46790_BOULIA, BILL_20061023

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❑LAMA / ❑ DREDGE & FILL
GENERAL PERMIT
ONew ❑Modification [-]Complete Reissue ❑Partial Reissue
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
Previous permit #
Date previous permit issued
Applicant Name Project Location: County
Address y'
City State ZIP
Phone # (,) Fax # O
Authorized Agent
Affected E CW � EW PTA —ES ❑ PTS
AEC(s): — I OEA C HHF IH — UBA ❑ N/A
G PWS: ']FC:
ORW: yes / no PNA 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
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes
no _.--
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no - - -- . --
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
U L I
Z O LUUU
M
Signature Please read compliancewrere
Application Fee(s) Check #
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin ��A
Adj. Wtr. Body (hat /man /unkn)
Closest Maj. Wtr. Body
❑ See note on back
(Scale: )
River Basin rules.
Permit Officer's Signature
Issuing Date / �. Expiration Date
Local Planning Jurisdiction Rover File Name

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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 El 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:[phone]
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/05

10
MAY-22-20C6 'SON 04.05 PM NC DIV OF COASTAL MGMNT FAX NO. 4 ��21�'212Z P. 05
i'3 fP)t�►�:'►+:i,'d' I,#'i i'1.1tt1/rN I'll Ull'E RAY OWNER &1'lt.'t',({:M EN'r
{7�ri1 A 171,"RIi100RIK I.1t,.1NtYSIMA71
l 11(vd)y volli1' thai t own prt. party .Itlj;iccali tcl_._.._...
Il `� A (N.awc of Protons OW11Ct-)
pvc.p7 liv Nic,;0tl ni ?�:'S..� „ii� e/lOd7/_�Ef.+f!. . %�.� v✓`JcJ✓,�` c.:.._..
I,ut,111oc•k, Road, r(c..)
(1'111W11 arld/or County)
itc sh(: it Is -(iosuibxl to lit •, 114.SI1pWn below, Clio. dgviol meat i'lt she is proposing lit tilat
hztvc rla Objections tc> this proposal. "'I imderstand that a pieriniocriuf,
t,ili l�t��;ll �, t1l iitfi�ri;sllinit�c lrlttst ba 8vt back a mininturn distance of'fifteen f"i 5') fro�nl my ate:a of'
rit�;.arir►17 �lc:c t� .� ilrlJGss w,tivctl by) ne. i litho indicacd zny intailLions by infulAghelov
I �1�M ►stot' � tCt'. t4i w:tivi the 15' setback nxiairctnctlt.
_ 1 alit rtiUOr . to waive the 15' sct'wok requirement, AA Sef,
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(t) lit fJll,-�l fr: ryy �,r�rtytJtra! praposin �Ic'V�'lr>tpi►tt!n!j /�'yQ
(� 011
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Print or Typc Name
,3 °75
'fclephanc Number���

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MAY-22-2006 MON 04:05 PM NC DI`J OF COASTAL MGMNT FAX NO, 4 P. 04
f,F:�i�2�.+,�'V`#'.ti>�.ry�y;I�r �'l,t)it"�+.�.�r'�i t}WNC+,fix]Al'E?E•><
(t°'01" :I 1"i"i's'la'/!1100RIN6 i''ILINGS1130A;fMPT/.fit' ATHOME)
I,
1 It��ct7y c:itil'y fliat I own prolicrty cidjaccnt to
(!`drain of Property Owner)
n /
Nest/ mrf A `(
(Sircc:t lyslS v%,.qs, Lot, Bbdc,'E:mA, de.)
(O�Jeif ►lt,r;ly) (Town alld/or Couuty)
(Cv; ,ltt: La"! dacribk.�d to li1i:, as•showil I,clow, the dcvclopunc•tlt he/sIle is proposing tat 01FIt
la,c;stion and I hnv�. lit., al.ji odious to this proposal. 1 undersfand that a Dior/mooring,
Ili HPEt Vbkt,t(iif'tiiwi,lltOU.,,,�i►ttt:;tdisfaaccoff Rcen{ect(I5A)(,nnrnya-roaol'
I i�� iriniI ;tcc<:;>: I]iIIss waivc:d by ni,-,. I Iuave indicAIad my intentions by inilialic�:
dirrr:0torcc. to wive the 15' sctl,ack i-equirenicrtt.
i do a groc to wahlo ttto 15' setback regircnicllt.
kit
.._._.. _#ix+';t;I:1, x7C�� A+fi 1 C7�_.1) t.�b'VIt'.-___,-'-----_----------------- -_ _---- ,�Oo___
I k DRAWING OF PROPOSED DEWE.i,�,N'1 6'
(flo befilled in biy i�rrlii�irluul,lucrl,o,sirr� development)
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Si�nzl c
Print or Typo Name !�
d -
TEAephonc. Nimku