42431_BELL, TOMMY_20050726

LCAMA / -]DREDGE & FILL
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GENERAL PERMIT Previo Spermit# a
ONew ❑Modification C-Complete Reissue CPartial Reissue Date evious 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 I SA NCAC
--� ( O Rules attached.
Applicant Name i L' %� ✓�" I Project Location: County
Address �� A Street Address/ State Road/ Lot #(s)
City 4 State . ZIP } ��
i
Phone # ( ) %`//— �Fax # ()
Authorized Agent
Affected J Cw P-EW 0-PTA L ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF L IH L USA ❑ N/A
❑ PWS: Ll 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 j
max distance offshore II
Basin, channel 1
cubic yards
Boat ramp
Boathouse/ Boatlift _
Beach Bulldozing_
Other
Shoreline Length 36
SAM not sure yes fio
t"
Sandbags: not sure yes
Moratorium: n/a yes q
Photos: yes not
Waiver Attached: `'yes `'gu
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Subdivision
City ir. f �/ < Y,. �c ZIP
Phone # ( ) River Basin
Z '
Adj. Wtr. Body Y� / / ( fnat /-an /unkn)
�: J G'
Closest Maj. Wtr. Body �--'G G i. a
(Scale: )
i
7
e i
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
[ See note on back regarding River Basin rules.
PermitOfticei's i nature
v . G
Issuing Date Ex iration 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 LL Other:
El 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.nccoastalmanagement.net
Revised 10/05/01

�J -7 ,A
AIVACEN'T IUPARIAIN PROPERTY ON�NER STATEMENT
(FOR A PIER/MOORING PII-.INGSIBOAT-UrrlBOAT ,,_,
T hereby certify that I own property aci.;acent to
(\acne o roperty O"er)
property located at. � Qe��,,.� C�� I.
F
(Lot., Block, Road, etc.) - �z✓�
oz eBJay.o' ._._._ , in Al/-Z,- - , N.C.
(Waterbody) (Town and/or County)
lie has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pitinbs/boatliNboathouse must be sit back a nifflimum distance; of fifteen feet (15') from my -v a
of riparian access unless waived by me.
V
N
rrtryy
V
o
�
U
�
y
I do wish to waive the se.tiiback req} irement.
_ILA
I wish to waive tha( setback requirement.
DESCRIPTION AND/OR I)RANVItiG OF PROPOSED DEVELOPMENT:
(To he filled iri by individual proposing development)
E 7c ►" lr�'► I D o c k
r
Fioatlwl riCC
f-= l O a 1 wt i p G C K
il`',n i�tIfe
Print or I-y Aarne
Telephone Number
Date: ,2 p-c>

ADJACENT RIPARIAN PROPERTY ONVAR STATEMENT
(FOR A PIER/MOORING PiuivGslBoA runP BOATHOUSE)
i hereby certify that I own property adjacent to Tow,,.:,!t� dLMcvi zE 1 `s
(Name Ft perty-Ownec}
property located at 1 5 3 r-1V.1 -A1 1 P � .0 �C--
(Lot, Block, Road. etc.)
on L V xeC , in , N.C.
(Waterbody) (Town 6d1or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no. objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
'V I do wish to waive that setback requirement.
------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPMENT:
(To he filled in by individual proposing development)
�xiSr► �acK A ecl�
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�Z od�K
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Signatur
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G r�lja s 4 6..
Print or Type Name
,;ZS'2 - 3 It 3
Telephone Number
Date: _12 -Ju IN, ;2 0 a 3

TOTAL RESTORATION SERVICE
TOMMY OR MARIE BELL
NCDL 1254215 Ph 252-756-9076
1913 Prairiefield Court
Greenville, NC 27858
PAY TO THE
ORDER OF
7178
) 5 66-21/530
7 1 6 BRANCH 54002
DATE
a d
$Ivo
Fe:
DOLLARS r ��.�• ^^
WACHOVIA
Wachovia Bank, N.A.
wacho, ia.c((om
FOR 2 h Ir d
Np
1:0 5 3000 2 L 91: 20 3 60 200 3 9 96 L.no 7 1 78
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