49707_BULLOCK, BOB_20070703

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11 CAMA D DREDGE & FILL'
07(
GENERAL PERMIT Previous permit #
EINew 1:1 Modification []Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Reso e
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA N C
El Rules attached.
ic
Applicant Name Project Loc oc ion: County
Address Street Address/ State Road/ Lot #(s)
State zip
Phone # Fax # /'
Subdivision CC (Olff
Authorized Agent city ZIP
7. t�:�'
Affected El Cw El EW [I PTA El ES E-1 PTS Phone # ( )�-- .- — River Basin
AEC(s): El OEA El HHF Ll 1H 0 UBA El N/A Adj. Wtr. Body (nat /man /unkn
11 PWS: El FQ
ORW: yes / no PNA yes /_ no Crit.Halb. yes no Closest Maj. Wtr. Body
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
SAV: not sure yes (3 -
Sandbags: not sure yes (9-9)
Moratorium: n/a yes 60
Photos: yes rnvo
Waiver Attached: yes ( no
A building permit may be required by:
Notes/ Special Conditions
IM
Agent or Applicant Printed Name
Signature Please read compliance statement on hack of permit
Application Fee(s) Check #
(Scale: i f (? ,1 /--,
2fee note on back regarding River Basin rules.
7-
P&mitOfficer's Signature
Issuing Date Ex'Piration Date
1-6cal Planning Jurisdiction Rover File Name-

It
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
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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

ADJACENT RIPARIAN PROPERTY.' 0��'�-ER STATE-TMIENT
!/n)� adjacent to O' � 4 0
I hreby certi(�� that I own proert
r
Game of Properly Owner)
propzri}' located 2t _ f�_
(Lot, Bloc};, Road) etc.)
(NIV a t e rb o d y) (Town end/or County)
He has described to me 2s shown belo,,v, the development he is proposing 2t that location,
and I have no objections to his propos2l.
DESCRIPTION ANM/OR DRAWfNG OF PROPOSED DENTELOPIMENT
(To be filled in by individual proposir.; development)
I a o 1
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Signature
Print o: 1)'pz Nane
Tel p50-e NUmbcr
Data:
-201-

ADJACENT RIPARIAi,' PROPERTY 0�y-N-ER STA.TETZENT
I Wert}' adjacent to /G�>l/" l��i /�`�
I h..reby certify that o��•n pror
Game of Property Oti}n �J
propz�}' to ated 2t �oS o[0 �--/-/- 1 i -1 /�����Ff'1'IT5-72 od
(Lot, Bloch, Rood, etc.)onko<'�-
(Waterbody) (Town end/or County)
He ha-s described to nne zs shown belo,x, the development he. is proposing 2t that locat'on,
and, I have no objections to his proposal.
DESCRIPTION AI\T/OR DRAWING OF PROPOSED DE ELOPiMEN 1
(To beflled in by individuol proposing development)
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