46765_SMELLMAN, STEVE_20061018

❑CAMA / 11 DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification El Complete Reissue El Partial Reissue
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
Previous permit #_�
Date previous permit
Applicant Name - Project Location: County
Address
City
State : ZIP
Phone # ( )
Fax # ( )
Authorized Agent
'
❑ CW
❑ EW
❑ PTA ❑ ES ❑ PTS
Affected
❑ OEA
AEC(s):
ElHHF
ElIH ElUBA ElN/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length J X % ' i
Platform(s) Z
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
Shoreline Length
SAM not sure yes
(no
Sandbags: not sure yes
Co;
Moratorium: n/a yes
Photos: yes
no
Waiver Attached: yes
fio -
A building permit may be required by:
Notes/ Special Conditions
Street Address/ State Road/ Lot #(s)
J _
r.,
Subdivision ri ' " ''
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
DSee note on back regarding River Basin rules.
y QrT 2 4 7006
;.fJorehead City DCM� Y`
Agent or Applicant Printed Name % Permit Officer's Signature
Signature "Please read compliance statement on back of permit" Issuing Date Expi tion Date
ApplicationFee(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 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 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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Append ix A
Adjacent Riparian PropeM Owners Statement
( for a bulkhead, doc ./moonng pilings)
t E;%yreby cei•tt t�- that I own property ad}acer. to & ;z
(Marne of property o%kmer )
orovert), kucatei.4. as _-.e�:_J%..! �. `_`' - -a"_
i, L ot, '31uck, Road, etc.)
ort..__C �NC
i.�.f' ,J.�
E V4 aterbody) (Town and/or Counry )
s ie f-I as described to me, as shown below the development ha is proposing at that
ioc:atioiR . and, l have no objections to his prd posal. l understand that a docL!rnocinng
1),11r,gs rr:ust he ;et back a miniinum distant! - of fifteen, feet f I5'1 from tray an -a of riparian
access Unless waived b) me.
P
'i rant wish to v�aive the setb ick requirernent.
---- 1 4wish to wive that setback. requirement.
'!-1nt na;: e
Description and dra%ving of proposed development:
( TO be tilled in by ►anti vide it proposing dev,el opme nt )
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2V26*�55242 r'1tLa Ukl' MtaRlr+'-4 PAGE 02
Appendix A
Adjacftnt Riparian Property Owners Statement
(for a bulkhead, doclvranooring pilings-)
I hereby certify that i own property adjacer„,' to .lie i LX,,-*- s'daIG AA 6� � 'a
(Neett's'rer of property ow.er)
:iropext'y loca►W at _� st'_ _, _ �.�.�, , ._ _ �- --- - _._ _.-__. _........_..�._r._ _,.•
(L.ot,, 31ock, Road, etc.)
on tf 1� f�te.� 5_r _ ���`� , in .-LaQc.,A- Al l ���,�-_. __ �_ __ -NC
('W"rbody) (Town aarsVor County)
tie has described tao me, as shown belOwta she +devf*10PMtftt he iti proposing ails that
R)cstlt>n. and, d stave no objections :o his pr% posal. I ur�+derstmid that a +doclvmooring
p.11angs mast be set back a minimum dista-mv of fifteen fett (i V) frorrs my area .of stparjar
access unless waived 'by me.
wish 16 waive the setback tegaai►vmIn'.
1 #o wish to wwve that mbecii rvquv' aamwu.
i-c-scription and drawing of proposed development:
To be !filled in by indfvtda tl ~Wng *mrloprm"O
Prim I wic
Dow
aa3+src-�s
Telomphc tss aum bor

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MEDFORD MARINE CONTRACTORS) �r�t \
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ROBERT N'HASKINS , SR., GIL HASKINS
< .\l�. 1N/X �\,4,'r�����:`\��,
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410 CHURCH RD. 252-635-5242 j , ,
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NEW BERN, NC 28560 ti ,` i /
NC DL#-444-033
DATE
'1 '�" /V ss-ao1531
PAY �, \. ��1i\ %`' \ 112
TO THE ORDER
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