49883_ARREDONDA, MARIO_20070820

KI CAMA / ❑ DREDGE & FILL cwow) HY"I-1
GENERAL PERMIT Previous permit #
[]New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
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 �` �!
II Rules attached.
Applicant Name i Ca.c @..c>_ c. r. rs t'S Project Location: County
Address j I Q. t" Street Address/ State Road/ Lot #(s) {
Cii)L Y. State ZIP! C
Phone # (� 5 L ) i `' I y `' Fax # ( )
Authorized Agent . )L- "f v
Affected ❑ CW ❑ EW I] PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s) i
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore --
Basin, channel
cubic yards —
Boat ramp r
Boathouse/_BoafliftJ IlY
Beach Bulldozing
Other
Shoreline Length
' 430 5
SAV: not sure
yes
n.__
Sandbags: not sure
yes
n
Moratorium: n/a
yes
Photos:
yes
Waiver Attached:
yes
no
A building permit may be required by:
Subdivision
CityZIP ' -s
Phone # ( ) River Basin
ti
Adj. Wtr. Body ` .r n fi, ,� t r (nat /man /unkn)
Closest Maj. Wtr. Body A yA ¢ E/ i ,) '' r
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit*
Application Fee(s) Check #
A
(Scale: ' )
0 See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction 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:
❑ Tar- Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ Other:
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
Raleigh 'Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, IAC 27699-1638 252-808-2808/ I-888-4RCOAST
Location Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
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 08/09/06

Shorey's Marine
604 Shorey Dr,
Oriental, NC
28571
I 0eut�,o,,;a; authorize Miles C. Shorey III to act as
my agent in obtaining all permits involved in building my
dock/bulkhead located at;
street address ;
1�
city , state , zip
county; rQ
signature ;
date ; f- 3 �,-7

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OR NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ("1R R 10 / j? R,&2 oAl-Do
Address of Property:
(Lot or Street rt, Street or Road)
(City and County
i
I hereby certify that I own property adjacent to the above -referenced property. The individual
appiving for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, ith dimensions should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock. mooring pilings, breakwater, boat house or boat lift must be set
bcic a minimum distance of 15' from my area of riparian access - unless waived by me. (If you
wish to waive the setback. you must initial the appropriate blank below.)
1 do wish to waive the 1 se:bac'; recuirement.
1/ I do not wish to waive the 1 5' setback requirement.
-o
J
Print Name
/.1 / A?/ 1-_� T � cR
Telephone Number with Area Code
AiIZA
NCDENR
NpRiw GnOur.. CB.R,,.(M O!
L .nlgwrCj.(T µ0 N.4LR.L .�F3pUAC:3

—N-t2m
�F (:i1
0
Ot -U S reet or Road)
j ty and C o unty)
t rT I
PtOperty adjacent to the above-refertpo
or 1 , �e�j prOT)err-v
pern:i', ha s d� e,,
m" as �Iftrjwn on ih,- aomcheu'
it Y-i or
lrawindi
_
m e r. s,
1<
1 havf,, r o Ul jection, to this
to what is being propose(i.
Please write the DIV1s1011 of
din --I Drive Eytension. �--Vilminjron'
tj
of
of this "10tice. No response is
consieierc .j tile
., �- I f�
cell I led by CerLified -Mall.
A" A I VE R S E C T'i (),N
lic-ck, moor,11(y Pilin2s, breakwater, boat oU.Se j).
mu""l
f-,Orn My area of ri . I
�ee srimck. you must iniriai the appropri;.me hfirt4, hejow,';
not
to wave the 1Y Setback
print
Aa,
� ►
NCDENR

MILES C SHOREYIII
,
D/B/A/ SHOREY'S MARINE
P. O. Box 266 Ph. 252_249-0031
Oriental, NC 28571
4274
66-21/630
BRANCH 77512
4--1 DATE
_J $ 000
DOLLARS �i u`ieii:c�
wACHovrA
Wachovia Bank, N.A.
wachovia.com
10 5 3000 2 19l: 100 788 2 -_ - 027494l►' e
4274