44789_FOX, BURTON & TINTINALLI, JUDITH_20060517

_' CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit #
_
!New '- Modification --'Complete Reissue i-lPartial Reissue Date previous permit issue
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 I SA NCAC
�,. ❑Rules attached.
Applicant Name�� ; i ��.;�f�l� Project Location: County
Address �j , G } ; �,{ l„ ,;� r` Street Address/ State Road/ Lot #(s)� ,�x ;. k
City.—_ I ��� State ZIP
Subdivision
Phone # (•�_) 'S-(�..;� Fax # O
Authorized Agent i� { l_i� s f v. if J City ZIP
I_ CW \AEW TA ❑ ES ❑ PTS Phone # (.) _ - r River Basin `
Affected �_ ._ k ` )'0 C
C OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body. (nat /man /unkn)
PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body —
Type of Project/ Activity
Pier (dock) length
Platform(s) `
Finger piers
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlifj 'x
Beach Bulldozing
Other
Shoreline Length
SAM not sure
,no
Sandbags: not sure
yes no `
Moratorium: n/a
yes no
Photos:
yes no
Waiver Attached:
yes no
A building permit may be required by:: 1
Notes/ Special Conditions
.L4 /,�X 4�� ,
Agent or Applicant Printed Name
1-4AM
Signature ** Pease read compliance statement
r
Application Fee(s) Check #
(Scale: )
r
��V
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
tyTOLhKiDite xpiration Date
Loc`al'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
Iandowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules U 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
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Morehead City District Wilmington District
400 Commerce Ave 127 Cardinal Drive Ext.
Morehead City, NC 28557 Wilmington, NC 28405-3845
202-808-2808/ 1-888-4RCOAST 910-796-7215
Fax: [phone] Fax:[phone]
(Serves: Carteret, Craven, Onslow -above (Serves: Brunswick, New Hanover,
New River Inlet- and Pamlico Counties) Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

�J)jAr,ENT RIPARIAN PROPERTY OWNER STATE
:IIENT
(l �,R �.PIERAj fOORIiVG PILINGS/BOATLIFT/BOA THV USE)
t
I hereby certify that I own property adjacent 05—
Tq-o��7(nn� VW
A(Name of Property Owner)r ropzrc} located at l�C �O 0. k
(Lot, Block, Road, etc.)
o n � � C) �J-tir� L
" _ ---- ,
(Waterbody) N.C.
(Town and/or unty)
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 pilingsboatlift/boathouse
must be set back a minimum distance of fifteen feet (! 5') front my area of riparian access t.n!ess
t�'aived by r,ie.
I io not wish to ��,aive the setback requirement.
I do wish to waive that setback requirement.
---------------------- ---------------------------------------------------------
DESCRIPT'ION ANWOR DRA11'ING OF PROPOSED DEVELOPMENT:
r
(To be filled i1i bl• i'rrlivid«nl proposing development)
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Signatur
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
_or on the front if space permits.
1. Article Pddressedto:
A. S' atur
X ❑ Agent
❑ Addresses
B. Received by (Printed N7 C. D to of D iver
d o y
D. Is delivery address different from item ? ❑ Y
If YES, enter delivery address below: ❑ No
3. Servic
ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
2. Article Number 7005 1820 0007 9573 1902
(Transfer from servic
PS Form 3811, February 2004 Domestic Return Receipt
❑ Yes
102595-02-M-1540

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March 19, 2006
Attached is a document, with drawing, of our proposed boafflWdock which we would
like constructed at the front of our property.
It would have a 15 foot offset from the property line on the north side.
It would extend a total of 60 feet from the current bulkhead, a short dock by comparison
to others on Core Sound.
Larry Arnold will be doing the work and has a sound reputation as he has constructed
many docks for our neighbors.
If you agree, please sign the document and return it to us in the stamped, self-addressed
envelope.
If you have any questions, you can call Burt or myself at 919-349-1192(cell) or 919-929-
1454(home, chapel hill).

i)OCJ5
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach,.. ,s card to the back of the mailpiece,
or on the front if space permits.
1. Aiticle Addressed to: � ©O
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A. SLen%tur
B. Received by (Printed Narrte) I C. Date of Df
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8 Certified Mail ❑ Exprefs Mail
❑ Registered ❑ Return Receipt for Merchandise'
❑ Insured Mail ❑ C.O.D.
�4. Restricted Delivery? (Extra Fee) ❑ Yes
Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 1820 0007 9573 1902
(transfer from service
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UNITED STA7363fi�`R/Ei ;ttiaiv+sr �„
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Postage $
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Return Receipt Fee I i t c
(Endorsement Required)

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