45749_WHITE, PHILLIP_20060621 (2)

AMA/ ❑`®f;EDGE & FILL Nil?45749,e
` �I�R�L. PERMIT Previous permit #
_New CiModification ❑Complete Reissue 7-Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources /7 H ��Dh
and the Coastal Resources Co mission in an area of environmental concern pursuant to I SA NCAC V
� ) ❑ Rules attached.
Applicant Namedi I • v k• 4'c Project Location: County(�Ar4eiii -
Address J �%/� Street Address/ State Road/ Lot #(s)
HOY i
4 �+/}— -
City--- U� SV 1 _L— State �� ZIP �% /q O0 `
-- AA- ► fJY
Phone # ) _ Fax # O Subdivision
- - --
Authorized Agent - City-- ZIP
Affected 4iiiiW /- `W 'ETA F ES ❑PTS Phone # () River Basin LQf
❑ OEA ❑ HHF [] 1H i_] UBA O N/A
AEC(s): Adj. Wtr. Body O ",t. f 'tk-/ man unkn
PWS: C FC: w
'.ORW: ye / no PNA yes / Crit. Hab. yes / no
Closest Maj. Wtr. Body_
Type of Project/ Activity
'r IX -x`io • U OcIC
Pier (dock) length ef 9140
Platform(s)
1
I
T�—
��---..
Finger piers)
Groin length—
i
I
number
Bulkhead/ Riprap length
—+--
-- —
avg distance offshore
­�
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
i
40d _t
SAV: notsure
yes
Sandbags: not sure
yes 67
Moratorium: n/a
yes
Photos:
yes
Waiver Attached:
yes --
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
t
Signature "Please read compliance statement on back ofpermit
I I,1">
(Scale: A/-T5 )
Ann N'
I PAP
0 =11
—
:
C See note on back regarding River Basin rules.
Permitis natur
�� ZavG R210
Issuing Date Expira n Date
ri �r'n� h ILLS

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr.', Secretary
June 21, 2006
Phillip White
579 NC 96 Hwy E
Youngsville, NC 27596
Dear Mr. White:
Attached is General Permit #45749C- to replace 240' x 4' dock at 6908 Canal Dr., Emerald Isle,
NC
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice. of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Ry Davenport
Field Representative
lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIM0ORING PILINGSIBOA7LIFTIBOATIIOUSE)
I hereby certify that I own property adjacent to ! ��a-
(Name of Property Owner)
property located at ` (,/ U C�4 n�a L9 v i^
(Street Address, Lot, Block, Road, etc.)
on , in �/K PRE �c� S'/ ,N.C.
(Waterbody) (Town and/or County)
He/she has described to mb, as -shown below, the development he./she is proposing at that
location and' I ' have no objections to this proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
I do not agree to waive the 15' setback requirement.
(ini ials)
I do agree to waive the 15' setback requirement.
(initials)
--------------------
DESCRIPTION AND/OR DRAWING OF PROPOSE
(To be filled in by individual proposing deve
JUN - 7 2006
Morehead City DCM
---------------------------------- -- -----------------------------------------
Signa
r �
Print or Type Name
7�.
Telephone Number
Date: ``< �-- 6 �,

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■ Corpplete items 1, 2, and 3. Also complete
A. Signaturejj
item 4 if Restricted.. Delivery is desired.
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Print your name and address on the reverse
Addressee_;
B. 44epwiive J by rifted N e)
IT
Date of Delivery ;
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.
D. Is delivery re
' am 1? ❑Yes
❑ No
1.sso
icle Addressed to:
If YES, ter delivery a
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Corti I F�cpress
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❑ Register ❑ R
eceipt for Merchandise
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❑Insured Mail .O.D.
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4. Restricted Delivery? (Extra Fee
❑ Yes
City DCM
,! 2. Article Number 7004 2890 0000 1017 8885
(transfer from service label)
` PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540

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`= rn 0 a I addressed to AP

ITE
ELL WH
L`l a HWY. E t
579 p O,4r, 27596 y d _
YOUNdsvILLE, NC
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