45545_ROY, DAVID_20060609

_ CAMA / DREDGE & FILL
GENERAL PERMIT
V
EINew Modification Complete Reissue ❑Partial Reissue Previous permit #
As authorized by the State of North Carolina, Department of Environment and Natural ResourcDate previous permit issued
es
15A N es
and the Coastal Resources Commission in an area of environmental concern pursuant to
AC
Applicant Name .—n-j Rules attached.
Address
City, k�i, �_•
.,
State ZIP
Phone #
Authorized Agent
�lj l . ,t
,� /� (; �� r,
Affected ❑ CW
Q EW
Q PTA ❑ ES C PTS
AEC(s): OEA
0 HHF
❑ IH ❑ UBA L— N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes / tno 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 -
Type of Project/ Activity
Pier (dock) length
(Scale: )
Platform(s)_
i
Finger pier(s)
i
Groin length _
i I I {
� i •I
number
Bulkhead/ Riprap length
avg distance offshore
{ I
t
l i I
max distance offshore -
— —
r
- /
Basin, channel
u
cubic yards
- • e
-- _ { C{�
Boat ramp—
!
Boathouse/ Boatlift ' /.�'
Beach Bulldozing
Other
Shoreline Length -7
yyes
{
SAV: not sure no
I
Sandbags: not sure yes no
�
I
Moratorium: n/a yes no
� t
{
Photos: yes no
f
Waiver Attached: yes no
A building permit may be required by:
. 7
I
See note on back regarding River Basin
Notes/ Special Conditions
rules.
Agent or Applicant Printed Name
7
n V—t
Signature Please read compliance statement on back of permit
----------------- ------
Application Fee(s) Check#
Permit Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, soe drawing naorncvi acn attached general and and may cause the permit to become
violation of these terms may subject the permittee to a fine
null and void.
to the permit officer when the project is inspected for compliance. The
This permit must be on the project site and access leto undertaking any act vit es au hor zed by his permit, the applicant will
applicant certifies by signing this permit that 1) priore plan
confer with appropriate local authorities to confirm that thisspume ct is ecei tconsistent
s beenwith
t No frland
om us adjacent alpaoi nl
ordinances, and 2) a written statement or certified mail r P
landowner(s) .
The State of North Carolina and the Division of Coastal t available
i h the North Carolina Coastal Management Program
information and belief, certifythatthis project is consistentw
River Basin Rules Applicable To Your Project: - Other:
_.J Tar - Pamlico River Basin Buffer Rules -
r _ I Neuse River Basin Buffer Rules
tall ement Commission's
r the
If indicated on front of permit, your project is subject to the EnviiroThese bufferrules are enforced byBuffer the NC Division Rules of
River Basin checked above due to its location within that River Basin,
Water Quality. Contact the Division of Water Quality at the WashinI h RegionalthesOffsce buffer 946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on h o comply
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