34518_STONE, ART_20030708

MCAMA / EI-OREDGE & FILL
GENERAL PERMIT
ONew ElModification E Complete Reissue LIPartial 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 I SA NCAC
Applicant Name
Address
City State ZIP
Phone # O _Fax #(_)
Authorized Agent
Affected Ll Cw El EW D PTA [I ES El PTS
AEC(s): LJ OEA L HHF LIH LJ USA El N/A
El PWS: El FC:
ORW: yes / `6-0 PNA yes / no Crit. Hab, yes no
Previodf permit #
Date previous permit issued
F-1 Rules
Project Location: County C 6A rt: 4
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone# O River Basin
Adj. Wtr. Body (nat /man /unkn
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length -7
Platform(s)
+ —A
Finger pier(s)_
Groin length
number
Bulkhead/ RiprapAength
-7
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM 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
I
River Basin rules.
.7
El See note
on back regarding
..", 11
17— oA4—
Agent or Ap:pl7ict �Printe�Od
Signature Please read compliance statement on back of permit
Application Fee(s) Check#
C:44,ktVIcer'sS1ghabL1Fe
6 64 r -,-Itr3
Issuing Date Expiration Date
?//-V koo )ko to
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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

ARTHUR P. STONE 67r35�/? 1480
FREDA M.STONE
238 OAKLEAF DR. ss-3or 133
31
Date
PINE KNOLL SHORES, NC 28512
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Order off
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hereby cen iF that I own r adiacent to ��/ G'�/L-ma's
I Y P oPzr'�' _ --
`7% (.Nkme of Property Omer)
proper-ty located at _ Z3E3
(Lot, Block, Road, etc.)
�D00
?Z -17;--7 �N. C.on 0��
(Vaterbody) (Town andjorl County)
He has desc-ibed to me, a-s shown below, the deve!opr,hent he is proposing at that
ic,ca ion, al -id, I have no ob Ntions to h s nror�so, . understand chat a 4�i�-
must be set back a minimum distance or Fifteen fit (i5') from myiarea or riparian access unjess
waived by me.
I do 6 ' wish to waive the se!back requirement.
I do w-rsh td waive that setback requirement.
i
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DESCRDYnO'i A-N-D/OR DRAVY-L- iG OF PROPOSED'DEVELOPNMN-I':
(To be filled in by individual proposing devel)pment)
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Telephone Numb r
Date: 627 0 3
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141AIt REPAIR
I hereby certify that I o,.4n property adiac--nt to 's
(ti e or Property Omer)
properry located ac Z3E3
on bL�'It ,)DUB//5
(Waterbody)
(Lot, Block, Road, etc.)
(Town and/or County)
He has desc-ibed to me, as shown below, the developr,hent he is proposing at that
location, and, I have no objections to his proposal. I understand I' at a -A
must be set back a minimum distance of rifte--n f c (15') from my larea or riparian ac=s unless
waived by me.
-
I do�troi` wish to waive the setback reauir-anent.
I do wish rd waive that setback requirement.
i
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DESCRIFI�PDiti kND/OR DRAW-L-NG OF PROPOSED' DEi FLOP-NM-47:
(To be filled in by individual proposing deveL pment)
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