47298_HAMMOND, BILLY_20061007

❑CAMA / O DREDGE & FILL
Ljo'GENERAL PERMIT Previous permit #
ONew ❑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 I SA NCAC_ `' k
Rules attachedt
Applicant Name -� i ` F/ �'` �" ` - �' Project Location: County
Address 1
A
I Street Address/ State Road/ Lot #(s)
City '` State ZIP
Phone # O nF ? Fax # O Subdivision
Authorized Agent City _ ZIP
❑ CW � EW El PTA ❑ ES El Phone # ( ) River Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A 1
AEC(s): Adj. Wtr. Body (nat /man /unkn
❑ PWS: ❑ FC: % (
ORW: yes / no PNA yes / .no Crit. Hab. yes / no Closest Maj. Wtr. Body r ` 't J� -''n -
Type of Project/ Activity
(Scale: , j ;,
Pier (dock) length
Finger piers)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes 1 no
Sandbags: not sure yes f no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no - -- -
A building permit may be required by:
Notes/ Special Conditions
/ ` f� n r T 5205 --
Agent or Applicant Printed Name Permit Officer's Signature
Signature "Please read compliance statement on ba yiss�llf A Expiration Date
Application Fee(s) Check # 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
D Tar - Pamlico River Basin Buffer Rules _ Other:
El 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/ 1-888ARCOAST
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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

ADJACENT RIPARIAN PROPF-RTY Oti1'NER STA.TEMER'i �f�l�/Yr✓
(FOR A PI4"100RING PILIrNGSIBOATLIfT100A WOUSlA) 3(
1 ',vreby certify that I o%i-n property adjacent to 'S
s (;Onfie ofProptr�s�ner) �..
property located at
(Lot, Block, Road, etc.)
4n✓/� _, to 7Y N.C.
(Waterbody) (Town andior County)
tic has described to me, as shoo n beios%, the devetopment he is proposing at that locvt'cr.,
and, T hay c no ob;sctions to his proposal I understand that s piar�tn+�arin; pitirt�;'boattil4lboathc�tsc
must be set bmk it mimmuni distance of fit?ren feet (; S`) from9 my area of riparian access unless
wakved by me.
192 wish to waive the setback requirement.
I do %, ish to i%si%e that setback requirement. �F
........ .. kJ
DESCRJPTiON ANWOR DRANNING OF PROPOSED DEVELOPMENT,
(To be fllled hi be ifidevidt4al proposing developinenr)
i3; tz'
�r P ro bs�d � C3 00,
CD bfry.
J (71
5 S-
MkrS N
............. • ---_..........................................................
Qx
't�T1Ztt1fC
i + Pnnt or Type Name
( Tile / hone Dumber
I p
Date
1

Sep 27 06 05:27p
40P-Z5-ZU05 14:18 From-88ANDT
p.3
Z5ZZ403Z43 T-365 P.0021002 F-150
ADJACENT RIPARIAN PROPERTY OWNER STATEMENTO� � ��
(FOR A rlEJvvOORl vG r!6lt�'G"0A rurrlvoA mous4v .3 j& —9 lV —
1 'vereb) eereify that i own P"My @d*CW to
(name or rropvrty O..aer)
proptry Located at / at h[ d _
dl
(Lot, Block, Itood, etc.) 7
on dZ&4u CA
(Waterbody) (Town attdior County)
tit has descriood tome. as shoN n belo-, the development he is popotin j at M44 I,)eetion.
and, f tie. s no obarei,ons to h►s proOppt 1 c.nbersttand that spia/Pt>toOt►ity piiint'boaAiAlpOatltauae s:'n
be set bock rw minitnttm dutanee of fifteen feet (is') from my ores of riparian rcccu unlras (�
,vai.ed by nte. r 4
CDIs wishwrequirement
.
_ I 92 aith to w'sivf tl+tit setback req►tiremvnt.
...........................................................—_....................._....._.
D£SCRJPTION ANWOR DRAWING OF PROPOSED DEYELOPMENT:. ,
(To Oi flllerf !�, 6► indir0-dao/Oroposiwr frtiNe/nrett�) `J ~�
y � �F
Olx 1 S-r
eA it'
hkkrs
.......i.1 �. ..`._....................................... -•- ............................
•� � _.
• I � !� l� 5 staff
` I i rMal o: Type Name
4 ' ! Telephone Nornber
Date
II II
` I

Awki

NCDENR
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 (? c 't' 1 •z u c
T
0 C T - 2 2006
Applicant Name �_ {t „�/; >�c,vr,�s, a.. G( Morehead
Mailing Address S' -7 4- S S - w' c--,^ A 0 d
PY CIF + C w :-i z I 0 4-8
I certify that I have authorized (agent) Z 4 Yr Y A r in & / cJ to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) i3 L
at (location) 1 2 bf i3; ; c/g•= %fry'- L. c� Sk/A-, � Al, G
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

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