50607_GORDAN, BOBBIE_20080304

L "1CAMA / ❑ DREDGE & FILL 3 /y Nc4 59CO ! f'
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue El 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_ j ` Project Location: County
Address
City
Phone # (_)_
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # (` )
Ti
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body gnat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)_
Groin length
number_
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel _
cubic yards
Boat ramp
Boathouse/ Boatlift \:
Beach Bulldozing
Other
_
_
'
I
�
n
1
�
1
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
i
Photos: yes no
Waiver Attached: yes no i
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions =
Agent or Applican _ Printed Name
PermitOfficer's Signature
Signature "Please read compliance statement on back of permit"
Application Fee(s)
Issuing Date
Check # Local Plan ningJurisdiction
Expiration Date
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, 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/ I-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
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

•
p rrW 4�4r14 . Cb f- i
Resources
�,larth Carolina DeparLment of Emironment and 1�atura� R
Division 0" COastsi Mc'%nagerbant willam G. Ross Jr., Secre� �ru
iVkhael F Easlay, Govemor Charies a. Jones, director
A,Pplicant Name f�
M..ailing Add-ress
_ to act ors W
{ certify that X have authorized (agemt) �
r the n ose pf appVing for and ohtalaft all. CAMS Permii�"> agab ad City DCM
behalf, to la .p rP
install or constract (activity)
at (location)
'This cer-tilcation is vak,iai thru (date)
6
Signature
Z�—
I

(FOF A PIER/UMCOYGRED BOAT hIFl)
i FitcrebV ceriiiy :11ta i !."'ri, properr adiaocric to kgdl�
Of
prccer.vlocated at
(Lot, Block, Road, �(C.)
On :
L
(Waterbody) (Torn and/o County)
He has desc.ibed to me, as s�ho,hn below, the deve(ophent he is proposing at that
location, and, I have no objections to his proposal_ I unde:swd That a pier/uncoverM boat lip.
must be set back a minimum distanc; of nft/11ri Pert (15') iron my ia►ea, o� npacian ac=s unless
waived by me.
MAR 4 2008
Marahawi city 1)GM
I do not wish to waive die setback rwuiremennt.
I do wish to waive that setback requirement -
ION AND/OR DRAWD G OF PRO POSED DEVELOP.MENT:
(To be jibed its by individual proposing devirkprnert)
I
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EO'if -�
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Stgnature
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Print or Type time
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02 -19-' 08 12 ; 47 FROM-
, _...,_... _.
T-275 P01/01 U-456
09:36:49 02-19-2008 212
.ri3./yAC ENT' ll. C' "1L 1 1 ��� J AY\r; .t• OWNER t- Pt, i�'+..' M---rf
(FOR A PIEXIVIVCOVERW 80A:r uIF7) A '1 \
AT hereb ce;ity :IId; l f:'.4'i� OroperCy a4jaC,!nC toI (0OKyOi
!Ytmm of Praperir tri+�'Dtri V
pmpcM located at
9-4t, Block, Road,
an (Waterbodw+c-,*
C
Y) (Town and/o County)
He hu dcszibod to me, as show,, below, the dMIoptlient he is proposing at that
lomdon, and, ! have no objecdons to his proposal. I underscand s'Ihat a piereuncovered bos.t lip,
must be set back 1 minimum distant: of fifteen feer (IS') tram my j ft of riparian ac=s unless
waived by me.
N
I de M wish to waivs the serb:ck roeviremenc.
i� I do wish to waive th'su setback requirement-
i
DESCRUMON &ND/OR DRAWViG OF PR0P08EDIDEVMO?.'4fE�N?; �
(TO htJUW in by inldividuu proposing dsvar4rnsnr)
WED1
MAR 4 2008
i.
Morehead City DDM
I
0
Signature I d-
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Print or Type 4&ne
Teiephonc Numbfr
rn.t.

dASA ERIC B' ELLI---
M. ELLIS 7PHS
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205 N07TfNGHAM LN6 6775 _
MOREHEAD Crfy 557 3$01
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