51549_PARKER, SHIRLEY_20071204

❑ CAMA ! ❑ DREDGE & FILL I
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑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 1 SA NCAC
Applicant Name_
Address
City
Phone # ()_
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
5 - t 4w
__ Q� _.
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp -
Boathouse/ Boatlift
Beach Bulldozing
Other
i
j
G
I
I
Shoreline Length V
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes not7�
i
Waiver Attached: yes no F,
W-
A building permit may be required by: `~i: '. j ? ,? (4- ❑ 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
Application Fee(s) Check #
-
PeKrnitOfficer'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, certifythat 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/ 1-888-41RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

� I L) 3 a,�'f''L `Z / � 4798
TONY JAMES rir
JANET HILLMAN JAMES 66-21/530
821 Sand Ridge Rd L BRANCH 77595
Hubert, NC 28539 % o
DATE
PAY TO THE
ORDER OF
DOLLARS
r
WACHOVIA�
Wachovia Bank, N.A.
wa//chovia{.com
FOR � �yY� 1 )L'.. IZ. rY% i r— L'��1 �. �: �L, i W / '.' �•� r,/'�vi'1^�"�-'`J Kyr
i:053000219i:104180441876211' 4798

DIVISION OF COASTAL MANAGEMENT
JACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FO
r-
Name of Individual Applying For Permit:
Address of Property
'ga.
(Lot or Street 9, Street or Roa
(City an (f County)
-t,
a
I hereby certify that I own property adjacent to the above -referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, 'vvith dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
S ign Name
Print Name
Vo 3 ;L�3_- ll
Telephone Number with Area Cod
A7jA
NCDENR
NO C %OU_ OFAV+ E* OF
EtMRONMQ�f IJIO NRuw� RE501lFCL9

FROM FAX NO. :19103262916 Dec. 06 2307 09:51PM P1
North Carolina Department OR ronmOt and Natural Resources
Division of Coaitat 104ngsment
Michael F. Easley, Governor Charles 5, jown, Diredor Wll&n G. Ross Jr., Seer
Date I-1 / / d -
Applicant Naive
ailingAddress QLC16 f t rK'Q
13a6.991(a .
I certify that.J have authorized (agent) to act on any
behalf, for the purpose, of applying for and obtaining all LAMA Permits necessary to
Install or construct (activity) CQ�r +—�U fl
at (location) a?a AP{ Qt,---, e 0,d4 b f-
This certification is valid thru (date) y -
Signature
Opp Commerce Avenue, Ma'ehead.Ciiy, North Caroling 28557
Phone: 252 808- $a8 t SAX: 252-247 3 intemet www t�ecoastalmanag men.t.h.et
A . a—i.1 r"%-"jnRv l sffi y.- tua t t^nrt�iimpr
Arkin FmnGiVw-_ri[ML RAiIMM I IMA PnrcParwr

■ 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.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
�� �j �
1-5 c 3
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2. Article Number
(Transfer from service laben
PS Form 3811, February 2004
A. Signature
f. ❑ Agent
X Addressee
B. Received by (Printed Name) SDate of Delivery
' l 01 2
D. Is delivery address di erent from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Servi pe
Celled Mall
❑ Ey Mail
❑ Registered
Return Receipt for Merchandise
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Feel
7006 34SO 0000 8419 7356
Domestic Return Receipt
UNITED STATES POSTAL SERVICE 11111
i-
• Sender: Please print your name, address, it
-
1
❑ Yes
102595-02-M-1540
First -Class Mail
Postage & Fees Paid
G USPS
Permit No. G-10
LV F
in this box •
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