47271_TEAGUE, WOODY_20060828

ocAmA / ❑ DREDGE & FILL
GIENERAL PERMIT Previous r7
ENew ❑Modification ❑Complete Reissue ❑Partial Reissue Date pre iota:
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
Ci g -00
it #
permit issued
(71 Rule
Applicant Name
f r", c' -
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City
_3 State , ZIP
Phone # ( }
Fax # ( )
Subdivision / l
�✓�
' !
Authorized Agent
f P
City f
ZIP
❑ CW `lfW
)&TA ❑ ES ❑ PTS
Phone # O
River Basin
Affected ❑ OEA ❑ HHF
AEC(s):
❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body 1> :_
f
+--t ��'<-a^-z (nat.,/man unkn
❑ PWS:
❑FC:
,� ;"
ORW: yes / no no PNA yes / Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift ',
Beach Bulldozing
Other
Shoreline Length
SAM not sure
yes /no —
L160
Sandbags: not sure
yes
Moratorium: n/a
yes ��o
C ,
Photos:
yes (no
Waiver Attached:
yes ;ho
A building permit may be required by:
Notes/ Special Conditions
(Scale:
i ❑ See note on back regarding River Basin rules.
V S E p 7- 2006
Agent or Applicant Printed Name
{= �`� Morehead City DCM
Signature ** Please read compliance statement on back of permit"
Fee(s) Check #
Perm�tL�C'Nlii 'r e ignature " -- •—•-----
L6 ?
Issuing Date I Expiration ate
,44
Local Planning Jurisdiction Rover File Name

.
-w
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, certify thatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules El 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 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/OS

ADJACENT RIPARIAN PROPERTY OWNER ST"9
(FOR A PIER/MOORING PILINGSIBOATLIFTIBO rTt?I1.
,;4 V '
I hereby certify that I own property adjacent to i� 'E �j lJ;G7 's
(Name of PrbpertywIty DCM
property located at 0,
(Lot, Block, Road, etc.)
on , in , N.C.
rte
(body) (Tom nd/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of°fifteen felt (15') from my area
of riparian access unless waived by me.
./ I do not wish to waive the setback requirement.
I _dQ wish to waive that setback requirement.
--------------
DESCRiPTION W T OPMENT:
(To be filled in by individual proposing development)
;: r] �� \ t6
s��
Top / v17,g
Si
Print or Type Name
Telephone Number
Date:

%F�. iJ f 1 CENT �I�A S_!_i . i t i ! 1 1x7R% -h Pa3".'..iZ I�Y � Y J.'IJ1i�l� srrf,..�:��'� �.-'_J ') r
(FOR A PIER/UNCOVERED BOAT LIM)
i
I hereby cer-iFy that I own property adjacent to
('N(,ime of Property Owner)
'Jr(3 D c ,per
property lcr�ted at1
(Lot, Block, Road, etc.)
on1S_Tc. t�-
(W'aterbodv) (Toand/or�County)
He has described to me, as shown below, the developallncnt he T'S'"-' €° ns5j
location, and, I hive no obje~tions to his proposal. I understand ghat a pitip " er/vr1
must be set back a minimum distance or rirteen refit (l5') from my ja.re.a of npanan ass �nl,=
waived by e. X ?on6
i
I do not wish to waive the secbaclC requiretilent. Morehead 0- 1
;Y. DOM
I do wish to waive that setback :`-quiremerit-
------------------------ -----
DESCKIPTTi�t 1 D SFD'iDEVELOP-NJF— I':
(To e f711e . in by individual proposing devel.�pment)
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Print or, T4pe'MI
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