47349_TYMINSKI, KENNETH_20060801

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
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 NO
Applicant Name
Address
City State ` ' ZIP
Phone # ( ) Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ 0EA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no. Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
j
Shoreline Length
SAM not sure yes
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:
Notes/ Special Conditions
`Previous permit #
Date previous permit issued_
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale:
See note on back regarding River Basin rules.
ADf�
p-4wQvlv y1�1 o D
Agent or Applicant Printed , Permit Officer's Signature
Morah
eau
Signature Pleatse read compliance statement on back of permit Issuing Date
Application Fee(s) Check # Local Planningf urisdiction
f/, d-0t;
Expiration Date
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, certifythatthis 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
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

&LUJZ1►%JrAt4 t rKgjrk&U X V 1NPt M ,LXM: '1.
('OR A PI 0MOORM MUUGSBOA7EMTBOAMOUS2D
I hereby certify #hat I awn property adjacent to
a%uume of Property Owner)
propeliy kxated at _ 1 1 7 � �) . lL- v-, -
OLo4 Mmd4 Road, etr.)
C�V�, F�Lt C�Z�k , m NC.
Materbody) ' gown an&Uk County)
He has &=''bed to me, as shown below, tfte development he is proposing at that
haaion, anti, I have no object m to Iris proposal. I mderstand *a a piedlmoor M
mm be setbackamini mm &tmm offii = fed (M fim myar+ea
of n,pam, a access moved by me.
I do not wish to waive the setback Yeq mt,
I &o wish to waive that setback requirement.
DFSCRRUYMN AND/OR DRAWING OF PROPOSED DEV U OPMENT:
(To be filled in by irtdividud pmposiag derdWment)
c
54nattue
x Dxti 7
Pnnt ar Type Nme
x �1/ 0 - IS- S - 777o
Teghone Number -
Date:
r�

I'luil"L rAN i rxgjrrj l x ViNl1(m,MMMEM--F
(FOR A PII RlA!'OORING Mf.T.ATWWAIMPTIMAIWOUSM
I hereby certify bat I awn propeaty adjacent to � e hV\A� { Y L 's
(Name of Piopeity Owner)
property kxatbed. at I i i t-) . \1 Vic
0[.o4 Block J°"'. etc.)
(Weier'bw . crown mat CouoEy)
He has demnlmd to me, as shown below, $tie he is poposmg at dW
ICPCW a, and, I have no 4*zfi s m his pa CVML I u d 13tat a paerlirboormg
be setba&amWm= dish = offif mfeet (M from my area
of -4— access un%ss waived by me.
I o mot wish to waive the setback
i
I ffo wish W waive that setback regni„emem
DESCRIPMN AND/OR DBAWING OF PROPOSED DES MOMENT:
(To be, fNed is by &fivi&dpmpos&g &Pdoparent}
- - - - vim.—�
Prim or Type Name
/�3- E(6��,'61
Tdgtme Number
Dam x ':�1,F-/0

INNERBgNKS M,4RINE C
P.o. aox tso PH 252- ONSTRUCTIO
Nn
ORIENTAL, NC 249-1429 INC,
PAY 28571
TO THE lI I/ /� I/ n n
'It, ORDEq OF L. / V v 221 �.
-- DATE / U (�
Fn v,� -- - - --
66-30/531
472 y
I ��RST(;IT N $ `�GG
BANK F„=. I7,C S,Iz /
cn�z C eanw, rr Oriental N C 28571 � � J
i s ComPan
FOR jJor,' n ti � V6 w-firstcitizens.com DOLLARS
�tJ-h
II I o o + h y
c' 2 2 1 n. 1, 1� 1 / 4'ti it/�, � 5 `/
00i;004 7 1 2
l 0.1 28 2 2nll
y
4