46010_WALLACE, VAN_20060627

i
DCAMA / ❑ DREDGE & FILL ' V
GENERAL PERMIT /� i
Pre±✓ us permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Da' previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission ip an area of environmental concern pursuant to 15A NCAC �7
b ( QRules attached.
Applicant Name �a / Project Location: County r
Address 1 iJ f ��= '� f� ea' .�
Street Address/ State Road/ Lot #(s)
City rj ✓ / e- ' State N< ZIP t✓ ly � r �s . fi
Phone # 1 � : - k� �� _ U V y
( ) Fax # (_) Subdivision �—
Authorized Agent I IC f ? J- , r V City ; J , , < = f " l ` ZIP S l
Affected CW Edit* ET TA ❑ ES ❑ PTS Phone # ( ) River Basin NY I
A r- '
AEC s : OEA ElHHF ElIH ElUBA El N/A �"
- PWS: ❑FC: Adj. Wtr. Body_ ( c_r _- r-� (nat mahkunkn)
ORW: yes /Cn�o) no PNA yes / Crit. Hab. yes / no Closest Maj. Win Body k— - wflJ ` rr
Type of Project/ Activity
Pier (dock) length
Platform(s) �� )r t r
Finger pier(s)
Groin length -
number
Bulkhead/ IZprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure
yes
o
Sandbags: not sure
yes
-
Moratorium: n/a
Photos:
yes
yes
n ... ,
l ?s
-
Waiver Attached:
yes
A building permit may be required by:
Notes/ Special Conditions
ti
(Scale: IV--' r C
L_I See note on back regarding River Basin rules.
t h . i ✓ �fj �y 1w V sf c�—
Agentor Applicant Printed-Na e
'}' 9 2006 Permit fricdr'sSignature
-7
Signature pease-Fead.ed pliancestatemeni i �� (�� Issuing Date
V � ACM
ApplicationFee(s) Check# Local Planning Jurisdiction
9-�?-c)6
Expiration Date
C. /1 o 4 )-"7/1/�
Rover File Name
l

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:
Tar - Pamlico River Basin Buffer Rules Other:
El 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 (910-796-72 l 5) 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
Fax: [phone]
Location:
(Serves: Camden, Chowan, Currituck,
Parker -Lincoln Building
Dare, Gates, Pasquotank and Perquimans
2728 Capital Blvd.
Counties)
Raleigh, NC 27604
919-733-2293
Morehead City District
Fax: [phone]
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

■ Complete items 1, 2, and 3. Also corriplete
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 Addressed to:
Ptf ILL !P L Ai„/rt(L0S
X < ❑ Agent
11
❑ Addressee
B. Reb by (Printed Name) C. Date'of Delivery
D. Is delivery address different from Item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
.3W t Co�.i�f c; V''t r1�A T-/ ACCs I
L—At-)R 300 4 13. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
'71 Yes
7005 1820 0004 3423 8687
2. Article Number
(transfer from service labeo
l PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

ADJACENT RIPARIAN PROPERTY 01' VER STATEMENT
I hereby certify that I own property adjacent to _T
(\'ame of Property OK•ner)
property loc2ted at I'�
(Lot, Bloch, Road, etc.)
in' -it N.C.
on _ G(��=-� (Waterbody) (Town 2ndlor County)
He has described to me as shown helot~', the development he- is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION ANTD/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
(��(_�✓mac. � �
• �,.� p�Dp►N6 p��.c P�D�T�o���� �� ��NG Fc% V�vo!`,►�,L,
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Sionature
Print o: T )'pe N? n"
S� �G 3013 -
Telepho-,e Number
Date:.
—29—

MILES C. SHOREY IV
P.O. BOX 118
ORIENTAL, N.C. 28571
I ��-,q�� verify that Miles C. Shorey IV is to
do the job of at the address of t nS`
cy-,,1,-,AL-and that 50% of price of job
will be paid in advance and the remainder will be paid when job is
done in full. 4s -- vo -f 4 -
4,41, 4-wt
owner
es C. Shorey IV

YARD BARBER MOWING
MILES C SHOREY 1V 2522492549 1 841
NCUC: 2986772
P O BOX 118 66-30/531
ORIENTAL, NC 28571 Date472
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HRSI' CITIZENS 472
�j;A �jV FlrstLitiz Bank & T—t C—,p—y
l�l?l R 0,,.ntW. N.C. 28571
www.firstcitizens.com
For �� /y _ —
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