45702_THIGPEN, RONNIE_20060519 (2)

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
El New ❑Modification ❑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
❑ Rules ?ttached.
Applicant Name
Address
City Z, State ZIP A j % ✓j
Phone # X) 44 - 76 Fax # ( )
Authorized Agent O ; j .? f-) �F
Affected ❑ CW ❑ EW -E�A _--f!IES ❑ PTS
AEC(s): ❑ OEA ElHHF ElIH ❑ UBA ElN/A
❑ PWS: ❑ FC:
ORW: yes, / no PNA yes
Type of Project/ Activity
Pier (dock) length
Platforms) a' / i. V
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length '
avg distance offshore U
max distance offshore iI
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other + 4,
Shoreline Length
SAM not sure yes
Sandbags: not sure yes
Moratorium: n/a yes 69
Photos: yes no
Waiver Attached: yes (191
Crit. Hab. yes / no
i
A building permit may be required by:
Notes/ Special Conditions
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
city !i zIP '` l
Phone # ( ) River Basin
Adj. Wtr. Body /man unkn
Closest Maj. Wtr. Body— -J " /
(Scale: )
❑ See note on back regarding River Basin rules.
IOU
Agent or Applicant Printed Name
--
MAY
Perm 4Officer's Si nature
2006
Signature "Please read compliance state tonb ckofper i
C�� �'ote�nea
A�` D� IssuingD e
r 4�
E pirati nDate
� r , �1
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:
❑ 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 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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT` 1 6?006
IM0'_' ad City DGM
I hereby certify that I own property adjacent to gr'IIA'_e
(Name of Property OwAer)
property located at 2-'Ak4 C-144-gt4s
(Lot, Block, Road, etc.)
on \� C c �:L a S , in N.C.
(A'aterbody) (Town and/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.
DESCRIPTION ANDJOR DRAWLNG OF PROPOSED DEVELOPMENT
(To be filf-ed in by individual proposing development)
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Signature
a t U ir t
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Print or Type" Name
Telephone umber
Date: �e�� �' 0 6

05/14/2006 01:37 336-273-5065 DR ED MILLER
05/1.5/200E 10:22 1 SOUTHEASTERN
PAGE 02
PAGE 02/02
ADJACENT Rir-PARIAN PROPERTY OWNER STAB ,Y 1006
I hereby certify that I own pmperty adjamnt. 13 000/1 'i 4 Mowo ci
�.
�^(Narne of Property Oci er
� ty DCM
psoparty located at'��—
(Lot, $,f.ock, Road, etc.) —
on rbaa � 1
( ate('Than nndlor County)
Re bas described to me.. as shown below, the devclopmtnt he is.proposina at that location;
and, T have ro •objections to his proposal.
DESCRIPTTON ?AND/OR DRANVLNG OF PROPOSED DEVELOPMENT
(To hefl-tded in byin-dividual,proposingkdeyyveloprrent)
Slet
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'rei--Phora Iumbcr

DOUGLAS GUTHRIE 127
PO BOX 34
SALTER PATH, NC 28575 / � / 66-30/531
252-247-3536 Dille 133
Yto the e Q l/ L I$ re
order of
Pollars
FIRST CITIZENS 133
tI fi af-Cibzana 9*N 82 „1 C-'y
01 BANK K A11aNw Boarh. N.C. 28512
www.firstcitizens.com /
For _ 1` � �, �4
t:0 5 3 100 300t:00 L 3 7'50 3 7 t, 31i' 00 L 2 7
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