36773_BOHN, BRIAN_20031205

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FDCAMA / Ll DREDGE & FILL
-
^' GENERAL PERMIT
a
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
❑ Rules attached.
Applicant Name % ,i G , .__I, , .,.
Project Location: County
AddressT( ,�,_; ( ,, L.
Street Address/ State Road/ Lot #(s)
Ci �.L . �' r /:.. t State ZIP
Phone #(�Ci Fax # O
Subdivision
Authorized Agent c- , ; t-
City ZIP
Cw 5mw CTA_`) ❑ ES ElPTS
Affected
Phone # ( ) River Basin ••, �{ )� '
❑ OEA ElHHF ElIH ❑ UBA El N/A
AEC(s):
i ,
Adj. Wtr. Body. ' , (.nat /man /unkn) 1
❑ PWS: ❑FC:
-
ORW: no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)`
Finger pier(s)
-'
Groin length ^•�_ � � • . f�/ / � � !� / J � ' ,i r � �.�,,,�
f
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin,;channe - T -- -- - --- cubic yards
Boat ramp
i
Boathouse/ Boatlift
Beach Bulldozing ---
/
Other %
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no ��,___, _� --•--��. ✓'�" -
Moratorium: n/a yes, no
Photos: y s no
Waiver Attached: yes no -- - --
,_I
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions i t
r
Pent or Applicant Printed Name ,
7k
Signature Please read compliance statement on back of permit
Appli cat F e(s) Check#
Permit Officer's Sign tune
f .
Iss ingDat ExpirationDate��
Vf —1C`� /'r l,lL��;
Local Planningjurisdiction Rover File Name

f
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:
❑ 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 (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead Citv District
151-13 Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

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Adjacent Riparian Property Owner Statement
I hereby certify that I own property adjacent to 1 Ol r b. d o hn
(name of Property Owner) L,R 200,14
property located at R 4) �o'31 4n 2-
(Lot, Block, Road, etc.)
on _9"rCo -�5 , in G (ayc���-er, Cr'V4e_re_-
(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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print or type name "
72,�?-2.3Sj
telephone number
date

Adjacent Riparian Property Owner Statement � 3 2003
I hereby certify that I own property adjacent to Y n
(name of Property Owner)
property located at t" %� % 3 q �' n 3 L y LI[" 7
(Lot, Block, Road, etc.)
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on U L e 5 e
— (Town and/or County)
(waterbody)
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)
red n C�' /, 0 1 e-53 -A-D
(flean- oU+ creek
signature
print or type name
telephone number
date

11/17: 2003 13: l4 FAX [phone] DCA TOWER Cd 002
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Adjacent Riparian Property Owner Statement
I hereby certify that I own property adjacent to �0.2% i� h
(name of Property (wner)
property located at pi % 3g to 8 3 z `q LJl• 7
(Lot, Block. Road, etc.)
on 5trc��+ 5 ,in�LVLe5�-esrr-�eI'�f" _
(waterbody) (Town and/or County)
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Description and/or Drawing of proposed Development
(7o befilled in by individual proposing development)
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signature
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print or type name
telephone number
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DEC 0 3 2003
Adjacent Riparian Property Owner Statement
adjacent to r 0' -n Ubk YN
I hereby certify that I own property I (name of Property Owner)
property Located at PIN 73q(,031`4I /�;1 way Jane
(IA)4 Block, Road, eta)
in V" l ooce l'er �Q�' i�Gre
on (Town and/or County)
(waterbody)
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)
Dcedq 0-r /) 0 0(0
(flearl- ou+ deck
signature f
print or type name
telephonemnunu ber
J r)�
date

Adjacent Riparian Property Owner Statement
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I hereby certify that I own property adjacent to �� r Y� �6 h n 3
(name of Property Owner)
property located at g q, 7 a
(Lot,Block, Road, etc.)
on in CcfDUC25�G�� raY--E'-(�-f
(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)
ced q n o-r f1 d o o
Clean - 00+ C Ce-e k
signature
FL-cyU .SfwPF" ,TA.
print or type name
72y /2144
telephone number
II-Z3-z.yo3
date