45115_WARREN, D L_20060608

(9 9(0-0( <2,t�
CAMA / ❑ DREDGE & FILL 4,511, C,,►
GENERAL PERMIT Previous permit#
❑Ne,w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
r
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_ f�' r) P ! '
(1 E 1 Rules attached. �
Applicant Name jJ r J✓ •i 1 (� 4 ..J Project Location: County "I., j {
Address Ly tl , s 6r' Street Address/ State Road/ Lot #(s)
City State ZIP r -
Phone # ( ) �r ' !' Y Fax # ( ) Subdivision I ---'
Authorized Agent ) V1 I i City A !} ZIP
CW ❑ EW ❑ PTA ❑ ES DPTS Phone # ( ) ..? { �'RKer Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A f
El PWS: ❑ FC:
AEC(s): Adj. Wtr. Body f ' t r f (nat /man /unkn)
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body _
Type of Project/ Activity CAA / v / �. �A �rf_� a t (!) t f (.F �i I • l r if ) '' _.•
y.
h (( / (Scale: Al )
Pier (dock) length
Platform(s) - . . . .
Finger pier(s)
Groin length y. -
r ST
number f... • , � `. � . ,Y � � , t i _
Bulkhead/ Riprap length
avg distance offshore
max distance offshore t
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
—------- - - - -- - --- -- - -
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes
Sandbags: not sure yes ! -
Moratorium: n/a yes
Photos: yes fnoJ
Waiver Attached: yes no!
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
�I i.1 - n nnnn -,%.r.t�`J�I 1
i.; ._..) j _) •� l ( JUIV ! U LUUU
Agent or Applicant Printed Nam—', Permit Offic 's Signature
Signature Please read comp ia9y a statement on back of permit Issuing Date Expiratiori Date
Application Fee(s) Check # Local 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
nuliandvoid.
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:
❑ 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
(Serves: Camden, Chowan, Currituck,
2728 Capital Blvd.
Dare, Gates, Pasquotank and Perquimans
P
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