49021_COLEY, WILLIAM_20070628

LICAMA / []DREDGE & FILL
GENERAL PERMIT
❑New [-]Modification ❑Complete Reissue ❑Partial Reissue
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
Applicant Name_
Address
City
Phone # ( )_
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS
ORW: yes / no
State ZIP
Fax # ()
❑EW ❑PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Previous permit #
Date previous rmi issued
Project Location: County_
Street Address/ State Road/ Lot
Subdivision U
City ZIP
Phone # () River Basin
Adj. Wtr. Body (na /man /unkn)
Closest Maj. Wtc Body
(Scale:
cubic yards
Boat ramp
Boathouse/ Boatlift
I
Beach Bulldozing
Other
Shoreline Length
SAV: 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
Agent or Applicant Printed Name
Signature Please read compifance statement on back of permit
Application Fee(s) Check #
/
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date —� Expiration Date
A -
Local PlanningJurisdiction 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
landowners).
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 consistentwith 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/ 1-888-4RCOAST
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

AT.
WDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley: Governor Charles S. Jones, Director William G. Ross Jr,, SPr,,rP1;:1!,j
Date C� 12-0 0_7
JUN Moret�a(j C, .
Applicant Name 1'(A M ty I)CM
Mailing Address Pe r-r
Tl't P- 1C --D r-,
�I' a -S � --;?- 9' S-0 I -
I certify that I have autborized (agent) gob-t>t—c- 6)zC—bf> to act Ou Rr"
ng for and obtaining all C. NIA Permits-idecessary to
behalf, for the purpose rif appcir' in
install or construct (activity) —5
) V—IP( 1�?
,—
at (location)
This certification is -valid thru (date) 0 C) --I
signatllrg:
10C1 "_.'ornmierce Avenue, Morehead City, North Carolina 28557
Phone-. 252-?,OP1-'2B08 \LAX: 252-247-3330 \ Internet: www.nccoastalmanagernent.nef
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I tlerel)Y certify that 1 0 N propel-y adjacent LnL)
0C
-qLnle Ot Propel-tv 0,�Tle 'I
property/ located at
(Lot, Black, Road, etc.)
1_6 Or q
(VV2terbody)
(Tovvn azid/orl(t�z'ty):
Eie has clescibed to Me, a -S sho�," below, the developrhent pro.. since
anJ, I nave noobj-rions to his props,. I under /
L,a�t
C;,nd Mat a pierUliqov�td bdat-j.fLmust be set, hack
a minimurn distance
0 C Ff fte~rl 15) from my iarea 0 riparian ac�3 u r_,I E:ss
waived by me.
I do not wish W waive the setback requirement.
V"/
waive
wish to I do w _ive that setback requirement.
------------------------------- ------------
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DE5CP-UM0N--k-N-D/OR DRAWWG OF PROPOSLUb'EVE, OP-NL-E:q-T L
(TO be fti7ed in bY
-r4
S 1�
Irk L
FJL
t<� Li &6-
Signaturc
Print or Tye-- N'-ldlle
Telephone Nurnbq,r
DatE:

Ali.
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R ( f• ( +,� mil./ C}
(. 1 rT r I�JUr f C � i F'D P 0/1 T' ll p7j) t
Ls,J
}1:• 1p j I „ereb,f G.i �If1 til a (' I rj '.'vfi prOFe,_y ad*j
(ie of'ropzt-t O} z
a
property lcK�?led at o� - S mrr ST
(Lot, BIcck; R cia,d, etc. j _ ------ --- -- �
or I �a L(6 �'` [ [
_ --- Y in LE� NTl c- 't�c.(A C I i
M'*2ter-body) __ i , N.C.
(To,," aud.ior� -Ouaty)
He has desc ibetl to me, as showy below the dev"o. r;ient he, i; ro surer
at r Q ) at L,ac
]OC-i ion, and, I have no objections to his proposal. I undecsund that a prer/uricoveced boat, it=t
j must be set, 4)ack a minimum distance of nre--n ,rat (415') ,trod, my �31ea of ipia art acc
I waived by me.
I do not wish CO waivc the ser_back reQuirement.
j I do wish to waive that setback requirement.
_ _
DESCRI'J71Oly .,�y°D/OR DRAWrc,iG OF PROPOSED T�EVELOPNLE`v- '; --
(To be ftUed in bv in i>idcr f yo�-'n•g ct�aal�;pmenr)
.I
Ll6 rt-T f}`
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