33671_STROUD, DAVID_20030403

QCAMA / 7 DREDGE & FILL
GENERAL PERMIT Previous s
• _ vio perm #
_New 1-'Modification -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 I SA NCAC
❑ Rules attached.
Applicant Name (gyp
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Project Location: County //, • 4 (- r Y
Address I G I,,
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Street Address/ State Road/ Lot #(s)
City !V f w 13 • n
State 'J( ZIP
Phone # (<S2) 63Q, 121
Fax # ( )
Subdivision �G r ',� �• • • ��
Authorized Agent
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City r { ZIP "i5-7C
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U PTA Li ES ❑ PTS
Phone # O River Basin
Affected ElOEA
AEC(s}:
ElHHF
❑ IH 1-1UBA El N/A
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Adj. Wtr. Bodygnat /man /unkn)
❑ PWS:
❑FC:
�
ORW: yes / i
PNA
yes / no. Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity ) ,N14w
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(Scale:
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Pier (dock) length
Platfor
m(s)
pier(s)
h
umber
ead/ Riprap length
vg distance offshore
channel
amp
Bulldozing_
ine Length
not sure yes /no
ags: not sure yes 'no
orium: n/a yes no
s: yes no
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max distance offshore _ . �— I � �'� �; • � h. I t � r Q r t _ _ _ r 1
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Agent or Applicant Printed N e
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Signature "Please read compliance statement on back of permit"
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Application Fee(s) Check #
Agent or Applicant Printed N e
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Signature "Please read compliance statement on back of permit"
rji:�,r C,
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date
Expiration Date
Local Planning Jurisdiction
Rover File Name
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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:
n 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 / 1-888-4RCOAST
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.nccoastaimanagement.net
Revised 10/05/01

THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROMDARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM L"
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NOT VALID OVER $1,000.0o 6,1'.&9 217 4
ISSUING BRANCH
DATE93-541/920
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PAY TO THE'IF,100.00
ORDER OF P Pe T T f) t) I-),rl,l $
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Ld tj kyj I DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
41) rp AND OTHER T SON THE REVERSE SIDE.
DRAWER: TRAVELERS EXPRESS COMPANY INC Aip
P.O. BOX 9476. MINNEAPOLIS, MN 55480 P_ _&'C_H foMA�'N E 14 �OR 5 �RX DRAWER
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DRrEE: FIRST INTERSTATE BANK, HELENA'. MT*
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CITY-& STATE\j
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III THIS DOCUMENT HAS AN ARIINCIAL WATERMARK PRINTED ON THE BACK. THE FROM OF THE DOCUMENT HAS MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY.

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it�'v i'�r��r ti'E Y � �rVNII �� S'�'d�� ' �1'.�'�
(FOR A FIFR1i1(V:'0YERED BOAT 1;lFI�
I hereby certify that I own proper-,y adjacent to `s
CNl,r is or Property ON,�ner)
property located at
(Lot, Block, Road, etc.)
(Si ater6��dy) {�'o��u ar dJuri county)
He has desc:ibetj to me, as shown below.the de%,e'.oprl,2,lt he is prop -sin; at chat
lac=3tion, and, r have: no objections to his Froaosal, I underswnd 0--ni a pier/uncovered boat lift
must be se: back a rninimurn distant: of rip wz fw; ( 15') from my ":1rea or riparian ac: ess unless
i waived by me-
i
I dq not wish to waive the -3eiback reouire:nent_
j I cln wish to waive that setback requirement.
s DESCRIP77OLN :-N-D/OR DR?,NNE G OF PROPOSED:) DEVELOP MN-r:
(Ira be JVed in by indi v&u4—1 p, :�,pcz7,z5 do-, ed;,1rrz en
OLAP p i
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��D,r�.Gi'�' �i!_`r�.[��ltiiv i'n r''� t Y
(FOR A FIFRfUNtrOVERED B0AT 1ilF 7)
I hereby certify that I own propc!ry adjacent to �11S_-, .b() 1z _'s
or Prop-r• v Owner)
property located at
(Lot, Block, Road, etc.)
an
(Waterbody) (Town aocUori County)-
He has described to me, as shown belo,.;•, the deve!opiiic ;lt he is prop --sing at that
location, and, r have no objections to his Proposal. I undersuand t.h-il a pier/uncoverv! boat lif,
must be set back a minimum distarlct of iit w r=t (15') frorn my area et riparian act.-.>s unless
j waived by me-
I d9 not wish to waive the ;eEback recui.re:nent-
-i
wish to waive that setback requirement.
DESCR171717iti A.-N-D/OR DRANNE G OF PROPOSEDi DEVEL0P-"Y MN-T:
(I'o be ji.Uea in by indiyrclrlryl �.�,o��rts ��c+,e ,?r'r,renr)
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Date: � �,

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David Stroud
4/2/02
Pearson Circle