47869_WILLIAMS, JIMMY_20070220

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❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous per ' #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previo 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 Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
State ZIP
Phone # t_0)
��j Fax # ( )
Authorized Agent
`
❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
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
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 #
Subdivision
City ZIP
Phone # ( ) River Basin ' f,
Adj. Wtr. Body /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planningf urisdiction
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:
❑ 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ I-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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 06/09/06

Feb 15 07 10:550 long Mcneil],pEB-25235�6146 ]
7 -c�007 t0; �5 From NC qTU GdASTA� ric�rtN i �'tdd4 f
North Carolina Department of &V.- r"i 6nt and Naturali Resources
Division of Coastal Managwent
Michael F, Easley, Governor Charles S. ion", Director W Mam G. Rose. Jr,, Secmlmy
D t~e 11 1
A,pplicaot Name i �.J ♦ Cr- `a
•
I certify that I havo aakharized (agent) — to act oa my
behalf, for the purpose of applying for and obtaining all CA,MA, permits aecemry to
install or construct (adivity) t o
at (locatiow)
S'% -\ \U
This certification Livalid t� (dxte) __ ,
/ . ".:"'7
400 Commerce AVm ei Morehead City, North Cam'ina 28557
Phone: [phone]k FAX: 252.247,33W t Internet; www=�stalmanagement,net

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkheads and Riprap)
I hereby certify that I own property adjacent to S-Sit-e- k. / LZ-(qW-, —'s
(Name of Property Owner or Applicant)
Phone number you can be reached a
Mailing address if different from location: >
Property located at
r (Lot, Block, Road, etc.)
on Cc 1�-- �c , in , N.C.
( aterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Nt<,) -�?U-C I�'- L(Q �
---
Signature
Print or Type Name \
Z S z D S"S'/At{� o,61 J
Telephone Number
Date: z - Z O?-) 7
nccoastalmanagement.netIPermitsIADJACENTRIPARIANPROPERTYOWNERSTATEMEN -7.pdf

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIB OA TLIFT/BOA THO USE)
I hereby certify that I own property adjacent to 1SS L L�) /LC Jzfill <7 's
property located at
e d ("I-- t! JJ
(Name of Property Owner)
ff II (Street Address, Lot, Block, Road, etc.)
on r 7 I� I �-2__ �Ct k �l it 1 (zalcti- ?0 r �u , N.C.
(Waterbody) (Town and/or County)
He/she has described to me, as- shown below, the development he/she is proposing at that
location and I have no objections to this proposal. I understand that a. pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area. of .
riparian access unless waived by me. I have indicated my intentions by initialing below:
V'y\k,A� .I do not agree to waive the 15' setback requirement.
(initials)
Y 4 I do agree to waive the 15' setback requirement.
(initials)
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
V t (L (To be filled in by individu l pr posing develop nt
aL?HIQJ
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Signature
M IC H Pr E� joy � � a- 1-4 0AJ
Print or Type Name
Telephone Number
Date: _-) ` q r0 7

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