47150_CHANNEL VIEW ASSOC._20070105

❑CAMA / ❑ DREDGE & FILL
1
GENERAL PERMIT
Previous permit#
❑New ❑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 15A NCA
c
/� ,,
h0n \) QJa,0 CC/
El Rules attached.
Applicant Name
PAL (0 k ) .
Project Location: County
Address 611 A
Street Address/ State Road/ Lot #(s)
City State ZIP-
Phone # ( ) Fax # ( )
Subdivision
Authorized Agent
City. ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ElUBA El N/A
Adj. Wtr. Body (nat /man /unkn)
ElPWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
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
Shoreline Length
SAM not sure
yes no
Sandbags: not sure
yes no
Moratorium: n/a
yes no
Photos:
yes no
Waiver Attached:
yes no
A building permit may be required by:
Notes/ Special Conditions
(Scale: )
E,, See note on back regarding River Basin rules.
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
tl.2-02 7
Application Fee(s) Check #
Issuing Date
Local Planning Jurisdiction
Expiration Date
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
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
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

DEC-30-2006 01:48 AM SHORELINE MARINE CONST_ 1+252+393+7934
P_ 01
Shoreline Piers and
oatllfts, 1ne. P.O Box 687 580 Pearson Circle Newport, NC 28570
Floating Docks - Piers - Sea Walls - Boatlifts by Hi -Tide GearDrIve
FAVOFFICE [phone] MOBILE [phone]
IL129 ID (VIP
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DEC-30-2006 01:49 AM SHORELINE MARINE CONST. 1+252+393+7934 P.02
1
XWA
NCD R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F, Easley, Governor Charles S. Jon®s, Director
William G. Ross Jr,, Secretary
Date
Applicant Namte
Mailing Address
I certify that I have authorized (agent) Ae4to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
At (location)16 T tide y j} itL
This certification is valid thru (date) _
C H* wt- ✓16rV A4 s oei *rwj
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone; 252-808-28081 FAX, 252-247-33301 Internet: www,nccoastalmanagernent,net
An Equal Opportunity 1 Affirmative Action Employer —50% Recycled 110% Post Consumer PApor

DEC-30-2006 01:49 AM SHORELINE MARINE CONST. 1+252+393+7934 P_03
ADJACENT R'PMU" PROP9RTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name or Property owner)
Property located at .. 3 d 7 A de - ., _ _ . n .
(Lot, Block, Road, etc.)
on
e lilt r..,s,y,�
�rc� �,,,`, in L= ,,t' * � a Z S , .;- `, N.C.
('�aterbody) (Town and/or County) �'
He has described to me as shown below, the development he is proposing at that I=&)n,
and, I have no objections to his proposal.
DESCRIP'I'TON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
S-c'e *44 4 .
Signature
, r7/Z1 CKLrq �,
Print or Type Name
911- 97do •
Telephone Number --
Dare: �'

DEC-30-2006 01:50 AN SHORELINE MARINE CONST. 1+252-393+7934 P.04
ADJACENT 10PA IAN PROPFR'I Y OWNER STATEMENT
I hereby certify that I own property adjacent to A ,s
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on
daAek�in 4=
, N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Dater ,���

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