48981_ERWIN, RUSSELL_20070524

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❑CAMA / 0 DREDGE &FILL
�. GENERAL PERMIT
Previous permit #
❑New ❑Modification ❑Complete Reissue
El Partial Reissue Date previous permit issue
As authorized by the State of North Carolina, Department of Environment and Natural Resources �,--
�, LAC' /
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attdched.
ii
Applicant Name 'k, a , i t '
Project Location: County
Address /V� a, '+ t'
Street Address/ State Road/ Lot #(s)
City 1'1 xi2G E State ZIP
L
/
Phone # Fax # O
Subdivision
Authorized Agent r�l_ 1"", i , - "t^
City `` Ci ,- 1x eZIP
❑ CW ❑ EW @ PTA ❑ ES ><¢ PTS
Phone# t�'� r f River Basin
� )
Affected
ElOEA ElHHF ❑ IH ElUBA ❑ N/A
AEC(s):
Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes /' no PNA yes / no Crit.Hab.
yes / np Closest Maj. Wtr. Body / •,' ` I --
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)—=z C-'�
Finger pier(s) I K `"�o
Groin length !� �j r= C ��.`�^� t✓
number t,
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
y
cubic yards x r1 r•�
r f �
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no +- �'%!'I+
Moratorium: n/a yes n'o;' r E'- 'r �C
Photos: yes rto
1.
Waiver Attached: yes ho
A building permit may be required by: ?
Notes/ Special Conditions I i i It -1 ` ' •' l V " " '
�, r, , rlt FAA r�,n.0 F -4"n �. Ap CatYd • NO r'r
Agent or Applicant Printed Na e�
,.1
Sign ture **Please read compliance statement on back of permit **
CO, OCR -Z%(D
Application Fee(s) Check #
— See note on back regarding River Basin rules.
p can
�Ip
n
g ature
7
Issuing Date/ ,/Fxpiratip(n Date
Local Planning Jurisdiction 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 complywith 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

*r
AM
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F, Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date / 4
Applicant Name
Mailing Address 4142�
I certifythat I have authorized (agent) to act on my
(g )
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity).��
at (location)
This certificatio s valid thr (d )
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN -PROPERTY 0��INER STATEMENT
I hereby certify that I own property adjacent to if - % ��e / / Q
(Fame of rope//rt}• 0wner)
property located at
(___!lJ (
(Lot, Block, Road) etc.)
- 1 on rzP W '�� N.C.
_ dh,1 , in
(Waterbody) (To)�n and/or unty)
He has described to me 2s shown belo,,�,, the development he. is proposing at that location
and, I have no objections to his proposal.
DESCRIPTION A \D/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by indii,idual proposing dei'elopment) i
signature
'6gda a
Print o: Type r�Tzme
asp- 6;L
Telepho e Number
Date: -' 17 2,oe 7
—29—

ADJACENT RIPARIAN PROPERTY O�VhrER STATEMENT
I hereby certify that I own property adjacent to
(\ame of Proper-ty Owner)
ro r`y Ior2ted at
P �
(Lot, Block, Road, etc.)
on
-.� , in '�� like, A , N.C.
(Waterbody) (To n end/or ounty)
He has described to me zs shown belo°,�', the developr-oent he is proposing 2t that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing develum, ent)
C
ll�
S��n2ture
P.B r ark
P in' o. i ype I�T�me
a4q- lz477
TelepSo-e Number
Date-
f.15-107
-29-

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141 TARA TRL
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DATE _ (j
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