50782_PRITCHARD, WILLIAM_20080516

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GENERAL PERMIT Previous permit #
LINew E] Modification DComplete Reissue LJ 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 OT environmental concern pursuant to I 5A NUAt-
Applicant Name Project Location: County
AddressStreet Address/ State Road/ Lot #(s)
City State ZIP
Phone # Fax # Subdivision
IT
Authorized Agent City ZIP
Affected [] Cw El EW El PTA F1 ES El PTS Phone# River Basin
7 OEA 7 HHF El 1H El UlBA El N/A
AEC(s): [I Pws: El FC: Adj. Wtr. Body bat /man /unkn)
OIRW: yes / no PNA yes / no Crit.Hab. yes no Closest Maj. Wtr. Body
attached.
5 97 8 2
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
t5'1
I
—
—
—
—
—
—
--
—
—
Ei+
Shoreline Length
SAV: not sure yes ,no — — — — — — —
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes,0-TRT
A building permit may be required by: El See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance state M-on back of permit
PermitOffiFer's Signature
Application Fee(s) Check # Local PlanningJurisdiction
Expiration Date
V
Rover Fife Name

U
7
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
Iandowner(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:
❑ 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Morehead City Headquarters
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

Apr 29 08 09:06a 714-545-4843 p.2
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I HERB Y CERTIFY THAT I OWN PROPERTY A.D7ACNET TO ui i I tF_ pc G, , .A
(NAME OF PROPERTY O-A-NM)
PROPERTY LOCATED AT
(LOT, BLOCK, ROAD, ETC.)
(WATERBODY) (TORN AR'D/OR COUNTY)
HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATHON AND , i HAVE NO OBJEACTIONS TO HiS
PROPOSAL.
T DESCRIPTION AND'OR DRAWING OF PROPOSED
DE V ELOP1ViE V 1 M BE FILLED IN BY MWVMVA,L PROPOSING D-rV M0pMEN7)
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ADJACENT RIPARIAN PROPERTY OWNER .STA.TEW.ENT
i FiERI'3Y CERTIFY THAT I OWN PROPERTY ADJACNET TO W:1r_ Or ; t-, , A
(NAML OP PROPERTY Cr*NM
PROPERTY LOCATED AT� `' 15 t r_ �-
(LOT, BLOCK, ROAD, ETC.)
ON � \n i \ i `n ,,� t- � �' �- raek .IN .?Z e, ck A ,NC
(WATE"OD'Y) (TOWN AND/OR COUNTY)
11F HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATIION AND, I RAVE NO 4133EAMONS TO HIS
PROPOSA( .
DESCRIPTION A.NWOR DRAWING OF PROPOSED
D riVELOPMENT (T... ...D M BY [M V100AL PROPOSMG DEVELOPMENT)
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date
Applicant Name G� ry-\ i. CAr-I, C, r
Mailing Address C"
I certify that I have authorized (agent) L CII , r r to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 'E�> 4—' Ck \10 Ck � QV �"\ Lr
at (location)
This certification is valid thru (date) �O
Signature �► �—��� �- - . --
4� aAN \�
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400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 100% Post Consumer Paper

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LG ARNOLD DOCKS & SEAWALLS �23�
2779 MILL CREEK RD
NEWPORT, NC 28570 66-112/537
PH. 252-241-2636-
j A BRANCH BANKING AND TRUST COMPANY
1_=BANK BBT BST.com
1:053 1011 211:0005 29579815911001 2
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