42960_WILSON, GEORGE_20050921 (2)

CA11/}:A / ❑ DREDGE & FILL
GENERAL PERMIT
*ew ❑Modification ❑Complete Reissu
As authorized by the State of North Carolina, Departmedw,
and the Coastal Resources Commission in an area of environs
G .' ,/
Applicant Name r a ,! u-1
Address �i�%d 44�"eor* ^ ,t/'o^
City A StatWC— ZIP ,;2'Fi
Phone # ( ) 3.S —A
Authorized Fax # ( )
Authorized Agent
Affected 20-W 7�r 'iolm ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH D UBA ❑ N/A
❑ PWs: ❑FC:
ORW: yes} no PNA yes /40 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
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
61'4-x Gl--
i;�
N° 42960t
Previous permit #
Reissue 04 10cM Date previous permit issued pursuant to 15A NCAC % 14 ;t TAU
0— Rules attached.
Project Location: County C�
Street Address/ State Road/ Lot (s)
Subdivision �p
City - 44� ZIP 02 `7//y� [
Phone # ( ) RiverBasin �i�t &l
Adj. Win Body J�k man unkn
Closest Maj. Wtr. Body Kp-A-4
❑ See note on back regarding River B in rules.
jcer sai nature
2d! 01—
Signature "Please read compliance statement on back of permit"
ApplicationPee(s) —_ -----—-------- Check#
I s s u i ngate
Local Planning Jurisdiction
Date
Rover File Name

APPENDIX K: Telephone Referral Form
rj
DCM Telephone Referral Form
Date ?-/�- V
5—
DCM Staff (initials) / V
L-�
� Name of Caller (if needed) � W I --
Area Called From V ��
Address(if needed for followup)
Phone No. �
Nature of Question or Request
A
Referral Made to Caller Yes No
Referral Made to: DEM/FEMA DCM Field Office:
Small Business Admin. Local Utility Red Cross
Other (Please note)
Other General Information Provided to Caller
Followup Needed? ✓Y s No
Followup Assigned to:
/_' 3 Z
Appe�K
1

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".NP.
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
September 26, 2005
George Wilson
8704 Emerald Plantation
Emerald Isle, NC 28594
Attached is General Permit #42960C
Iii order to validate this permit, please sign all three (3) copies 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,
Ryan DavenporUlsb
Coastal Management Representative
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper