46764_RITCHIE, TOM_20061018

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❑CASMA / ❑"DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification El Complete Reissue ❑Partial Reissue Date previous per
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 77
d.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (- ) Fax # O Subdivision
Authorized Agent City _ ZIP_
Affected ❑ c* Ca EW [2 PTA ❑ Es ❑ PTS Phone # ( ) River Basin i r
AEC(s): ❑ oEA ❑ HHF ❑ IH ElUBA [I NIA Adj. Wtr. Body C. (nat ?man /unkn)
El PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body '
Type of Project/ Activity
' s
33 /- !/ r�� v✓ e . c la e: h )
Pier (dock) length i
Platfo
Finge
Groin
Bulk[
Basin
Boat
Boatl
Beac'
Othe
Shore
SAM
Sand
Mora
Photo
Waiv
r
y
A building permit may be required by:
Notes/ Special Conditions
nt or
Signature P
1,T
Application Fee(s)
❑ See note on back regarding River Basin rules.
it Printed-Name—i rmitOfficer'sSignature
::. 0 C T 2 4 2006
lease read compliance statement on back of permit Issuing Date
u U. Morehead City OCM
Check# Local Planning Jurisdiction
Expiration Date
/1,6 i F / ,5'
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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
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)
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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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Adjacent Riparian Property Owner Statement
(FOR A PIERIMOORING PILINGSBOATLE TBOATHOUSE)
I hereby certify that I own property adjacent to 76 q1 Q�OcL'l%G is
Name of Property Owner
property located at
Lot, block, road, etc.
on C: JY0 G= : in 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)
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Signature ( /
Print or type name
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Telephone number
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Date
http://www.innerbanks.biztarpos.htm
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1/29/2006

Adjacent Riparian Property Owner Statement
(FOR A PI MMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 76 VVI 's
Name of Property Owner
property located at 1 U i
Lot, block, road, etc.
on C-yOb 1R z C.P'� 1c - , in _,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
0 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)
1_
\o
e
Signature
zrz
Print or type n
Telephone number
Date
http://www.innerbanks.biz/arpos.htm
1 P p6x-,(�rT
1/29/2006

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P.O. BOX 190 PH. 252-249-1429 r s
ORIENTAL, NC 28571
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