53275_NC DOT_20090323

❑ CAMA /�_ DREDGE & FILL
6EN tRAL PERMIT Previous permit #
❑New LIModification C 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 15A NCAC
❑
� } Rules attached.
Applicant Name L �` f t` ? f Project Location: County
r.
f i
Address c' { Street Address/ State Road/ Lot #(s)
City State, Y ZIP I c C-,r.Y i /t
Phone # O ;'C J 7 Fax # O ` �f� - «' Subdivision j
City �fi = ZIP 'ef
Authorized Agent %r E tY-—
❑ CW ❑ EW ❑ PTA IJ ES ❑ PTS Phone # ( ) j River Basin f '�
Affected ElOEA F. ElIH ,❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body_ j naf /man /unkn)
❑ PWS: ❑FC:
Closest Maj. Wtr. Body_
ORW: ves / no PNA yes / no Crit.Hab. yes / no i
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead Ripraplength T
avg disiaiice 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 I T
Photos: yes no
—r—
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
J -
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.
i"
PermitOfficer's Signature
Iss ing Datg Expiration Date Y
1—cal Planning Jurisdiction RoverFdeName
f.j

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 consistentwith 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 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

STATE OF NORTH CAROLINA`
DEPARTMENT OF TRANSPORTATION #
BEVERLY EAVES PERDUE E`
GOVERNOR gCR�TARY �v'
.i.d.
March 20, 2009
Jim Hoadley
Division of Coastal Management
1367 U.S. 17 South
Elizabeth City, NC 27909
Dear Mr. Hoadley,
This letter is requesting a general permit .1100 be issued for shoulder stabilization along NC 12 Duck
Road in Dare County. The proposed project is located 0.1 mile north of SR 1518 (Dune Rd). The
stabilization will occur on an eroded bank along NC 12 Duck Road for approximately 50' near the
intersection of Olde Duck Rd. The Division of Coastal Management considers the project area to be within
an AEC that requires authorization for the shoulder stabilization. Included with this request are the MP-1,
MP-2 forms, location map, landowner notices, and permit drawings depicting the proposed work. WBS
element 4 is 1.102811. If any additional information is needed please contact Clay Willis at 252-482-7977.
Sincerely,
Jerry Jennings, P.E.
Division Engineer, Division One
Clay Willis
Environmental Officer, Division One
113 Airport Drive, Suite 100, Edenton, NC 27932, Phone [phone], Fax [phone]

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