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❑CAMA / ❑ DRED & FILL
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 r.— l// J ��
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC C� !"
r _ EftKules attached.
Applicant Name w N' Project Location: County
Address ?� ' ' ' ' r' Street Address/ State Road/ Lot #(s)
City -State �� �- ZIP
y I 9
Phone # ( Fax # ( ) Subdivision
Authorized Agent -'� City �) ' r . ZIP
Affected ❑ CW D-EW ETTA ❑ ES ❑ PTS Phone # ( ) River Basin
OEA HHF IH ❑ UBEl N/A
AEC(s): El[IElAdj. Wtr. Body _ � '(nat- /man /unkn)
❑ PWS: ❑ FC: r) a
ORW: yes / no 1 PNA Closest Maj. Wtr. Body
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
i
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
3 i
Beach Bulldozing
I
Other T
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes ;no
Photos: yes Ign
Waiver Attached: yes
A building permit may be required by:
Notes/ Special Conditions
-X)V-0 P. nou,". ,qd
,agent or Applicant Pr*ted Name
r... � ,
Signature Please read compliance
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s
UP
(Scale: )
❑ See note on back regarding River Basin rules.
•, r
2006 Perm it Officer's Signature
e
city b II C p Cd-
Expiration 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
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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
EI 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(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: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05
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(FOR A PLMWOOR12VG PILTIYMMATLIFTBOAMOUSSA)
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ffmane of Property Owner)
pnTerrty located at I ps N , ► � ��'� - (Lot, BhwJk, Road, eki
, in G��-(rc , { 1► F ►,� 4 t , N.C.
Materbodyj " (Town and/or Comely)
He has d=Ubed to me, as shown below, the deveiopment he is propodng at that
Ioca[iw and, I have no objections to his pr+ap L I d ffiat a p lmaoring
must beset backs mfi mum distanoe off (l" fivm my area
of npaamaccess moless vaaived by me.
_ I o not wish M waive the setback regnant
I &o wish to waive that setback regWzement
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEMPNOW:
(To be, filed in by individual pmposiag deyelopmant) ,
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Telephone Dumber
Date:
May 18 06 04:06p _.Ronald E. Scotti 908 534 1736
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