34545_WASHBURN, SUSAN_20030712

'',LAMA / D DREDGE & FILL
GENERAL PERMIT
Previous permit #
1,❑]New ElModification ElComplete Reissue LIPartial 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 6701 $2V0
Rules attached.
Applicant Name ti As" WO JL �Lf ► Pn Project Location: County 1ref 14, 1. t-
Address 2 '-11 (Pio
City State /1-e ZIP Z ,
Phone # Fax #
Authorized Agent
Affected [I Cw F] EW LJ PTA El ES El PTS
AEC(s): El OEA EJ HHF El 1H 11 UBA El N/A
El PWS: 11 FC:
ORW: yes Vno PNA yes / j5. Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
CityZIP
Phone # ( River Basin
Adj. Wtr. Body F""'J 'I',Ae 414 /man /unkn
Closest Maj. Wtr. Body 5::,, &4 d
Type of Project/ Activity mv, JI) 4L, a
t- rp Ld (,($calle: ^16-iZ
Pier (clock) length L
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length . ..... I
avg distance offshore
d ft-t�
max distance offshore
Basin, channel
------ — L IL i---j
cubic yards
Boat ramp
Boathouse/ Boat
-OF: U=
Beach Bulldozing
Other
Shoreline Length
not sure yes
SAM <�o
Sandbags: not sure yes
n/a yes
Moratorium:
Photos: yes
Waiver Attached: yes _J
A building permit may be required by: Col 461 f El See note on back regarding River Basin rules.
Notes/ Special Conditions Iritli rAdlil r (Jor r k j, 4 AA L41
4+ M (J' wv" 'R 'V"Va d (1, 4, "S hoLp I akel. t
6' m,& 1D #1 Jf f ( f L -ji, Ac,,( kyrs- 0&'401 2 e d.
4 o,
Permit Offlicer'§ Signature
Agent or Applicant Printed Name
1-.
Signature "Please read compliance statement on back of permit"
co
Application Fee(s) Check #
Issuing Date Expiration Date
Local
Planning Jurisdiction Rover File Name
Agent or Applicant Printed Name
1-.
Signature "Please read compliance statement on back of permit"
co
Application Fee(s) Check #
Issuing Date Expiration Date
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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)
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

............... . ... .......... 1761
BOGUS BANKS MARINE CONSTRUCTION
PH 252 247-4428
800 NORTH GATE RD 66-152/531
MOREHEAD CITY, NC 28557 3
DATE V
PAY%�
v
TO THE
ORDER OF
OX00 DOLLARS
FOR
5468 0 0 0 r, r, r,
NP

ADJACENT R PARL•�N PROPERTY OVA ER STATEMEN-T
(FOR A PIER/MOORING PILINGSIBOATZIFT/BOATHOUSF)
I hereby ce7�iiy that I own prope ty adiacent to �
(Name of Property Owner)
prom: Ly located at
(Lot; Block, Road, etc.)
on 1�1L� cl-ee"t , in C C , N.C.
(Waterbody) (Town and/or County)
I-.e has described to me, as s<<own below, t -.e deve'.opme:,i he is propos --- 2-- tL jai location,
and, I have no objections to his propos ll. I une:;ta-:d a pier/ moodn2
pig �s; a�it•Jtioa�hous: mils: be $.: bact{ a minir-num dIsianct of f'i�t�i fe:.: froti] my adz
of r-,oLian access unless waived by me.
_ .
I dn not wish to wa:�-e Chit setba�,...,.:
I SLnxi-n to we-',ve Sttac!K r-czuirtme.,i.
DESCRIPTION Ati-D/0R DRA""r G OF PROPOSED DEV'EL0 l~T:
(To be.flled i� by indi>-i. L!-f1 procosrIC CCiClOJ CRr)
(6 ;
4
----- —------ ----------------------f------------------------- - — - - - - - — - - — — — - - - - - - - - - - - - - -
Print or Ty��e NMme
Te!z�none N•smbe-

ADJACENT RLPAR.L�N PROPERTY OWil"i-ER STATE`LE�T
(FOR A PIER/MOORING PILINGS/BOA7ZIFT/BOAT'HOUSE)
I hereby c_-�i y that I own property adjacent to
(Name of Property Owner)
prom.. —Ly located at G
j �� 44,U-j- r
(Lot, Block, Road, etc_)
on 6,1-o -cC Cs'ee k , in C , N.C.
(Waterbody) (Town and/or County)
I-:e has den :bpi to me, as sI:own below, the deve'.opm—ln. he is proposi- a_ t`,at location,
and, I have no objections to his proposal. I a pie -/mooring
pui ,�571J1!G1�rLrUoGL1oL` rnusi be s:.: back a minimium disiGnce o,. fe:: ('f) F,om my aver
of rIoa-ian access u::iess waived by me.
I dn not wish to ware tree setbac'.: rewire, er,:.
I do wish to wave C7.ar. setback reruiremi-- i.
DESCRIPTION AN-D/OR DRAVVEN;G OF PROPOSED DEyELOOL %FPT:
(To be filled i : by indiv2uf1 pr000sirll C_---;eloPmeRL)
(G
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P; int or Tv-0e Name
- I-_)- 3 y 3
Te'.e:)hone Numbe-
D::te: