46768_THOMPSON, NORWOOD_20061121

❑CAMA / []DREDGE & FILL
4-6)76, 8
GENERAL PERMIT
Previous permit #
[]New ❑Modification El Complete Reissue
❑Partial% eissue 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 t'" '''' ` v
Project Location: County
Address `� " 1 I
Street Address/ State Road/ Lot #(s)
City c�! /" '� State ZIP
r V
Phone # ( 4) 1 Fax # O
Subdivision
Authorized Agent
City zip -
i
[ICW ❑ EW El PTA [I ES ❑ PTS
Phone # ( ) River Basin
Affected
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
1• Wtr. Body naWman /unkn
Y �� )
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s) I- -1 - l —:
Finger pier(s)
Groin length —
number
Bulkhead/ Riprap length
avg distance offshore T
max distance offshore'-:-
1 I I
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bul
Other
I
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no 1
Waiver Attached: yes no —
A building permit may be required by:
Notes/ Special Conditions
f
(Scale: )
/
-- -
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name r DEC 1 2 2006 Permit Utncer's signature
Signature Please read compliance statem b f e mi Issuing Date
t %V6? % W01'C' DCM
Expiration Date
od)"f 14
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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El Tar - Pamlico River Basin Buffer Rules ❑ Other:
L 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/ 1-888-4RCOAST
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/OS

11/20/06 MON 12:59 FAX [phone] Walthom Group Q 001
442'/z E. MAIN STREET
CLAYTON, NC 27520
919-553-5400
FAX: [phone]
,or!;!
41t r-AA
T I
To: -14Q1 � n From: Norwood Thompson
Fax: Pages:
Phone.— Date:
Re: CC:
❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
• Comments:
�m0�

11/20/06 MON 13:00 FAX [phone] Walthom Group [it002
-07-06;04;48PM; _ # 2/ 2
ADJACLNT RCPARLAN PROPERTY OWNER STAMNEE ,T
(FOR A PIER/MOORING PILINGS/BOATLIFT/RORTXOCSk�
I hereby certify that I own property adjacent to S
(name of Property Owner)
propery locates at Z'OQ& 1 ..
(Lot. Block, Road, etc.) ,
on �o� .� � �� � .. ,, in � M , N. C.
(Vi'aterbgdy) (Town �andl�orCZ�P
y)
He has descn—ba i to me, as saown below, the development he is proposing a: that location,
and; I' have no - objections ro his proposal, I unders�nd ChF a pier/mooring
pUin`s,` zdi*Aoathouse must be se: back a minimum distance of f=: (_S') &-om my a Z
of ripa*ian access unless waived by me,
DES
I do not wish to w d"e the setback requirement.
T tl_n wish to w4vc tat setbac;c reeuireMent.
o be
ltr-4
7POSED DEPELOF:FE\i':
:��eLe�apment)
Su —
re
Print or Type Name
rh l
------------
Tz!eohoae 1\umbe

11/20/06 MON 13:00 FAX [phone] Walthom Group [j003
ADJACENT R.IPARLAN PROPERTY OWNER STAIT-NEENT
(FOR A PIER/MOORING PILINGSIROATLIFTIROATHOC-SE
I hereby certify that I own property adjacent to "WIZ
(Name of Property Omer)
propery located at Q'0 (o C)" �
(Lot, Block, Road, etc_)
on �� .� a r , in� ��� 1���� , N.C.
(Waterbody) (Town and/or County)
He has described to me, as s>>own below, the development he is proposi a: tat location,
and, I have no objections to his proposal. I unde.3m-:d tra= a pier/ mooring
pilingsi'Doadif lboathouse mus be.,--: back a minimum distance of fat: (15*) from my area
of riparian access unless waived by me.
I do not wish to wa %-e the setback raquiremenc.
I do wish to w4"ve t; ac setback requirement.
--y—r I
DESCRIPTION AN-D/OR DRAWLtiG OF PROPOSED DEVELOMENT.
(To be filled in by individual proposing development)
tom- %'��
S i Hamre
Print or Type Name
An
Telephone Number