45767_THOMPSON, VERNON_20060614

L] CAIVIA L-J DREDGE & FILL
GENERAL PERMIT Previou mit #
J I
DNew LIModification ElComplete Reissue ElPartial Reissue Date p 4evi us 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
- I E:1 Rules attached.
Applicant Name
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City State
ZIP
%Phone # Fax #
Subdivision
Authorized Agent
City—,, zip
Affected 0 CW Q-Ew 9-PTA [3�fs
El PTS
Phone# River Basin
AEC (s): D OEA EJ HH1F El 1H LJ UBA El N/A
AdWtr. Bod
j. y
)man Junkn)
El PWS: 0 FC:
—Cna
ORW: yes / no PNA yes /Cn6,)
Crit. Hab. yes no
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock ) length
Platfirm(s)
Fing-'r pier(s)
Groi length
SEE ONION
number
NEENEENE
Bulkleadt Riprap length_
INN ME E ENNE
avg distance offshore
max distance offshore
Basin, channel
cubic yards
E
Boat ramp
E
0 NONE
Boat rous�e/ Boatlifftt
NINE
I MINNERINEWEEMENC ME
Beac-i Bulldozing
Othe
INN
MM11111111111=1
ON MEN
so
N MONEEMENE
Shor
ONEENEEN
SAM
INE
N MENSION"WEENION
Sand
H 10
Mo
Phot
Waiv
A building permit may be required by:
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
7 )4,4
Agent or Applicant Printed NameSignature "Please read compliance statement on back of permit"
Permit O
fficer's Signature
Expiration Date
Issuing Date
Local
Application Fee(s) Check#
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 ])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:
_J Tar - Pamlico River Basin Buffer Rules 0 Other:
C 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 06/29/05

FOR
M
OF
PHONE/
MOBILE
TELEPHONED
J ❑ RETURNED YOUR CALL
PLEASE CALL
F-IWILL CALL AGAIN
❑CAME TO SEE YOU
WANTS TO SEE YOU

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _ll `IPwa nl So..--) 's
(Name of Property Owner)
property located at O (,t,c eo p, { P 4 q+IA -.,4, c 8 ck N c ,
(Lot, Block, Road) etc.)
on �looro � � , inA 4-la..4c CA.�. 4ere 7— , N.C.
(V aterbody) (Town and/or Co nty)
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 AND!OR DRAB UNG OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
`1 �cS�i4 �� waoCt V��N I �k,IT�f1c5o� �Q-�:�Je/iveXT �o
II h e F} �� o ' I 't K�
o (�I ��. � iC acY . f�X —t'� 4 I � e. n�� A �X
o r C'�o
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MAY 2 �
Morehead OZ.,'
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------------------------------------------------------------------------------------------------------------------
Si- ature
tJ CJ 21
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that own property adjacent to L eejepa r►
(Name of Property Owner)
!j
property located at 3 (yL O 1J _P4 Q_AA 0� s t:�cL , N C. ,
(Lot, Block, Road; etc.)
on Mmta in^%4:c � �er , N.C.
(Witerbody) ;Town andlor C-Anty)
DESCRIPTION AND!OR DRAWING OF PROPOSED DEVELOPINIENT
(1 o be Jtiied in by cndividuai proposing development)
AJOV Jeri
I A K i ;- ;
+!
RIF
MAY 2 2 20(
lip
Morehead City Dbrv,
rAnl
ZS � - Z �3 - 3 2

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MR OR MRS VERNON THOMPSON 2148
314 Old Causeway Rd 66-21/530
Atlantic Beach, NC 28512 BRANCH 77614
Date
Pay the J1/ L
Orderr of F
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Wachovia Bank, N.A.
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