42904_CAPSHAW, RON_20050922

OCAMA / El DREDGE & FILL 210 4
GENERAL PERMIT V u ermit #
LINew ElModification ElComplete Reissue EPartial Reissue itei0prsevZus 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
[_1 Rules attached.
Applicant Name Project Location: County
Address /�, I , '., <-i Street Address/ State Road/ Lot #(s)
City State ZIP 9
Phone # Fax # Subdivision
Authorized Agent city r716' zip
Affected E Cw F] EW El PTA El ES El PTS Phone# River Basin _Iel'
El OEA LJ HHF El 1H El UBA [1 N/A
AEC(s): Adj. Wtr. Body gnat 1man /unkn)
El PWS: D FC:
ORW: yes / no PNA yes / no Crit. Hab. yes no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
�7
thAJ _J
_r
Finger pier(s)
L
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel — -----
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other T
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
4
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: El See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or ApplicantPrintWNamA Permit Officer's Signature
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check#
Issuing Date ff Expiration Date
Local Plan ningJ uriscliction 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 (252-946-648 I) 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
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

�CAMA / ❑ DREDGE & FI SAP 2 6 2805 N? 42904
G9NERAL PERMIT eviouspermit # —�-
1lew ❑Modification ❑COm I i I R ate previous permit issued
vp� �acr
As authorized by the State of North Carolina, epartment of Environmen and Natural Resources ; !� j
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Applicant Name � l(i�'1 C / , ❑Rules attached.
PP a'i175hCv�-•� o Project Location: County L/�f91f£� CCI
Address �/ Nevi e /T4+'�dT OIr/I Street Address/ State Road/ Lot #(s)
City l)c-,—i,j ge-r A) State AX- ZIP oZ 9.54 Z o / j(%G1�i�° ���L✓ �ID �- ��yq�
Phone # (752) 63 r% -16/3/ Fax # (_) Subdivision A)e use— btrf
Authorized Agent City ()C---J be r t-1 ZIP ,28-j & 2-
Affected ❑ CW >kfW �TA ❑ ES ❑ PTS Phone # (Z�Z) 603 J-(1)3 / River Basin A&Lk-ae
AEC(s): ElOEA ❑ HHF ❑ IH ElUBA [I N/A �p
El PWS: ❑ FC: Adj. Wtr. Body AkU Se IL1 11-C� Vat/man /unkn)
ORW: yes /� PNA yes / Crit. Hab. yes / no
Closest Maj. Wtr. Body
no
Type of Project/ Activity +,. ©'1� 5 �-!' u[_ 2 ,� Lv ,�>d Ci [> ),.S r-p i ti} 5 p-3-L, a.-,
�}C.► �U � F�e� � )
Pier (dock) length (Scale: A)-.'�.'� -
Platform(s)
Finger pier(s) f -
--
Groin length_
�.v- - - --
number ��� -- 1 --- - - -- --- - i
� _ 1 t
Bulkhead/ Riprap length { f.
avg distance offshore
max distance offshore
--.� _
Basin, channel _. _. dry' -�- -- - - --- -- - ---- - I - - _
I
cubic yards
Boat ramp '
Boathouse/ Boatlift-
- 1 ...
Beach Bulldozing ( T -
OtherNY
- - -
Shoreline Length�Uy
SAM not sure yes n q
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit maybe required by: Cara l!t �Q �]/See note on back regarding River Basin rules.
Notes/ Special Conditions Cj /Ol A)`�" C-Z-J .. )-2E' iIVD 10-74
A�//-/9 /-x7 G /C4�5-1 �� " - '��- 7'le Y/✓4 ricer -
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
--
Issuing Date
Expiration Date
vV6"1-) 60
Local PlanningJurisdiction
Rover File Name
0

NCENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
September 26, 2005
Ron Capshaw
601 Neuse Harbor Blvd
New Bern, NC 28562
Attached is General Permit #42904C
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white
copy for your files and return the signed yellow and pink copies to us in the enclosed, self-
addressed envelope. If the signed permit copies are not returned to this office before the initiation
of development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Mark Hardeman/lsb
Coastal Management Representative
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to- l
(Name of Pro rt_y Owner)
property located at�e�a,�,� A —._A
(Lot, Block, Road, etc.)
(Waterbody) (Town and/or County
He has described to me as shown below, the development he is proposing at that
location and [have n� objections tQ his proposal. C`Xt�i a,� ad�✓�c�w+} �rc��r-Fy
'Dc1 Cn,�� i � o � i-�a i S If -t-i,01 w k l Qa Q ('�o e ✓'OGS off C7�
Uy+d brigecl ca�oh ASWA"'OAS L—/ L--0` AM'-1
oq✓Aea-w Ac 'Q+Je or �
edroy 'To —
DESCRIPTION AND/OR DR1WING OF PROPOSED DEV ,OPMEN'T
(To be filled in by individual pr i'ng development)
P-tIS �
I beer
Itt
rt
Signat
----_._!
73
Print or 'Type Name
ASS- G33-05�71
"telephone Number
Date: q. 1� - Cl) 5

ADJACENT RIPARIAN PEROP,`E RTN OWNER STATEMENT15 � �-- t I -� -- 61 3 /
I hereby certify that I own property adjacent
(Name of .Prop ty Owneri
property located at
(Lot. Block, Road, etc.)
(Waterbody) (Town and/or 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. C-x(S 1,
DESCRIPTION AND/OR DRAWING OF PROPOSED DE LOPME NT
(To be filled in by individu I ru osing development)
JAI--
1 ,
Y
1p§ , r
Print or I'ype Name
C"7-2- - 5-'S 14
Telephone Number y
3 Date.`