45544_ROBERTS, WILLIAM_20060602

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue
Previous permit #
❑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
l
Applicant 1
❑ Rules attached.
Name W ,
Project Location: County
Address `-" //
Street Address/ State Road/ Lot #(s) o-r
City �%l ,; r.,r, r State zip:
Phone # Fax # O
Subdivision
Authorized Agent 'P,,' .
City ZIP
Affected ❑ CW ❑ EW D PTA ❑ ES ❑ PTS
Phone # (`) River Basin
AEC s : ❑ OEA ElHHF ElIH ElUBA ElN/A
Ad'. Wtr. Body (nat /man /unkn)
I
El PWS: ❑FC:
ORW: yes /.no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
)
Pier (dock) length
Platform(s)
Bulk
Othe
An-
Shor
SAV:
Sand
Mo
Phot
Waivery
A building permit may be required by:
Notes/ Special Conditions
on back regarding River Basin rules.
© See note
Finger
r pier(s
) �
n length
I I I i i
number
� i I
head/ Riprap length
avg distance offshore
max distance offshore
channel
a 5,
i
cubic yards
.. - -� - ❑
ramp
house/ Boatlift � c ; [
I
i
h Bulldozing ! I
i
'F
N
eline
gt
I
not sure yes no
� I
bags: not sure yes ono � _ i
ratorium: n/a yes Lo'.
os: yes ho
Attached: es
Agent or Applicant Printed IS
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check# .
Permit Officer's Signature
Issuing Date
- Expiration Date
Local Planning Jurisdiction -� a Rover File Name
Agent or Applicant Printed IS
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check# .
Permit Officer's Signature
Issuing Date
- Expiration Date
Local Planning Jurisdiction -� a 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
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Morehead City District
Wilmington District
400 Commerce Ave
127 Cardinal Drive Ext.
Morehead City, NC 28557
Wilmington, NC 28405-3845
202-808-2808/ 1-888ARCOAST
910-796-7215
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
(Serves: Brunswick, New Hanover,
New River Inlet- and Pamlico Counties)
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05