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❑ LAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Previous rmit#
2ew [-]Modification❑Complete Reissue ❑Partial Reissue
Date preious permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Comfnission in
and the an area of environmental concern pursuant to 15A NCAC
t
{I. `r
L) 6/ 4
❑ Rules attached.
Applicant Name 1 _1 C J ►n'1 i
Project Location: County C/ 1 r; ,- /
Address S / f-A , • ..V a e, fz r f , je
Street Address/ State Road/ Lot #(s)
City }� � J d 8;0"*00 State ZIP a S V y
G 4 -/ A
Phone # a) cI Fax # ( )
Subdivision / ► ; C k C y P f
Authorized Agent f I: JU"
City ( i1P? ' KA v a'"/ Y r ZIP x� r ¢ L///
CW .$1:W 1-,?"A❑ ES ElPITS
Affected
,,
Phone # ( ) River Basin i r t V�
� [IOEA HHF ❑ IH El❑ UBA N/A
AEC(s):
Adj. Wtr. Body �:F ' -r /` rat /man • /unkn)
❑ PWS: ❑FC:
/
ORW: yes / no PNA , yes f/ no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity / ,.. . (`' r
l C r Z 6/ X / S
Pier (dock) length %`% `I `f
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore .
Basin, channel —
—T—T
X, ti
(Scale: —/ f )
cubic yards ---I —I —
Boat ramp — — — — —�
Boathouse/ Boath ox
_
Beach Bulldozing -
Other t — ---- '
Shoreline Length—
t
SAM not sure yes 0
Sandbags: not sure yes
Moratorium: n/a yes ho
Photos: yes ��i�o
Waiver Attached: yes �no --
A buildingpermit required b : r "F t
may y be re q y t ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions A
Agent or Applicant Printed Name
U06
Signature Please read compliange t on back of permit
Application Fee(s) Check #
I
Issuing Dafe Expinktion bate
4A,)rt,,4 C 31614
Local Planning Jurisdiction 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El Tar - Pamlico River Basin Buffer Rules 1 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:919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(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: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05
ADDI YIONA
W � i SOn
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WORK AUTHORIZATION
s
Oriqinal Job Information:
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CHANGE ORDER
MDATE
CUSTOMER NAM
iP 7 - ?�
STREET
CITY P
JOB NAME
LOCATION
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JOB/CONTRACT #
DATE
2S 2 S1,0 (2Sz) S?-2 - S1(63
We hereby submit the following specifically described additional work:
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2 .0 (....... .�) e2�... Z X V. I� A �C f Z i�... � �
-. ......... ._ .. . ......... >.. . _ . __..c�._ .__.. ,m i-� _ ._.__ ._..
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....... _..... __._—____ —_...___..._..._..__..___...._.._........................._.—._.....__.___..__._...._..._.-_...._........._.._._..........__._.-
...... ..... ....... __...—_....-____......_... _............... ..__......... .-......... .... .._......._.... _..... ................. ......... .-...._............ .... ........ .`.._._.__4_....._..._.v t✓S°_-,- -----
Additional charge for above described work is: $
with payments to be made as follows:
Additional work to be performed under same conditions as specified in original contract unless otherwise stipulated.
We propose hereby to furnish material and labor — complete in accordance with these specifications at above stated price.
Respectfully submitted
Dollars
ACCEPTANCE OF ADDITIONAL WORK
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. Payments will be made as outlined above.
Date of Acceptance Signature
mmoommommow
Lam': NC3824 MADE IN USA ADDITIONAL WORK AUTHORIZATION
ADJACENT RIPARIAN PROPERTY OWNER ST IAR 114ED
SEp 7 - 2006
I hereby certify that I own property adjacent to �c j}�(� !'� ,,) 's
(Name of FroP�err�y'fiigeq)Qt DCM
property located at 1. u+ `-/ 2 H l c �- d2 Y SU r,Q�4
(Lot, Block, Road, etc.)
off l Cat-<fA9S- (Csca C4in Jame- w , N.C.
. (Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
------------------------------------------------ ------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Signature ^�`�✓
/ 1/1-/a' &� /
Por Type Name
Te e mber
Date:
tacker
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r ..ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to�,��Z',� �(�, �t1 's
(Name of Prope C
1EIli
property located at L b+ 4 2- IN ,
(Lot, Block, Road, etc.) S F P 7 2006
on z.� ��� 4-_�, �_)� a-L)in nx-wkrZt Morehea t ity DCM
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Signature
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Print or Type Name
bq- (918 320�
Telephone Number
Date: 8 19^ 06
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MATTHEW WATSON
WATSON MARINE CONSTRUCTION
400 RIVERSIDE LANE
STELLA, NC 28582
DATE OCR - Z OG
66-30/531
PAY
TO THE ��
ORDER OF w
�,JD /•itl n� f, 1> b c- CN vim. DOLLARS 8 �o�� • sec� Y
F.W.—. Delius
� on BaU.
FIRST CITIZENS BANK
FIRST CITIZENS BANK AND TRUST COMPANY
SWANSBORO, NC 28584
P£2rJir
FOR 3 l ��Aztc�✓li C/tCt"!� /—�
II'00604 SO 1:0 5 3 100 3001:00 3 4 1 2 3009 3 511'