46748_HENSEL, RICHARD_20061018

V
UCAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification El Complete Reissue ❑Partial Reissue 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 15A NCAC !�
j ❑Rulesles attached.
Applicant Name I+tA �� Project Location: County (- ,�/" attached.
Address > ! ( Street Address/ State Road/ Lot #(s)
City / r A f I'--' JA CPM
State:+.'(ZIP ) )/ /
Phone # () Fax # ()
Authorized Agent
Affected ❑ CW ❑ EW Dift
ElOEA ❑ HHF ElIH
AEC(s):
❑ PWS: ❑ FC:
ORW: yes / no PNA 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 aa
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
ou
SAV: not sure
yes
co
Sandbags: not sure
yes
Rio
Moratorium: n/a
yes
no:
Photos:
yes
Cp
Waiver Attached:
(yes)
no
A building permit may be required by:
Notes/ Special Conditions
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
r
l 1C ' % `4A r- i lei -�-' v
Subdivision
City I / zip .J )) 1 7
Phone # ( ) River Basin �✓ /��
n
Adj. Wtr. Body c �, ! �' J(I/man /unknj
Closest Maj. Wtr. Body -
(Scale: /� i -t ( )
[I See note on back regarding River Basin rules.
Agent or Applicant Printed Nam �V— —WoffX s$igna re
DEC 1 8 2006
Signature Please read compliance statement on back of permit Issuing Date Exl5irWon Date
fl Morehead City DCM Gfi f I /G/&,4
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, 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:
D 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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/OS

NCD R
North Carolina De artrrient o N p f Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director
William G. Ross Jr., Secretary
Date
Applicant Name '1c h -H1eNg5L
Mailing Address 5-bc)
ON'1f) pn
W i H50- S R c.E-7m N cc 0 rZ l a)
QGM
I certify that I have authorized (agent)�>� 1,F Vj��bb to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)—( L I�-T—
._ 9
at (location) "76 7
Mr.->P-lu-4� cIr C
This certification is valid thru (date)
Signature s 15-",r
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Ac;ion Employer — 50% Recycled 110% Post Consumer Paper

DJ ' C EN ' =
(FOI?�, :tru x xw r'x MY 0�� N �;T fe'F y ,,
I hereby ce7dfy that I own rp
P any ad iactir r, to
// (�+•e of Property Q der-) _
proper y locate-d at-. 1207 Shy c C f/(C-
(rat, Block, —�`
on 4?
Road, etc )
atexbody) (N.C.
-Town audi or; (County)
He has desc:.�bcd to rile, as VlOwn below, the dev�!oprnent he is Propo;,ing at rtat
locatzon, and, I nave no abje;:rions to his proposal, I understand lihat a pier/uncover boat Ii�:
�MuSt be sEt back a minimum d.istanc:t of flrCer,I .F�t (;j') Ixom
waived by me. �,,,n arian at;ems; ��nles,
L§�I do qat wish to waivC the Setback
I _. ,re quire;rlMe
Af
OCT
dQ Y;t5�to �azve that sethack rece1 1 2006
ui.
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DFSCRi✓rPIIOx'v `t-DIOR DRAK•�G OF :PROPOSEL:,DEVEL( PNM.'b-��
(?-a be filled in bti' indivufcc,:2I proposing deveL��pmeizt) .
0r C� i
'Or °
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�St-nature
Pri n t o r Type N lalme
I
Telephone .Numb r
Date: T / C3

J t Ci'i 1 sue i �.h{ '!7,;
(FOR A PIE)Z/UNi~ VAR iJD .C%A T rrlI.
�J
I Hereby car-dFy that I nwn ro e
P � �}' adiactir,G to�e-
,. Pro p•e rt �Q %rT7 e r)
propery Iccate� at_ % %p -->A c �c c- 1 ��
- -- 7 Sf .
(7_0t, B30-ck, Road,
on Uf h , iJi L v l O�z `ica�rj C ,
G(TQn andior CC.odv)
He hay desc:, bcxl tU rne, as shown be?ow' the deve;opOent he. is Propo;' ac tka�
location, and, I nave ,�o obje-'C ions to his procbsai. I undersrand Ijhac a pier/uncove:md boat Iit;
mutt be sp-t back a ln.irtimum disun:.,' of ri,L � 0 -
een (eel ') &OM my'area 'ri apart ac:�ss
waived by me. I P snless
_ I do Hat wish to waive the se�back re uixemenr.. �'''
F V'Z5�5 to Waive Lh,t sc-lback :ecrltreCnPnc.
ocT
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Tt'lcphonc Number
DatE: G�' — C?

THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
RE
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NOVALID OVER $1,000.00 I 63379841
ISSUINGBRANCH 6L1?y3301.—MCiREHEAC� MAIN
PAY TO Th
ORDER OF
BB&T / 70a c,
DRAWER: TRAVELERS EXPRESS COMPANY, INC.
P0. BOX MN 55480
ORAWEEE: FIRST INT RSTOATE BANK, HELENA, MT y t� 7 y 0
DATE DECEMBER 1% 2006 93-541/920
DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
AND OTHER TERMS ON THE REVERSE SIDE.
- 'v NP
Q PU AWER_
n(A., +L ADD Esc
-�- CITY & STA E
►I'633?984 L.u' ':09 20054 L LI:0 1707 1045 L09 211'
■ THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT OF THE DOCUMENT HAS A MICROTRINT SIGNATURE LINE. AND BORDER, ABSENCE OF THESE FEATURES WILL INDICATE A COPY. ■
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