46763_REED, PAUL_20061031

❑CAMA / ❑ DREDGE & FILL
y^ GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commissign qi anareaof environmental concern pursuant to I SA NCAC
Applicant Name
Address
r
City I .
J+_ ° State ZIP
Phone # O
E. Fax # ( )
Authorized Agent
E;CW
ElEW E?PTA ❑ ES ElPTS
Affected
❑ OEA
AEC(s):
ElHHF 1-1IH ElUBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA yes l no, Crit. Hab. yes / no
Previous permit #
Date previous permit issued
Pr 'e t Location• Coun � T
of c ty
Street Address/ State Road/ Lot #(s)
❑Rules attached.
Subdivision
City zip
Phone # ( ) River Basin '
Adj. Wtr. Body (hit'./man /unkn�
Closest Mai. Wtr. Body
Type of Project/ Activity
i
_..__._,....._._..._._,_,..,._
(Scale: )
Pier (dock) length -'
Platform(s)
Finger
Groin
Boat
Othe
on back regarding River Basin rules.
Shor
SAV:
Sand
Waiver Attached. yes no --
A building permit may be required by:
Notes/ Special Conditions
El See note
rF%NMxZb rim
- -- --
length i -- - �
—
— ---
- — —
number
Z'6Y-- -ap IYUV 1 LUUb
7�`��.�,�
Agent or Applicant Prin a Permit Officer's Signature
-- - -: %=Morehead City
Signature Please read compliarlcestatement on back of permit D ate Expiration Date
Application Fee(s) Check # 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 [)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 - amlico 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
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
Fax: [phone]
Fax: [phone]
(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: [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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Qp�,s i 00CD is
Name of Property Owner
property located at t ak( c- w :.-v,DJ ,
Lot, block, road, etc.
on Uevh C-yZekL . , in i,..)tt,.)beaA. q , NC
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.
I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be, filled in by the individual proposing development)
DdlamLxxt(-31
Signature
Print or type name
9r9
Telephone number /
Date
1 kS/+ i
http://www.innerbanks.bi7Jarpos.htm 1/29/2006

P
Hajacent xipanan rroperty uwner statement
Page 1 of 1
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to pp,-s 1 000,0, 's
Name of Property Owner
property located at 6 3Cb
Lot, block, road, etc.
on CaEC-,lc . , in OCA-)be" , NC
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.
XI do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
I o
.I I
I
I
I
I
I
Signature
Print or type name
Telephone number
/o /l-0 6
Date
http://www.innerbanks.biz/arpos.htm
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1 /29/2006