43643_WELLES, PAUL_20051229

El C.AtIVIA / f 1, DREDGE & FILL
'ENERAL PERMIT/
Pr ,ibus permit #
_'New FIModification ElComplete Reissue
F- Partial Reissue
D to previous permit issued
As authorized by the State of North Carolina, Department of Environment
and Natural Resources
s
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
-,
O Rules attached.
Applicant Name
Project Location:
County__________
Address ' '
Street Address/ State Road/ Lot #(s)
1
City U/' .t' �• State ,''� ZIp-�-?'
00
Phone # (-'� `) - (c, Fax # (_)
Subdivision
Authorized Agent r'�1�`�__. '�' /l ✓
City �'
ZIP
_ i Cw E, EW R"A [5 a ❑ PTS
Affected
Phone # ( )
River Basin
OEA -1 HHF {] IH ❑ El N/A AEC(s):
Adj. Wtr. Body
`'' v _ nat man unkn)
PWS: ❑ FC:
Closest Mal. Wtr. Body�� - —
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
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
01
r
Agent or Applicant Printed /Naime l
Signature Please read compliance statement on back of permit)
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature `
Issuing Date / Expiration Date
Application Fee(s)
Check# Local Planning]urisdiction
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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Lj 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
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

ADJACENT RIPARIAN PROPERTI' 0'hTR STATEMENT
I hereby certify that I own property adjacent to a-C<�J a -'Id- N611' We-1/SS
(\ame of Proper-ty O ner)
properly located at ;;�Z19 MOrY1S'CY� I -
(Lot, Block, Road, etc.)
o n in ►'i
(VYaterbody) (Town and/or County)
He has described to me 2s shown below, the development heis proposing at that location
and, I have no objections to his proposal.
DESCRIMON A-NTD/OR DRAWING OF PROPOSED DENTLOPMENTT
(To be filled in by individ«al proposing developmen!)
152 r1aC:e-l. sIMI,
r,w,,-o -f-11 .j Hai
MU -I ,rx 'l A.!s -f-D ex--A`s cow - i
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SiCnature�Ghn
Codte, U
Print o: Type Name
2y�- IR63
Teleph, Number
Date: 11-- �2-0

FROM :Triton Yacht Sales FAX NO. :252 249-2959 Nov. 16 2005 02:46PM P2
ADJACENT RIPARIAN PROPERTY.' OWNMR STATEMENT
I hereby certify thm I own property 2djacent to Pq,,,J qxy, -s 's
(Fame of Property Owner)
property l opted at a 3 6 1—d - _ _ --
,
(Lot, Block, Road, etc.)
on +-k N�,i,� \Y`�r , in �r_iP�n'i , N.C.
(i aterbady} (Town and/or County)
I-Ie has described to me as shown belo,,v, the development he -is proposing at that Iocation,
and, I have no objections to his proposal.
DESCRIPTION A. \T/OR DPAWING OF PRC)POSED DE�TLOPAIEW
(To be,filled in by indiyidtral proposing de�'elopraen!)
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