49832_ELLINGTON, ED_20070731

❑ ❑9
CAMA / DREDGE &FILL, � °-��'-r 3 s
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 15A NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address
State ZIP f
Phone # ( ) 3 z I Fax # ( )
Authorized Agent fa f �•* x. '�''�
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes J no
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
SAV: not sure yes no
Sandbags: not sure yes)
Moratorium: n/a yes J
Photos: yes
Waiver Attached: yes n
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Street Address/ State Road/ Lot #(s) l
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat %man /unkn)
Closest Maj. Wtr. Body
(Scale:
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit
-taz�
Application Fee(s) Check #
Issuing Date Expiration Date
Ci
4S �Pc?4 (".
Local PlanningJurisdiction
Rover File Name

A
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 that 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/ 1-888-4RCOAST
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

07/05/2007 09:24 FAX [phone] BLUEWATER GMAC CAPE C Z 002/003
i
ADJA.CENT RIPARIAN PRE PI"R'TY OWNER. STAT'EMET
(FORA PIF:R./MOORIAIG FI1J.,V6':S/H(}, T"LIFT/B0.4 M()U I )
I h: ,-rehy certify that I own property adjacent to --�lq �, � ((t.�_�.� 6 t?n%-- s
('Nairn, of Property- Owner)
property located at T L I 1-kcr V11-i 64 — 1...Zq 4.._ 5 1—
(Lot:, Bloch, Road, etc.)
on..__---- . ... ..... ............. ..._..___...__..__.,In._-..-...1.__'.....
(W-Merbody) (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. I ❑nder5t,.nd that: a pier/mooring; pilings ( boa-thf't / boathouse
must: be set. back a mi;-Jrn n [ rl staucc of Fifteen fect ( I S') 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 not wish to w<ivc.
(f I do wish to waive that setback requirement.
DESCRIPTION AND/OR. DRAWING OU'.PROPt)SED DEVELOPMENT:
(ro be filled in by individual proposing development)
61A t,) tNo—
Signature
a Ste. ��.. >7-�' �- � 1'►� .�. -- -
Prin- or Ty��e Hanle
Felephone Number

07/05/2007 09:24 FAX [phone] BLUEWATER GMAC CAPE C Z 003/003
r
•
ADJACENT RIPARIAN PROPERTY OWNER, S1.AT1+,MEN,.I,
(I'OR ,4 PII'R1310f,)RING P1.I,DV6 S/i'1O,17Y.,II"7%1301P P NUI.:SF)
t hereby certify th.a4 I owr; oj'operi:y adja.ccri .o -,7qizk_ 's
_._-- (Name of Property Owner)
property located at----- L-G t-�C-rr-77 = _SQ� 1'L�1 e4S�_ ...----
(Lot, Mock, Road, etc_)
oil ._........... ' •" ---- -------..........-....1 in...._.._..41�.QS?t°�?_T.....-.....�.,..._.. N.0 .
(Wat.erbody) (Town and/or ('ounty)
fie has described to me, as shown below, the devclopm.crit lie is proposing at that location, and.,
l.iavc rlo objections to his proposal, I uridersu- id rhat a. pi(:r/mooring pilirigs ! boatlift: / boathouse
must. be set. back a MilliTi L1111 dMance of fifteen feet. ( I c"I from my area of i`iparian access Llll!cs
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
+�/AA I do not wish to waive
- -A.... - I do wish to waive that Setback requirement.
DESCRIPTION ANWOR DRAWING 01, PItOPOSi?D 1314'.VELOPMENT:
(To be filled in by individualproposing development)
1zS
5A
------------------------------------------------------- _-------- —
Signati:rc
L
Print or fypc Name
0 ? -rVC ---- - - --
Tetephone Number
Date: /��'

EDWARD p• ELLINGTONNCDL-2292971
PATRICIA C. ELLINGTON NCDL-1969817
PO BOX 1082 9141
ASH ST CEDAR POINT
SWANSBORO, NC 28584
252ay3 -e7 Date / O� 66-30/531
i'tp th4 341
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