAM I:.
S I GN ATL I R E
1) A. H:.
AIIR :N:T! Nicy. ';-

J. a % ( i'I! IW. G 1 GN�!h_, l 1J t h J l t J� I' �k I t_L ! r._ t �r ✓ _i !b
AD.IACFNT RIPARIAN PROPERTY -_ ER, 5 FAM,TN TENT
I hereby certify that T own properly adjacent to
(N T'le of i'mperty- Owncr)
their property is located at _
(Lot, Block Road, ct.c.)
on --t�.S _t �'1�E in — R.►.7 �1 G �u►�
(W aterbody) (Too n ;- 0/or C :`untY)
\orth Carolina.
The applicant has described to me, as shown. the Aevelo;ament i roposed at Vie
above location. I understand that any construction, rust be sct rack a i tini;;ium d 4am e
of fifteen feet (15') from my area of riparian access unless wai�,ed by rte. The (1
setback does not apply to the following: bulkheads, dpra.p. )oli' ramp. upland b0,11
basins. utility lines and attendant structures, temporary structures, ripri+p for v etl:aad
protection, or upland development.
I have no objection to the project as prol:osed. 11>11 &P Riot
wish to waive the (15') setback r-quirem ent.
I have no objection to the projecl as pmj.- oced and d. %vish
to waive the (15°) setback requir•,ment
I object to the project as propose 1.
DESCRIPTION AND'OR DRAWING 0k FROI'U Eli hVr- UPti(f.KI
(To be filled in by individual proposing the de,7elopm mnt)
PRINT OR TYPE NAME
TELEPHONE NUMBER.
2 /2 n, i 006

APR.24.20OG 8:3�AM NADEP CHERRY POINT NC (P2 DIV)
NO.672 P.1/4
so -- -15�

I
11'30 MAR 21, 2096 ID- OFFICE# 'DEM TO N0: z52-975-3716 #6477 PRCEE: 1/3
Authorized Agent Consent Agreement
I ..-hereby authorize t QA 04 to act ou
(Pro er) (Authorized Agent)
MY bchalf in obtaining CAMA permits for the location li,zted below.
Property Address: WC,
Property Owner's Mailing Address:
Property Owner's Signature: k4n�
Authorized Agent Signatw-e:
Dater LJ(.,a
2'd 6b622b62S2T:01 28286922Tb
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CUSTOM BLDG. INC.
1 BATH, NC 2780T
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ORDER OF
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FIRST SOUTH BANK
WASHING -TON, 6C 27889
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