43411_ARDEN, L_20051011

CCR!CQ ).
❑C,AMAEDGE & FILL
GENERAL PERMIT
Previous permit #
EINew ❑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 15A NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address
city--- State ` - ZIP /
Phone # ( ) Fax # ( )
Authorized Agent
Affected W ElEW ❑ PTA ❑ ES El
AEC(s):
*10 EA ❑ HHF ❑ IH ❑ UBA ❑ N/A
II 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
Street Address/ State Road/ Lot #(s)
Subdivision
ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Mal. Wtr. Body
(Scale: )
SAM not sure yes no -- -- ° --
Sandbags: not sure yes (no {
Moratorium: n/a yes i no
Photos: yes no
Waiver Attached: yes no -
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name,,
Signature Please read compliance statement on back of permit
r
Application Fee(s) Check #
See note on back regarding River Basin rules.
Permi( Officer's Signature
Issuing Date ;' Expiration Date
Local Planning Jurisdiction 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
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

Improve nt Per 't # A —
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ELECTRIC L PERMIT REQUIRED: YES ( ) NO ( �j
OWNER: t UA
ADDRESS: 1 ty t }'1t�1.t4•- —r
�IjS` 2 PHONE
AX PARCEL:
PROPERTY LOCATION:
SUBDIVISION:
'�• BkOCK: SEC: _
'YPE STRUCTURE:
JO. BEDROOMS: —y
L NO. BATHS:
10. PEOPLE: Y _ DESIGN FLOW: i Q
ARBAGE GRINDER: YES ( ) NO (A
EPTIC TANK: GAL. PUMP TANK:
O. LINES: 5D t WIDTH: 3 �` GAL.
7TAL LENGTH: lam_ FT TOTAL
ATER SOURCE: SQ' FI''
DRIZONTAL DISTANCE FROIvjt L
TE MODIFIED: YES 04 NO( ) 12" J
tAINAGE REQUIREMENTS: / 0
" Y
' C
MUCTURF SRAI_L BE PLACED SO THAT GRAVITY
?LOW IS ACHIEVED OR PUMP SYSTEM SHALL BE
tEQUIRED.
)0NOT PARK. PAVE rlRrvr
*SYSTEM SHALL NOT BE INSTALLED
UNDER WET CONDITIONS
*Trench bottom depth to be no deeper than
naturally occurring surface. .
Easement Required: Yes � i- T
No ,0n]
Drainage Maintenance Req. Surface ( ) Subsurface ( )
qrMa--1n
tainMinimum JO'From Water Li rehead City DCMments: v t Y�
� l I
Prior to any changes in system layout, approval must be obtained
from Health Department.
`NOTICE: Construction must comply with all state and local
regulations, Do not install well until well site has been approved on inspection.
NOTICE: Beware much property in Carteret County is subject
to Wetland Regulations and properties containing wettauSs
should receive approval from U.S. Army Corp, of Engineers
prior to development.

1DI . L.ADS
WmALLACE
CONSTRUCTION CO.
GENERAL CONTRACTOR
Phone [phone]
2415 Wallace Family Rd. Cell [phone]
Kinston, NC 28501 Fax [phone]
GI
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