45285_THOMAS III, L. R._20060523

AQ
• ❑CAMA / ❑ DREDGE & FILL
-v GENERAL PERMIT Previous permit#
❑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 attached.
Applicant Name_
Address
City
Phone # ( )
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP`'�`�
Fax #( )
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (A t /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier dock length
s
Platform(s)
I
Finger
Groin length
number
Bulkhead/ P length
RiP lh
I
avg distance offshore
I
_
max distance offshore
i
I
Basin, channel
cubic yards
- -
-
�
-
--
f
-
- -
r-
-
-
I
-
Boat ram -
- • --
- -_ - -
__
t- -
I
Boathouse/ Boatlift
Beach Bulldozing
Other
i
I i I
14'
j
i i
Shoreline Length
r
SAM not sure yes no
Sandbags. not sure yes no
I
Moratorium: n/a yes no
-
Photos: yes no
_. it T
-'
- - 7-
—
-,
-- - � I — I T -
-
Waiver Attached: yes no
---
-
-- ----
A building permit may be required by:
See note on back
regarding River Basin rules.
Notes/ Special Conditions
Agent or -Applicant Printed•Name
Signature Please read compliance statement on back of permit"
-,
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s) Check # Local Planningf urisdiction Rover File Name

de
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules _ Other:
[_I 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 complywith 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 06/29/05

it
hay-03-2000 07:42am From -BUT NEB; BERN MAIN [phone] T-802 P.002/003 F-607
O A28.12©@G e4:52 2522491819 PAHDY GUI)WIN PAGE 03
I(f ko)
I rrcrcby wr6fy that I a*m property adjacW to Z —,_
WS
Of PYaperty Off)
- d, ovm andbr Cty)
(Water A,)
�ie has de:scribM to me; as snown below, ft dmelopumt be as propca 4 at that
anc1, I have no objtciODs tv U3 per- I m-s=d that a piodmoarL- g
must be sa bacl a winimum = of fm= fft: (15') «ream tx;y ate
Of riparian acpcerss unite: vmved by me.
v° I & MiLt wish to waivta the se6ack 3 ira=t,
I d. Wisti ,� waive. titan witma xNuim=nt,
DFSCkI VON .AND/OR DRAWING OF PROPOSED DEV0J)PNIENIT:
a —,-
Print Ord iPz Na=
aocwe.�.w.w�o m.r.r,.,wa�r
` eItThme NUI be.

Vay-03-2000 07:42am From -BUT NEW BERN MAIN [phone] T-802 P.003/M F-607
u/26�Ii�UE Ft4:5'% i52"Cr918i9 RAN:.)'' GODWIN PAGE Z3
,JACENf RIPARMN p)tOPMTY OWNER S'TA TEWEN-`z'
(FOR A PIMM00MG Ply".i GSIS0AZX FT1'i30A7"fi0USE)
s tezcby cettifq t#aat I own property adjucni to , � � �.....�..
(MMM Of 'rapeirty Owuer)
prey iocaW..at.
--�----�-
atier�`as�meUor County)
He has described ro MC, as AtOwn balvw, the develoPumt be is ProPosing at that
tocaut►o, aria, I have no obje edons to H3 PrUPOS01. I undersWd that a pieinooTing
�,ilingslb0atyift.;bQaL�jo= east br se't back a mum dis�ate ar of fi feet (15') from any area
of riparian 3CCC.5s un'tess vvaived by me..
s
i dej& wish to waive the se*aA requh=cnt.
I op YAsh to wai-a that setback no =mt.
pF,SCRg:MON ANDIO $ DR.A,WLNG OF 7P'ROPOSQ DEVE ,OP ':
(To & ,°ailed in by inulav(dud grvposixg iievelopment)
-.4
I'lt �, z c f,,a
sifkMit -
Print or 'I` W Nazi.
Telephone bomber
�-

SPRING CREEK CONSTRUCTION
Ph 252-249-1819
2398 Whortonsville Rd
Merritt, NC 28556
Elie,
WACHOV A
Wachovia Bank, N.A.
:ho'Aa.
5z $5
FOR
1:0 5 3000 2 191: 200 78 3000
2412
66-21/630
/')/�
v �+
BRANCH 77512
DATE
W 106
s.oa.uy
Fae,uras
DOLLARS
eaa.
)14