44591_ROBINSON, WILLIAM_20060309

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f�ICAMA / 1-1 DREDGE & FILL ,
GENERAL PERMIT �,,
Previous � rmit #
❑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 y'� r —State—ZIP
Phone # (l' ) !%
Fax # ( )
Subdivision �'--
Authorized Agent
� y
City_ '� ` `'V ZIP
CW L?EW
Affected
C}PTA i ES ❑ PTS
-
Phone # (._ } River Basin
-
AEC s : OEA ❑ HHF
O
❑ IH I USA G N/A
-1
Ad . Wtr. Body---d"
I
an /un- -
(;L
❑ PWS:
FC:
n
J
ORW: yes / no PNA
yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body 1 e'" "-`
— -
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 Le
SAV: b,of 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
Signature Please read compliance statement on
Application Fee(s)
(Scale: )
_ . See note on back regarding River Basin rules.
Signature
IssuingDate _
Check# Local PlanningJurisdiction
V
Expiration Date
Rover File Name

w
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:
_j Tar - Pamlico River Basin Buffer Rules El Other:
Cj 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 (252-946-648 [)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/ 1-888ARCOAST
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

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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(Endorsement Required)
1:3 Restricted Delivery Fee
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117
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Street, Apt. No;
or PO Box No.
City, State, ZIP+4
sou, dune zoc
■ Complete items 1, 2, and 3. Also complete A. Signatur
item 4 if Restricted Delivery is desired. X f` ❑Agent
■ Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Received by (Printed Name) C. Date of Deliv
■ Attach this card to the back of the mailpiece, —71—
or on the front if space permits.
D. Is delivery address different from item 1? El Yes
1. Article Addressed to: If YES, enter delivery address below: Q-<0
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27351(-
3. SeDKO Type
Certified Mail ❑ Express Mail
❑ Registered ❑Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7005 1820 0003 0426 2569
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540

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Robert A. Ballard
Valerie D. Ballard
272 Royal Road
Beaufort, NC 28516
Date: June 13, 1999
To whom it may concern,
We, Robert A. and Valerie D. Ballard, owners of the property adjacent to the property of
Brad Robinson, have no objections to him adding dockage and constructing a boat ramp
and boatlift up to our property line. LJ a' !'Sv 111,1 J � ham- � 5� 5el+ L � •
Sincerely,

To whom it may concern,
I, Ray Coates, owner of the property adjacent to the property of Brad Robinson, have no
objections to him adding dockage and constructing a boat ramp and boatlift.
Sincerely,
T

ADJACENT RIPARIAN PROPERTY OWNER STATEMIM
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
property located at
on
(Name of Property Owner)
(Lot, Block, Road, etc.)
in
(Waterbody) (Town and/or County)
's
N.C.
He has described to me, as shown below, the development he is proposing 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Si ature
Print or Type Name
Telephone Number
Date:

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PH.252-72� RADFORD ROBNySO
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Pay to the
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