47073_BARAN, JEFF_20070320

❑ CAMA / ❑ DREDGE & FILL C I
GENERAL PERMIT revious 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
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
r Rules attached.
Applicant Name
Address
City
—State" zip
Phone # O
Fax # (_)
Authorized Agent
❑ CW
D EW ❑ PTA ❑ ES ❑ PTS
Affected
[IOEA
❑ HHF ❑ IH ElUBA ElN/A
AEC(s):
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Project Location: County ( ! ;
Street Address/ State Road/ Lot #(s)
I i J r- I r
Subdivision
City �J S ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat (roan /unkn)
Closest Maj. Wtr. Body ,
(Scale: '✓' j ; )
Pier (dock) length--
Platform(s)
Finger pier(s) I j
Groin length -
number
Bulkhead/ Riprap length
avg distance offshore + -
II �
max distance offshore t
Basin, channel I I i I _i 2 -
cubic yards I
j
Boat ramp j
Boathouse/ Boatlift
Beach Bulldozing
Others }
Shoreline Length
SAM not sure yes no
I i
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes no
Waiver Attached: yes no -
A building permit may be required by: P{ ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicaan'tt Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check # '
Permit Officer's Signature 3 �j
Issuing Date Expiration ate
Local Planningf 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ 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
Washington District
Mailing Address:
1367 U.S. 17 South
943 Washington Square Mall
1638 Mail Service Center
Elizabeth City, NC 27909
Washington, NC 27889
Raleigh, NC 27699- l 638
252-264-390 l
252-946-6481
Location:
Fax: [phone]
Fax: [phone]
Parker -Lincoln Building
(Serves: Camden, Chowan, Currituck,
(Serves: Beaufort, Bertie, Hertford, Hyde,
2728 Capital Blvd.
Dare, Gates, Pasquotank and Perquimans
Tyrrell and Washington Counties)
Raleigh, NC 27604
Counties)
919-733-2293
Fax; 919-733- 1495
Morehead CityDistrict
Wilmington
gton District
400 Commerce Ave
127 Cardinal Drive Ext.
Morehead City, NC 28557
Wilmington, NC 28405-3845
202-808-2808/ 1-888-4RCOAST
910-796-7215
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
(Serves: Brunswick, New Hanover,
New River Inlet- and Pamlico Counties)
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Eric Ellis
Marine Construction
DOCKS *SEAWALLS *BOAT LIFTS
DECKS & REPAIRS
Telephone : [phone]
205 Nottingham Lane Morehead City, NC 28557
� O
Capps Printing, Morehead City

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FEB- 6-200T 15:43 FROM -BOB HUGHES ASSOC 019-848-9854 T-821 P 002/002 F-613
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