48920_THOMAS, NANCY_20070509

-Zz-d? rS/3
❑ CAMA / ❑ DREDGE & FILL - C
GENERAL PERMIT Previous permit #
[]New ❑Modification ❑Complete Reissue ❑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 I SA NCAC j
E-I'Rules attached,'
Applicant Name '�`J f` Project Location: County
I t 4%✓
Address % `� �% '� ' •-•' r �� Y,` Street Address/ State Road/ Lot #(s)
j
States' ZIP?-'
Phone # (') "i Fax`# ( )
Authorized Agent"
Affected ❑ 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
Type of Project/ Activity
Subdivision
ZIP_
Phone # ( ) River Basin
Adj. Wtr. Body (na oian /unkn)
Closest Maj. Wtr. Body
City
Pier (dock) length
Platform(s)--
Fingerpier(s) 1 •ti'r
Groin length t ;
number --- — -- — — -,"
Bulkhead/ Riprap length -
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift - — --- --i- T
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no .
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit*
Application Fee(s) Check #
(Scale:
[] See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date r Ep ration 15ate
i f
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
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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

� u oi� hQ5�

City DCM

I:..:1
�
s
r•
P1.
nil:.
I�
HIIIll JIB nuIII ONlmlINoil Ill
i� 111
I I 11 i IIi
11
I'
l' It
IIH!h I,, I!iil
Illl,l Illq li f
I
illy 'll'!
III I,1 I
+Illli� oll(
11 I:i
IIII � tdI
I I IUI il�
III u , 1 •I
IIII i I •L.
1
�I�III I�iill ;t:r r. N:
„�,II� �lilll Pfl Ilt
IIIIIiI �Itl! III,' ,;,I.
1
I1111It ,IIII. Null ''
IIII '(
Ili�lll III!'ll 't^t
I'
't
llnlll' ,�ii 1
III ,
Illllfl ,
V
IIII,
III,,
,
• dill! '� �` ,�I1, 'I�;l�
" illi lil
III, i{►� , I ,,,
III 1 + t,rr,l.
tU
I till I„II
'I: .11.11 I, Ilnil.
I�:ilu IIlI "II 'lil
jll( I+ 4 tl
I I
I � lli. II ,
i ill d;ln
,I�l Ilil ��I
1
ilil ''li I,I
1
rr,,t iNl �III`1 Itlj
W u 11 d III ill'! ,I
►�1
11 111
�'� 'III lilli Im
�Iwl in11a 'i' h1t u(tll
1 n.
' i IIiiI� I
II i IMI; 'rb
�I1,
It.II•.•
l'a
II
,ty
Ell.
j I�ilh
Ii.i;It'
�I'
I'•�'' 1
CI
illil ;1NI
I;�`G,II'
.;'I
Iirynll lilt
�ii"i
'•
:d;
IN
"ryj ,' I
III? IIy
{I,,,
I' Ililj
�h:
li1
.,
tll
'•�� 1
I , t'
�,In
f�l
pl
•. l� 1
"4

ERIC. B. <ELLIS ; i:S' 3601.
JASA W ELUS PH [phone]
205 NOTTINGHAM LN. d 66-30/631
MOREHEAD CITY, NC 28557 ` Date133
Page the
Orde,�1f � /�-
�r�o /ly L G_
(W ?9✓ wcf/rEr� �a t� Dollars 8�.w
F FIRST CITIZENTS Banc
www.fiisicitizens.com
For
,:053 L0.03001;0013 L'744Z7$Oii' 03GO L
@r3arkPA1h¢ri<an — GUARDIANOWETY BLUE E58L

ERIC B. ELLIS 3601
t;.` ,. JASA M. ELLIS PH [phone] �-301631 ,
205 NOTTINGHAM LN.
133
MOREHEAD CITY, NC 28557 Date
Pay to the ����� $ add
Order of ' � a
Dollars
r Oud
0:11FIRST CITIZENS BANK ` � �X
c S
www.firsteitizens.com
For
100` 5 3 10.0.3001:00 43 1711 L, 7801� 0 3 60 L
--- _ GUARDIAWSAFEV BLUE ESBL
Odo.ke Amen—