41789_BAKER, WELDON_20050609

V
FICAMA / : DREDGE & FILL y
GENERAL PERMIT Previouspermit�#
2New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit iss ed
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
i - ,J Rules attached.
Applicant Name %:��' '`d// A, �y4E< Project Location: County
Address l3; . �!<: }: ,� i'e; [.✓• Street Address/ State Road/ Lot #(s) _--
City --.'� k,!�;>� f'
State ZIP���'�
— -- —
—— -----
Phone # Fax # O
Subdivision
Authorized Agent
ICr�: >� t�jQ �� v7
City
❑ CW El EW
-RPTA ❑ ES O PTS
Phone # (_ )
River Basin
Affected
_
C' OEA ❑ HHF
AEC(s):
❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body "lit ''' 'L�
�'I`"" ��(' (nat man unkn�
0 PWS:
❑FC:
�
Closest Maj. Wtr. Body ---
ORW: yes / no PNA
yes / no Crit. Hab. yes / no
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel _ ._ _-------------_.__-_
L1 i
cubic yards
Boat ramp
Boathouse/ Boatl
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
i -
Photos: yes no
Waiver Attached: yes no �t
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
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Agent or Applicant Printed Name
n
,0000
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
z.o613/9,o
Local PlanningJurisdiction 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 _j Other:
j 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 (910-395-3900) for more information on how to comply with thesebuffer 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastaimanagement.net
Revised 10/05/01

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For Reservations Call - 1-800-578-7878

ADJACENT RIPARLUN PROPERTY OWir-ER STATEMEZII"I'
(FOR A PIER/MOORING PILINGSIBOATT,IMBOATNOUSE)
I hereby certify that I own property adjacent to ����� � s
(Name of Property Owner)
prope.,-y located at 1; 3
(Lot. Block, Road, etc.)
on , in d-1l'aiy e 91=�Cw- N.C.
(Waterbody) (Town and/or County)
He has described to me, as s<<own below, the development he is proposi-_ a. that location,
and, I have no objections to his proposal. I understand &Fa_ a pier/mooring
piiingslaoadiftfboathouse must be se, back a minimum distance of t l-een fee: (11-5') from my area
of nua-Lan access unless waived by me. ,.
I do not wish to wa %-e the setback reauiremen:.
MAY 0 6 2005
I �Ln wish to waive t ..at setback recuirement.
Morehead City [�
DESCRIPTION AND/OR DRAWL-iG OF PROPOSED DEVELOPNIENT:
(To be filled irz by individual proposirzl development)
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Signature 1/
Print or Type Name
Telephone Number �,�/ $Ay1/�il ay.Q

ADJACENT RIPARIAN PROPERTY OWNER STATE-MENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIROATHOUSE)
I hereby certify that I own property adjacent to s
(Name of Property Owner)
propery located at �� 3 1319 Y V1 0 13l vo ,
(Lot. Block, Road, etc.)
on , in Jam✓ T,Di✓✓C 1, N.C.
(Waterbodv) (Town and/or County)
He has described to me, as s<<own below, the developmen: he is proposi'= a: that location,
and, I have no objections to his proposal. I unders:Lnd tha: �a pie ,'moorina
piiinga aoattif iboathouse must be se: back a minimum distance of fliietn feet (115 ) Fom my area
of rip2=1an access unless waived by me. '^
I do nnt wish to wa:v-- the setback requirement.
MAY 0 6 2005
I Sin_ wish to waive t;.at setback recuirement.
Morehead Ck
DESCRIPTION AN-D/OR DRAWENG OF PROPOSED DEVELOP`IEN-I':
(To be filled in by individual proposing development)
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Print or Type Name
Telephone Number �,� 5 9006ij dtvD