51805_KENNEY, STEVE_20071108

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GENERAL PERMIT Previous permit #
EJNew Ll Modification ElComplete Reissue EJ 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
El Rules attached.
Applicant Name, Project Location: County
Address Street Address/ State Road/ Lot #(s)
141
City State ZIP FYW
Phone # O Fax # Subdivision
Authorized Agent City ZIP
Affected 0 Cw El EW El PTA ❑ ES 0 PTS Phone# River Basin
AEC(s): El OEA El HHF El IH El UBA El N/A Adj. Wtr. Body (nat
71 PWS: 0 FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
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Agent or Applicant Printed Na e,�
Si nature "Please read compliance statement on back of permit"
Application Fee(s) Check#
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Permit Officer's Signature
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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules ❑ Other:
�euse 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 Headauarters
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

3:r- A
Tidewater
Post Office Box 340 • Oriental, NC 28571
[phone] • Toll Free [phone]
Fax [phone]
www.TidewaterCountry.com

'Oct 31 07 11:22a
I
Chris Machle
252-249-9988
t . -a �' I ewater
CMEREM:
FAX CO PER SKEET
If you have questions, please call [phone]
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Oct 31 07 11:22a Chris Machle 252-249-SS88 p.2
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• A.Dj ACENT RIPARLV4 PROPERTY OWNER STATEW
erehy certify that i own property adjacent to " r`1L'E
(Name of raper xw1;er;
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Stephen F & Sarah Kenney A
354 Blackwell Point Loop Rd 1 (;Q(�n ¢• 9997
Oriental, NC 28571 Date: 1 i 1 7 HOME LOANS
37 2509/1119
Pay to The Order Of
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DETAllS ON BACK
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UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP04 in this
CIP
'6cv'(�)Lt' - &00�
0ACIVAC& cWj C_
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
IN Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
L y�r� Cris 1e-�{
3ro3 II �CI.�z(l eA
A. Signature
❑ Agent
B. R eived by (Printed Name} C.47--
D.ODo ery
L L Is delivery address different fro item 1 ? ❑ Yes
If YES, enter delivery address elow: P210
3. Sery pe
rtified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7006 2150 0005 5859 4106
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540