53070_NELSON, W J_20090107

❑LAMA / —1 DREDGE & FILL
GENERAL PERMIT Previous permit #
:1K w LIModification ❑Complete Reissue El 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
Address
City State " r ZIP
Phone # (!.)''� �� r7 Fax #
Authorized Agent
Ll CW IL.EW ❑LPTA El ES ElPTS
Affected AEC(s): —1 OEA ❑ HHF ❑ IH ElUBA ❑ N/A
11 PWS: ❑ FC:
ORW: Yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City _
Phone # ( )
Adj. Wtr. Body
Closest Maj. Wtr. Body
ZIP
River Basin
(nat /man /unkn)
Type of Project/ Activity
(Scale:
)
Pier (dock) length
Platform(s)
Finger pier(s) ck
Groin length
number rf
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp —
Boathouse/ Boatlift
Beach Bulldozing
Other#
T
r
—
I
I
--
--
t
Shoreline Length ki"
SAV: not sure yes no
I I >
Sandbags: not sure yes no _ T
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: ❑ 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'*
Permit Officer's Signature
Issuing DatT 6 xpiration Date
Application Fee(s) Check # i 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, 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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
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

Dec 29 08 1Z07p Cedar Creek Campground 2522251242 p.1
ADJACENT RIFARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own propen3' adjacent to ,r(. J4
(Name of Property Owner)
Property located at _Z1 r' A 2 -7-'�
u
(Lot, Block, Road, etc.) '
on
(Waterbody) j
(Town and/or County)
Applicant's phone #: �; `� ! Mailing Address:./ G.4 V4-Z 71�2
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
r
---------------------------
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT:
(To be felled in by property owner proposing developrrrent)
z
- -- ,g
--------------------------------------------------------------_ _
(Information for Property Owner Applying (Piparian Property Owner tn(ormation)
-----------
-
for Permit)
Mailing Address
/¢GG 4/ V a�sr�i✓
l City/State/:dip
Signature
Print or Type Name,
�s ;�'a r- �9�a a - 717 Z7'j
Telephonne Number Telephone Number
Zd
2G �� L -off
Signature Date
Dace
T. � T : a6PA =L,aTc»c - a i

Dec 29 08 12:09p Cedar Creek Campground 2522251242 p.1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that i own property adjacent to ��.1,
. r. i� Is
(Name' of Property Owner)
Property located at
(Lot, Block, Road, etc,) '
(Waterbody) (Town and/or County)
Applicant's phone #: ." .,
Mailing Addre5s:1/l .tom''
j He has described to me, As shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
i
------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DrvELOPWrvr:
(TO be filled in by property owner proposing develaprhsnt)
t
i
�f
i
------------------------------- ----------------
(linfortnation far Property Owner Applying
for Permit)
Mailing Address
l Ctty/State/Zip
Telephonc Nnmbcr T
0
Date
(RlpariaD Property Owner lnformatiotk)----
`1 ignature
Print or Type Name
Telephone Numb
Date
y'-
'r r-ago» _7�77 r7'c-ni

;ec 29 08 12:04p Cedar Creek Campground 2522251242 p.1

KC
r 5095
CEDAR CREEK CAMPGROUN
66-21/530
AND MARINA, INC. AN
p, BRCH 77647
Ph-252-225-9571 ��lv �/ Date
111 Canal Dr
Sea Level, NC 28577 d
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