38070_CARLTON, DARREL_20040427

D CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
New ElModification ❑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 I SA NCAC
O Rules attached.
Applicant Name (. W 1
Address
t
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City ;?v 'srL
Stater! ZIP 5�Z
Phone # (- 5 7-) Vl.
Fax # ( )
Authorized Agent
r, j tM1 r k
Affected ❑ CW
❑ EW
E PTA ❑ ES O PTS
AEC(s): ❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
Phone # ( ) River Basin
Adj. Wtr. Body ;t/: r7 : fd (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity , • j 1'
(Scale: A&,1% C )
Pier
Platf
Fing
Groi
Bulk
Basir
Boat
Boat
Beac
Othr
Shor
SAV:
Sant'
Mon
Phot
Wain
■
■
■r�i�■.'7■II��IR�7i��i■ILr3■■►�'il�IlI�w1►�
��!�L'J■1.�■■■■
Bulldozing
"■■■■■EI'�
■■■■■���
Ifli■■■®�:1:
��
■'■■'
ONE
Ane Length
not sure no
�■■■■■
10i'
'Ylli�li�l■■■■■rags:
■■■
■.■■
yes
not sure yes no
torium: n/a yes no
yes no■■■■■
--r Avg ..
__
■
■�■■■
■■P■
■■■
■■■■
■■■
■■
A building permit may be required by: �; s : ► y �- © See note on back regarding River Basin rules.
Notes/ Special Conditions
1j f i
,•;ti dr.��c-. liar r, ;��}. '� {�-.f 1, �/'
Agent or Applicant Printed Name
Signa`�tuur�re�� r** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date
Expiration Date
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
landowners).
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:
❑ 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 City District
151-B 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.nccoastaimanagement.net
Revised 10/05/01

-r�-a-.s 1514
DARREL U. CARLTON 6PCZ9070
SUZANNE N. CARLTON J 68-1497/2560
PH. [phone]
907 STATELY PINES RD.
NEW BERN, NC 88560-8465 u� o
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /; 2 CL /-/ G,4X LTa/✓ 's
(Name of Property Owner)
property located at qO 7 1)—,q r-- t, Y /011j r
(Lot, Block, Road, etc.)
on /V F VJ E /L , in W i7 /Z /✓ IC A9 A K , N. C.
(Waterbody) (Town and/or Coun(y)
He has described to me as shown below, the development he is proposing, at that location,
and, I have no objections to his proposal.
Alp,(,fYQ171d"(
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Print or Type Name
NAYS C 's
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Telephone Number
Date: 311 --2- 0 /y V

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to DAR rL �/ ed1LL7—d ,k-' 's
(Name of Property Owner)
property located at �l kj
(Lot, Block, Road, etc.)
on /t%(1tsC- ICIV-fl2 , in V� ,/ 0f-k C•2J Kz i✓ , 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 AN`D/OR DRAWLNG OF PROPOSED DEVELOPMENT
FRoJ'roIJ 11 (To be filled in by individual proposing development)
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Signature
Print or Type Name
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Telephone Number
Date: 3/ 1-7/ '0z(

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3/28/04
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