59703_INCOGNITO, JIM_20111228

0CAMA / []DREDGE & FILL
r. GENERAL PERMIT ` Previous permit#
New ❑Modification ❑Complete Reissue ElPartial 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 15A NCAC
` 7 Rules attached.
Applicant Name
Address 0r'V t'� (�' + , ✓'
City 1r, StateA& Zip
Phone # (__) 1 Fax # (`/ )
Authorized Agent F 4,14 �e k )
Affected CW ❑ EW ❑ PTA DES ❑ PTS
AEC(s): OEA ❑ HHF ❑ lH O USA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no: Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City r_ ZIP
Phone # () River Basin
Adj. Wtr. Body P ul r ! (nat /man /unkn)
Closest Maj. Wtr. Body �`'* if
Type of Project/ Activity C A
(Scale: )
Pier (dock) length
I
Platform(s) -
Finger pier(s)�
Groin length
number
Bulkhead/ Riprap length io lip
avg distance offshore
max distance offshore
Basin, channel
—
—
41C
f
L
t
_-
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
I
�
I
�
i
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
--
Ciro
ye',
i/
o
❑ See note
on back regarding
River Basin
rules.
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s)
Check #
Local Planning Jurisdiction
Rover File Name

r
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/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth Citv 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

A����
NCDENR
Noah Ce,roiina Department of Environment end Natural Resources
Division of Coastal Manac ement
Beverly Eaves Perdue, Gover,or James 11. Gregson, Direc',or
i)ee Freeman, Secretary
Date ��L y_l `
Applicant Name
r - � _ es r �°, /
Mailing Address
tr�sS �a
l"C /l/• �f..—
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I certify that I have uthorized (agent) L�J
to act on mty
a
behalf, for the 1purPose of applying for ,lnd o taming a I. CAM Permits necessary to
tall or construe (;activity). I 4
ins
Cf ba V t"
at (location) �, ! = -
This certincatipu js
Signature /.
,400 Commerce Aven, ie, Morehead City, North Caroline 28557
Phone: 252,808-280 \ FAX: [phone] Intern :t: www.nccoa.3talmanaOement.net
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