42712_ATKINSON, THOMAS_20050825

❑ CAMA / ❑ DREDGE & FILL 7
GENERAL PERMIT
Previous 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 15A NCAC
❑ Rules attached.
Applicant Name_
Address
City
Phone # O_
Authorized Agent
Affected D CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
QEW ' M PTA ❑ ES ❑ PTS
`I HHF ❑ IH ❑ USA ❑ N/A
FC:
PNA yes / nod. 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 f 5
SAV: 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
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP _
Phone # ( ) River Basin ,
Adj. Wtr. Body nat /man /unkn
Closest Maj. Wtr. Body —.
(Scale: )
E See note on back regarding River Basin rules.
Permit Officer's Signature
Signature * Please read compliance statement on back of permit ** Issuing Date
Application Fee(s)
Check# Local PlanningJurisdiction
Expiration Date
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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
_I Tar- Pamlico River Basin Buffer Rules h 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/ 1-888-4RCOAST
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

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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can rewm the card to you
• Attach this card to the back of the maitpiece,
or on the front if space permits.
1. Articla Addressed to:
MR-5 - l- AzfL G. Our r
i l C) iPOLLOCK �ST'.
Ki 4�sTOti uC vm5
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A. Somtyre
i/ X / �r ❑ Agent
❑ Addr.
3B- Received (Prirlfed Na ) C. Date o1 Delivery-
D- Is clarrery '�Odtess ditfaerlt from item 1? ❑ Yes
If YES. enter delivery address bek)w ❑ No
3. Service Type ---
❑ Certified Mail to Express Mail
13 Registered ❑ Rettmt Receipt for Merchandise
171 Inward M ii rl r! n n

V 3 1 t!.I Pj) NI A I L -- R.L 1. U K."'N KI-AAL IF I RAJ) 11-1,D
14 ISlt_)N; (N' CO.A'S'TA_L, MAN.',f_;1-AIENT
F'RC)P-ERTY (-)W-N,* 1�_\(-)Tl. I./:,k'1-10'-N;�V-. I-V7�:x',,
ty t)ri0 OF 111i1!' Vid"1;11 IppI-Vii-i toI, P. i1'1{ J.li� -.._ .5�' In
Address of l;.rtjp�:tty......la�_s����.._�-ha,_.....:..-
1 1k'icby c;.rd l:y that I otvti property u1j�Iccit,t to the above refcre>.,,cad property. Tile
indivicl(t::il 'al:)l')lying for this p cm:dt l;rrs dcscribod to rlie (as shown on the attaclicd
clr ray i>7y;) tj,e: developrnwt they are prnposiri j, h deseriptioli or drawinO', With
dirtle'O_i1(_?Yr.`>, itl��tild )ci p oyided with this 1Gtten
-- I li�'tvc. no c)b;oCAit -nS to this proposal. �—
If,yr.."ra ;nave vT jecfions to what is being prop osecl, please write the Division of Coastal
111(r1lcrsVenv?O' 4100 Commerce Ave., Morehead City, NC .28557 or call (252) 808,2808
witlrir'r..10 days of receirlt of this notice. No response is considered the same as no
objec:tionr i✓r),ou have been notified ley (7iertifilcd Mail,
WAIVER SECTION
I U idcrstlfid thLat ii pier, clock, mooring pilings, breakwater, boatllousC, h t or sandbags
rriiist Ego tc:t l)a:,k a minilnurn distance; of 15' from my area of riparian access Unless
waiw;d by jax . (If you wish to vraM., the scuback, you inust initial tlic appropriate blank
1.)Ck)x'V.)
_.. 1 d-A) );vi ,h to %v aivc- the 15' setback requirement.
I elf) not -� ish to Nv ive the 15' setback rcquirer-nent.
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Aug 23 05 12:53p
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CERTIFIED 1LAIL - RETURN RECEIPT REQUESTED
DI`-ISION OF COASTAL LACNAGENIEN-T
ADJACENT RIPARIXSPROPERTY Ob)f�TR\OTIFICATIONIVAIb,7ER
FORM
dame of individual applying for perinit:'MHAS WaagV Axe C'*Mta& AFk "tJ
Address of property: 165 -417d 5ht)rG �Qilli' r1
(tat or sire[ 0. 3ucct yr road)
NeVi0ort , Carteret Count/
city a comity)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has desenbed to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
I have no objections to this proposal.
ff you have objections to what is being proposed; please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
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.
WABTR SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, p u must initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
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[phone]
t'l ! MAYS VILLE, NC 28555 s� �� "' / N ��� % t\�i t` ," r y rj�'r;� �' i
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II TO THE iPAY•�\ , `.l`\��% \,%.�rr\l.t, J
ORDER OF`,'`�% D66-30/531
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Frst-GUzens Bank & Tr t Company
CartOrot,N.C. 2B584
www,firstcitizens,com \ �(
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