50161_EDWARDS, ROBERT_20080218

❑ CAMA / ❑ DREDGE & FILL ` J' � QF 501 61C
GENERAL PERMIT Previous permit #
El New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
S
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
i [—]Rules attached.
Applicant Name. ..' Project Location: County
Address _,! �, �.�r� y /�✓} {{ }} t �'' ' '
Street Address/ State Road/ Lot # (s) � :_ ; � j()
City ' State 'Z ZIP
Phone # O Fax # O
Authorized Agent ,;` _ice C: '✓ G i i 1 n
Affected 0 CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Subdivision
City t ZIP
Phone # O ��"� l %' "River Basin
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expirati nDate.
Local Planning Jurisdiction Rover File Name
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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:
❑ 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06

12/ 31_ / 2007 16: 25 9194778711
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PAGE 01
71 t7 U 1
AINJOWA
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North Carolina Department of Environment and Natura+ Resources
Division of Coastal Management
9 N
MISHEW EDWARDS
NkCNU F. Easley, tsonmor Charles S. Jones, 01reetor Willia+n G. Ross �r , secretary I
Date Z -- / / - 4 Y
Applicant Ngmc
Marling Address
x certify that I bave authorized (Agent) &ue to act un my
bthalf, for the purpose of app4ing for and obtaining all C.AMA Permits q+ecessary to
Install or construct (activity) xCOO Qa /� � fire �� . c Z &a its,
at (location)
This certiticati"y valid thN (
Signature
ee
h10f1<loi�
400 Commerm avenue, Momhead City, North Cwokna 28557
Phone: 252-WS-28M8 SAX; 252-247-333U'i intemet: www Wrrwjagementr$et
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Y do wish to waive that setback requirement.
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02/10/2008 23:28 9193653070 UNITE PAGE 02
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He has descri M to =, es shown below, the d*Ytiopr=t be 13 pt posing at that lotion,
and, lhave uo objectiOns to his prof-osal. f undexsWW that i pbu mooring b inp/boatlitLb040Uac
rust be set hack a ntnimtlm diStaoce of fitzm fort (15) from my azea ('riparian ecceas urdOss
Wai-Ved by me_
l �} wish to waive the aaback requicemuLL
I d� i4ish to waive that setback ragou t•
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CONSTRUCTION INC.
MOREHEAD CITY, NC328557-0093
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