48402_DAWE, DAVID_20070327

❑ CAMA / ❑ DREDGE & FILL
r. GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue El 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 I SA NCA _
V D Rules attached.
Applicant Name ��`"' ' °'� ' " -�'� Project Location: County �CA
Address } It
Street Address/ State Road/ Lot #(s) ` J 'k.
City `�� �+ �`O`'� State ZIP
Phone # ( '�) Fax # ( ) Subdivision iJw ,�`+�"V Ycl : \ -t--
Authorized Agent X City ZIP
❑ CW It EW ?!J PTA ❑ ES ❑ PTS Phone # ( ) River Basin r 4AA .
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A `
AEC(s): Adj. Wtr. Bodgat /man /unkn�
❑ PWS: ❑FC:
Closest Maj. Wtr. Body i
ORW: yes / no PNA yes / no Crit.Hab. yes /, no ,
Type of Project/ Activity
Pier (dock) length d
Platform(s) O Sa
Finger pier(s) _
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore_
Basin, channel
cubic yards
Boat ramp
-5-,:�,?9 67/J.6^
V et-o/ Is,6 48,402
ious permit # _
to previous permit issued
r.
Boathouse/ Boatlift - � --
Beach Bulldozing
Other in -- - .
Shoreline Length
i
SAV: not sure yes -no -
Sandbags: not sure yes ,Qr a'?
Moratorium: n/a yes (fir
Photos: yes %�—. jr,
Waiver Attached: yes (00 ;
A building permit may be required by:
Notes/ Special Conditions
Agent Aplicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check#
(Scale:
I
e See note on back regarding River Basin rules.
Permit Officer's Signature
7 - C 7
Issuing Date Expiration Date
i"6A,-t; f_0
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
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify thatthis 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/ 1-888ARCOAST
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

M'Z-1-20---' E0:,1 FF. FILJE i4: FLJCF.IHG 701-792-0072 70:171 a19E10 F. }
ADJACENT RIPARIAN PROPERTYOWNER STATEMENT
I hereby certify that I owu properly ad+acetrt to Awg "' 'S
(Name of Property Owner)
property located at r.-; a�
r (Lot, Block, Road, etc.)
oilTi>"RLe, �Rr 6� in 0Q,ruT�t
(Waterbody) (Town and.or County)
He has described to me as showli below, the development he is p_oposing at that location,
and, I have no obiu:iions to his pluposai.
DESCRIPTION ANDiOR DRAWLNG OF PROPOSED DE`vELOPNEiNT
(Tu betiiled in by individual proposing developn>nd)
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Prim or 1'ype Name
Telephoue N imber
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to liA� �Iaw s
(Name of Property Owner)
property located at fS5 Z
(Lot, Block, Road, etc.)
on 71e-C, Gig ��c,C. , in 0?-i rr� Tca- L , 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)
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Print or Type Name
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Telephone Number
Date: 3 iq Ac C) 7

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