51037_NC DOT_20080410

❑CAMA /'❑ DREDGE & FILL
r. GENERAL PERMIT
❑New [-]Modification ❑Complete Reissue ❑Partial Reissue
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
Previous permit # A/
Date previous permit issued
❑ Rules attached.
ApP licant Name 10V Project Location: County
Address
City State ZIP
Phone # O ' Fax #
Authorized Agent
O CW D-EW O PTA
Affected
❑ OEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
D ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City - ZIP
Phone # () River Basin
Adj. Wtr. Body gnat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Ilk
-
-
i
Shoreline Length -
I
SAV: not sure yes no
I �
Sandbags: not sure yes no,
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no, FT A
A building permit may be required by: y ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions `
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
lJ �
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
landowners).
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 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

IV: CA'MA j ❑DREDGE & FILL N? 51037
G NERAL� PERMIT Previous permit # N/A
'''New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued /
As authorized by the State of North Carolina, Department of Environment and Natural Resources —7 �j
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /
� / � C ules attached.
Applicant Name Iv e �U Project Location: County ,B/-
Address
CityJ ��'� State N ZIP Z % d 9 `� %•��
Phone # (I lqi), 733-3141 Fax # (—)—
Authorized Agent 6-re'l ey J %
Affected N�& [�A yl�S ❑ PTS
❑ OEA ❑ HHF ❑ IH D UBA ❑ N/A
AEC(s):
❑ PWS: ❑ FC:
ORW: yes / no PNA yes/ no Crit.Hab. yes / no
Type of Project/ Activity "+ U ViJC'r:)1r.- A
V Ivl Nl.'�sCC T' 1- I BL."L I'V1 hC1: 11 LW'l fl N
Pier I
Platfc
Finge
Groh
Bulk[
Basir
Boat
Boat
Beac
Oth(
Shor
SAV
Sanc
Mor
Pho
Wai
Street Address/ State Road/ Lot!J#(s)
Subdivision
City L ZIP
Phone # ( } River Basin
at)/man /unkn)
Adj. Wtr. Body n
,L
Closest Maj. Wtr. Body
Scale:
Jock) iengtn -
----
—
---
— ---T
4
—
--
i
I
--
I
length
ead/ Riprap length
numberFA,
avgdistance offshore -
max distance offshore
channel-
-
}
i
L--
--
(
{
-
-
�'
-• —
-
---
----
-
-
-
-
cubic yards
rampJ—
rouse/ Boatlift
J Bulldozing o
-
--
--
I
I
.-{air � ..✓ � r %� '�.�
�
I
i
,
r_
----�--�--
-
i_
I
dine Length
not sure yes no
bags: not sure yes
- 7--
dorium: n/a yesOs:
®no
I
-
r-I
�i-
T
--
-j
-
A building permit may be required by: �luwf���
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
f� e—
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JV� ► .� ���fif fi�
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Agent or Applicant Printed Name
Permit icer's Signature
{ J—t0 p- 0
1
l—/6-611
Signature "Please read compliance statement on back of permit"
�f00 W��`��ta^�t 33398 1 l
Issuing Date
�'j,•�,,.r,,rrtk �.
Expiration Date
X03t��
Application Fee(s)
Check #
Local Planningjurisdiction
Rover File Name

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Jaynes H. Gregson, Director William G. Ross Jr., Secretary
April 14, 2008
NC DOT
124 Division Drive
Wilmington, NC 28401
To Whom It May Concern:
Attached is General Permit #51037 C to Construct underground utilities (Power, Telephone, and
TV cable) via directional bore method from high ground to high ground under Jimmy's Branch,
Shallotte, NC
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Stephen Lane
Coastal Management Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
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