45704_WALLER, PAMELA P_20060524

❑CAMA / ❑ DREDGE & FILL �� 417- 1
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 I SA NCAC
❑ Rules attached.
Applicant Name
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ 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/ Rip
avg distz
max dirt
Basin, channe
cubic ya
Boat ramp _
Boathouse/ B,
Beach Bulldo;
Other
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
Agent or Applicant Printed Name
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body_ (nat Iman /unkn)
Closest Maj. Wtr. Body
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Signature Please read compliance state r m' ia; it j Dc
Application Fee(s) Check #
Date
Local Planning Jurisdiction
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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El Tar - Pamlico River Basin Buffer Rules ] Other:
F-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 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

Eric Ellis
Marine Construction
DOCKS *SEAWALLS e BOAT LIFTS
DECKS & REPAIRS
Telephone : [phone]
205 Nottingham Lane Morehead City, NC 28557
%y ,
Capps Printing, Morehead City

• I , � Mkt , ' - j« . � { ; - ,., � ,�. * • ;� 1�
I Comfy ac1w I mn progeny adjacent to , Pam e 1 a P . Waller +s
(NWw of Props 'ty t wwr)
Pry odat 5003 Holly Lane
, etc.)
c
on Bogue Sound Morehead City N.C.
He ho dtzribed to M'er is shown below, tb0 development be is proposing it ow
10=dw, mod, I hm no objacfwj to hb ps+ ""I. I u*knt Ad IW a F*alwxvvccd bast Lift
nxm be .set back a minim m dish of fiftow fact (15') from my f ripedm w= tmkss
waived by nr-
I keoc wish to wain tie r quitemat.
✓ 11k wish to waive.that sett ak requue=t.
DESMMMN AND/OR MUWING OF FROPOD' D9VEWPlM.NT:
(To bs jW*d in by 4s&p" gal pnVesiag deratop
ty DCIL4
- _
Print Type Nvne-
Telephone Number
Date:

hey CCtij ihzt I own g�pa ty aCja n t to Pamela P . Waller $
(Nmx or ?"perry gWOW)
Fp0MYJocgWdat 5011 Holly Lane
(Lat Block., RAW41 etc.)
0n Bogue Sound Morehead City .N C.
(Watet'body) (Town eD&O• C;oU4Y)
He has desa°tW to me, as gxyw fl below, ft davdapman bC is pmposing at that
location, and, I have ro object = to his Fa'' . I uadwsmW thA a p*lwx vcmd bast lift
dhwl bC 2tt h" an .iYuic7i M vt i;Lwi" Acst (iJ / cti+r�� u'{J� Saco i. �wix"s+ usafa�
waived by me.
I wish to waive ft fit.
I jk wish to waive. that x tak mquil'afwt.
D ON AND/OR DRAWING OF MOPOM DEVELpPMENT:
(To be jW� �d ue by 4*&Pfdul prvpaaiaa dsrelopaer ` F's' ^>
I
cif Sf i Qt T �C N1lT%1�
-�'(ol- Z7/, 6,0d'O
Teleph" N
7"',

ERIC B. ELLIS
JASA M. ELLIS PH (252) 72&M5
205 NOTTINGHAM LN.
MOREHEAD CITY, NC 28557
Pay to the ��-N
Order of_L V
3314
66-30/531
133
oc,
Dollars 8
FIRST CITIZENS -
TiA1�17I Firrtfli.c eacBank. 2851 Comparry
AU-t-Cit Beadi, N.C. 2z8e5�1n2
For CJ .fiti. T / ✓ / /�Cj
0 5 3 100.3001:00 13 1744E ?Boll' 03311,
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