47067_FLETCHER, RAY_20061121

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previouspe
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previc
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 �' p ' Project Location: County
Address r - •
Street Address/ State Road/ Lot
City r ' r + , , <4" ,. State ZIP
Phone # ( ) !� t Fax # ( ) Subdivision
Authorized Agent City ZIP_
Affected ❑ CW q EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A n , j
AEC(s): Adj. Wtr. Body %`I �atat"/man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
/156
►,
0,67 j
rmit issued
(OU
(Scale: / )
Pier (dock) length
i
Platform(s) - J -•-
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel--
cubic yards
Boat ramp
Boathouse/ Boatli@ / "
Beach Bulldozing;
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes not
Moratorium: n/a yes no
Photos: yes no i
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
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❑ See note
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on back regarding River Basin rules.
DEC - 5 2006
Agent or Applicant Printed Name Permit Officer's Signature
11
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Signature "Please read compliance stati 'J a o ermDc Issuing Date � Expiration Date
3`f�� f 1
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
Iandowner(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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

}
Eric Ellis
Marine Construction
DOCKS *SEAWALLS *BOAT LIFTS
DECKS & REPAIRS
Telephone: [phone]
205 Nottingham sane �s �� Morehead City, NC 28557
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Capps Printing, Morehead City

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RiFA►i�IAt�i CiPERTy'I'A��
(POR A PJZWUNCOVBR,W&*,r= city ocr,
Ihereby certify 'that I own property adjaccr�t tc
(Naau of Property Owner)
Perry ioc�Dad az Is
(Lot, (Lot, Bkx*
on
(vVaterbod
etc.)
�`c_ Sze- c/ _
(T`own and/or Conaty) N C`
He has gibed W am, as Shcm ,
location. and, I have no objections to his ��'"posal.• the ersw pmendw t hC is pmp� at that
must be set back a minimum disawce of fifteen feet (IS`)� asra o riparian /unWvcrW boat Lft
waived by me.unhw
I do not wish tQ waive the setback requirement.
----.��. i AQ wish to waive that sett Wit.
D]ESCREMON AND/OR DRAWING OF PROPOSED D
(To be EVEi'aPMENT=
,filled in by M&Pidual PMROAXg development)
7
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Swature
;Wnt or Type Name
TCICOM tc Number
Date: / 1 16- 0 (y✓

ADJACEARL46N OWPOR
(FOR A PJfi3V -� FEE L€M- � 6
I hereby 11M a own pMpaly atijsct to 06 V,
f� , • of bM
jJ- ) I�r•I�
, Bled4 Road,
in NX
He bw gibed me mr a . ft s�o� he i3 pR� at dot
Iootiaa, arid, i �sve ao peg+}+ . i � dw a �f Wl d boo
must be set back a of fi(Sxt (13i from my am v( riparian a ualm
waived by me_
I dg not wiih to waive the ndwk raquiummt.
I jk wish to waive that 1
DESCRIMON AND/OR DRAWING OF PROPOSED D
(To Alwe JYJ&d in by i"Addad pV efiHrivprw�tj
Si�ttrre
Flint or Type Nine
)
Ed �s
Tsiq*w a Nvxft
Doe: _ / / - is-ce

ERIC B. ELLIS
JASA M. ELLIS PH [phone]
205 NOiTINGHAM LN.
MOREHEAD CITY, NC 28557
3467
/ , G 66-30/531
133
Date
Pay to the
Order of 8
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1 FIRST CITIZENS 133
T . ' �' FrstL 1-1z 's BaNc 8 Trust CompartY _
7�.2YA�1'v� ppardic Boach, N.C. T ust
N .firsteitize s-com M'
For
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