48481_EVANS, GRAHAM_20070425

❑CAMA / 1-1DREDGE & FILL 9) 1
-� GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue ❑PartiaJeissue 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 I SA NCAC
0 Rules attached.
Applicant Name Project Location: County—'.
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (—)—
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
Fax # ()
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / 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
� ! e
I i
Shoreline Length
SAV: not sure yes no .. _..,
Sandbags: not sure yes no —
Moratorium: n/a yes lyno
Photos: yes lrno
Waiver Attached: yes no'
A building permit may be required by: _
Notes/ Special Conditions
Agent or Applicant Printed'Name
Signature Please read compliance statement on back of permit
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
t
Closest Maj. Wtr. Body
(Scale: _. / )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
r � -
Issuing Date Expiration Date
Application Fee(s) Check # 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, 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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

Ate;:
INCDEN'R
North Garolir a. Department of Environment and Natural Resources
Division (of Coastal Management
Michael F 7asie.y. Governor Charles S. ,Jones, Director
MAR 2 2n6r
l�aa:c 3 -----
(M9r@hQQcj City M
Apl;elicaAn.t NauAe e " 4-ha) - 6f Ujc�j-1 S
"ailing A ldress
I certify that I have aaitboa-iced (agent:) lP� ICJ to act on rap.Y.
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct 0acti'�'ity)at (location) � 3 _ Lbt-*�
This ceAtification is ='ai'd t1Arii tcla .
A�natAAr� L9 -
s(i�� "�ommerce Avenue, Morehead City, North Carolina 28557
Phone 252-'0�-2808 `, FAX [phone] Internet: www.riccoastalmanagement.net
A,, L ,;, ;, F t ., ` "in relive Action Employer— 50% Recycled \ 10% Post consumer Paper

S•Fy<�'.F y �' A
(FOR A PIEPIL7AfCOVEkED,80117'
that
I hereb v cer u P _
y at I own property adjacent tocl
V
(f , of Property 0 timer)' VCA
propertylocatzdat
on C-4
So rYi
(ti�'aterbodv) c'�,
(Tos an dlor
. •'. —� � Count:
He has - - des
e�C:' to me - -
shown below, the de've!opthent ht, is r.0 sin-. at' °
jIocstion, arid, I riare ��o ooy Lions to his;pro�osai. I undersLandAlhat a'.i�?/uncovered bgat lit=
must be setback a mini t urn distance of r r - �. p_ .. t
waived e`.n rat (��) from hl
ai •ar ed b me: r. eaavian
� P
' I vdo not wish to waie'..tha seiback re�ui i I do wish ea
'
bo''waive that setback ruirement.
t . 3...
1---------------------------- -'lr-----�--- ---� _
DESCRLpITcjh-`cT3�:OIt DRA'WTri G OF PRO ----
PO5ED DEti
.. (To be.: eti to ' v E OF'?�LE; tiZ ;
:1 a • i' .. _ n.�ivu�cccl�,r„posiitg r�re!��pirenc) .
6u� S �.
-----------
Si- �tur
Print or Type riarne
I
Telephone Numbpr
r
Date:_i2

,N
�F�17
(FOR A B eft 7' I 1IT7) M
I hereby
certify that I own property adjacent t
o
(NAme or Pro �'—
local pert
property
ed at` - % L O �- VIZ
I—�
' (L o t, B 1pc
1 �D t CiL
on
(Town ancL on cou
at
He has descbed to me as shou.7 below the deve!opr�ent he !, pro, sinl� at
location, and, I bare no obj:uoris to his proposal. I underst��nd ghat a pier/uncoi beat Iir
that
must be set�ack a minimum distance of rlter,� fit (t�') tior r my j'" ` o� r:a.^.'an ac; ,s unle
i
waived by me. ss
I do .not wish •eI
! to wat�..the setback requirement.
j I do wish to waive that setback reauirement.
--------- D------------ ------------------------------------------- ---- ---- ---- ---
ESC _--
r _ RIRIT JIr A.-N-VOR DRA, VP G OF PROPOSED' DEti EIiOP LE:*,Z;
(1 c be)tl in by ihdi>-&u,,I pr,po,�n� e.•pi�; , eni)°
c
�aCue-
S� riD!
l l
3a
---------- -----------------
----------- -------- ---- - ------
6741
5I flPtj Si" - r
Print or Typ� T•i;2���
•7at, �� I
Telephone Nurnbhr
Date:-�_

­Urs wwH GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
0-"
NOT VALID OVER $1,000.00
ISSUING BRANCH '`"�';d`"`t�Y��'il— .r'+i: MAIN 63620551
DATE '' ': L_ , ,;Tit:."r 93.541/920
PAY TO THE �Elq T_
ORDER OF
p "
""oz 1■ I' DOLLARS PURCHASER, BY SIGNING AGREE THE SERVICE
CHARGE AND OTHER TERMSIAS RE ON THE REVERSE SIDE.
DRAWER: TRAVELERS EXPRESS COMPANY, INC. IW+
P.O. BOX.9476, MINNEAPOLIS, MN 55480 CHAS S FO
DRAWEE: FIRST INTERSTATE BANK, HELENA. MT
�OYE7 0 CITYB S S �
11063620SS111° 1:011200S4111:01707104S10921ll 9
■ THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT OF THE DOCUMENTHAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF TFIESE FEATURES WILL INDICATE A COPY. ■