46782_GRIMSLEY, DIANE_20061019

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❑`:AMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issue
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 Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
❑ Rules
Phone # ( ) Fax # ( ) Subdivision
Authorized Agent City ZIP 1 -4 .
❑ CW ❑ EW El PTA ❑ ES ElPTS Phone # ( ) River Basin
Affected ❑ OEA ElHHF ElIH ElUBA El N/A AEC(s): Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)�
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
i
avg distance offshore
I
max distance offshore
�- -<- -
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
I
Other
} I
Shoreline Length .A e
SAM not sure yes no _ _ /4
Sandbags: not sure yes no
1 -
i
Moratorium: n/a yes no i
Photos: yes no,
-- -- - --- Waiver Attached: yes no,
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
OCT 2 0 2006
Agent or Applicant Printed Name Pe Icer'sSignature
ter- �/ [� f: ..
Signature Please read compliance statement ack of permit Issuing Date qpiratl6nybai,
ApplicationFee(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 I) 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
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

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r rjRi t o .0 r 4." ?
(1'ell A !" IETUUNC0 �EFF'D
I �L CsI hereb;� certify that ok;i-r? property adjactirrt to
ro . ri Iocarerl a[
(Lat, Black, Road, etc.)
(` e of Property ITIIer-)
1Uon ��6liC _SZavND in
{ oFvzi and./0rl Coitmty)
He has desc ibed to me, as shown below, the developr;tent he• i.; pro,posin2
at [:rat
location, and, I have no obj:e`tions to his, proposal, I unde-t-stand i;h:ata pr /rlricovered boat
' must be settaclC a minimum distance oc ritte°n rest (;5') rrom my
F r� at ti:aariatl acc;; uzl:ss
waived by me.
1`
I do not avish to waivq .the setback requirement.
01.1i 2006
j I do wish to _waive that setback requirement.
------------------------------- ---------------- .-------------------------- --- ' M o r� h: a ci i �y D CM
DFSCR=0 A_'N. 3/OR DRAWING OF PROPO Eta DES .Up_VCE;T.
(To be jailed in by indi;,idua1 pr:poa-irzg des••61,p�rterzt)
1
--- p--�---- -----------------------------------W1CT
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Print or �, t',4"Mile
Telephone N�.zrrtE�-�:r
Date :—------ -- —

14,Dj A CEN j�') e-
j p
FOR A FIERAINC 0 ER—F'D BOA T1111-
-D
hereby certify that 1 ()wrj proper-[y adjactitit to
("flLftle of Flropej-fy 0 IVIler)
pr-ope-r-Ly I CK--qced a(__
(Lot, Block, Road, e t c.)
(V'Yater-body)
(Toc" and.iorlC_ouuty)
He has desc:ibed to me, as showvrl below, the
developq is p rOPO-5tha L'Tat
location, and, F have no objecdons to h' I.. I . t'
his, proposal. I undersuand boat JftL
I Mat a pi c
must be 4.) ac k a minimum d i s tan ct of fl 15') front m, 0 C'
Y far pal-ian acc,�-
ullkss
waived by me.
I do not wish to ware
.the setback requirement. jrT
I do wish to waive that setback rcquLremcnt.
head Cily DCM
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --------------------------- -- ------ 7
DES CRUMON DRAWEtNG OF PROFIOSED:D'-P -T: .
E V E, L.0 -E��
(To b e jided in b v
sin f);
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Telephone NUTTILI'l-f-
Date.-

IF
1610
WILLIAM A GRIMSLEY JR 1,2i5s,
DIANE L GRIMSLEY PH. 252-240-5858 ss- 112/
607 HULL CIR 02301
NEWPORT, NO 28570-651200
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