47141_FRANCIS, NANCY_20061222

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r❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
[]New ❑Modification ❑Complete Reissue ❑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 15A NCAC_
Applicant Namjje / L LH-I (�/ N12T/N Ci f J n Project Location: County
Address 1 01� I� 1 C / ` v /y Street Address/ State Road/ Lot #(s)
City State ZI P V
Phone # () Fax # () Subdivision
Authorized Agent City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ IDEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Previous permit #
Date previous permit issued
❑ Rules
ZIP
Type of Project/ Activity
(Scale: )
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
i
j
I
�.-4—
17
i
�.
Beach Bulldozing I r
Other
I
I
i
I
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no r
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
I
J
-
regarding River Basin rules.
❑
See
note
on
back
(�,L/- /-
Agent or Applicant Prig
;gd Name
Signature "Please read compliance statement on back of permit"
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s)
Check # Local Planningf urisdiction
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 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 (252-946-648 I) 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 Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
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

12-03-2206 19:57 CL BRAXTON 252-524-3160
PAGE10
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112-03-2000 19:57 CL RRAXTON 252-524-3160 PAGE11
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to is
(Name of Property Owner)
property located at
(Got, dock, Road, etc.)
on 6 p3G '�
�., in ��G� . N.C.
(Waterbody) (Town and/or County)
Ile 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)
} Tr-,r,�
�7
-------------
Signature
t/ IIIIiI L
Pnnt or
Telephone Number
Date: ��

12-03-2006 19:57 CL BRAXTON 252-524-3160 PAGE12
INor•14. 2006 5:25PM Qrlck Pack & Sh:p ND-H20 P- 212
ADJACENT RIPAIUAN PROPERTY OWNER STATEMENT
I hmby certify that I own property adjacent to �%' �� .R �•5 �'s
(Name of Property fawner)
property located at
(flat, Block, Road, etc,)
on Aaog e
(Vi�aterbody) �� (7ows sttd/or �_�N-C.
He has described to me as shown, blow, the development he is proposing at that location,
and, I have no objections to his proposal.
MCRIMON ANWOR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by L-utivldaal Propos'tg &rV40PMeny
,ram
i NTC
/77 i-A
Print or Typc Name
Telephone Number Date- —// , /�Z— e L

I
-03-2006 19:55 CL BRAXTON 252-524-3160 PAGE2

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Divk"Aon of Coastal Management
F''+:::!c,y, (-c crur Chsrics S. Jones, nif'ector William G. Noss Ji., Secretary
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L iiAr' f a itlr;3N�tt«ac%of;t 1rAY414- f0f the Obi tinion, all CAMA Pew -nits necessary to
ira>fi.cllrti� r�?k3.�(st:�� (�riiyt'(.Y)_,.._.,,
(II-Valloll is vain] ] 1-11(thte)
400 Cosr,ra;4rcr, Ajcnut,, Morohead City, North Carolina 28557
252-D-)8-28001 FA : 252-2-17-n301 Intcrpet: VAVW.ncce3stalmanagernent.net
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SALTWATER MARINE CONSTRUCTION CO., INC.
PH. 252-939-5204
3340 CHARLES BRAXTON RD.
GRIFFON, NC 28530
PAY
TO THE
ORDER OF_
rmm
3330
66-7404/531
DATE
DOLLARS n -.
ILL the little bank
Kinston, NC
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FOR —/�'
000 3 3 301I' l:0 5 3 L 74048j: 20 L00060 50n'
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