43631_COOK, BARBARA AND CLYDE_20051206

CAM*A (' DREDGE & FILL
GENERAL PERMIT /
Previous perrrilt #
❑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/—
) j i
State.'
ZIP'
Phone # ( )
Fax # (
)
Authorized Agent
Affected ❑ CW
❑ EW
- PTA i ES
❑ PTS
AEC(s): L OEA
1 -i HHF
- IH i UBA -1 N/A
LJ PWS:
1FC:
ORW: yes / no
PNA
yes / no
Crit. Hab. yes ( no
Type of Project/ Activity
Pier (dock) length_____
Platform(s)
Finger piers)
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
SAM 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
A-114-g Y�(,x/2 P/.--
Age�or Applicant Printed Name
` r a
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City --
Phone # (_ )
Adj. Wtr. Body___
Closest Maj. Wtr. Body
ZIP
River Basin
(nat /man /unkn)
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date' Expiration Date
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
j j Tar- Pamlico River Basin Buffer Rules ❑ 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 (910-796-7215) 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/ 1-888-4RCOAST
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

DEC-03-05 08:27 AM JILLFFRYE 1 252t354+5889
P.01
rY 4'TSIoti of CO X$TAL MANAGEN- 9,ti'T
AI�J C 'T P �Rt�\ P oPxjZtyiR ��'-N R NoTIFICArldti,NAItiTx
G,;lividual applying for permit:
-- r
,kddre&s of prop#rty: ,
r, s[rus ac =41
I 1 ,
(CU7 a CatmW
I hereby oettif`!'hat i own property 4aceat to the above refeml''Ccd woputy. The
individt:ai applying for thi3 p•-Mic?1as Zescribed to me (As shown on the attaches
drswi'V the developtper>,t that' era p{opos:r.g. A description or drawu,g, with
dimcr'sjots, sho►ild be provided wit this letter,
i have n;� ob.actions to this proposal,
if you hive vbj+��tions to what it beirg proposed, please write the Division of C'rastal
Xanpgement. 400 Con�tr►terce Ave., Nore head C ), NC c28� 7 0,- al i (aerie aQ n, 8o8
(25
K.tthin 10 days ofreeeipt of this notice, I• sP
onseobjection ifyou have beth rotified by Certified Mail,
WA LVE1d SE(;] IU-i
1 understood thin u p;cr, luuk, trr�o►ia �i1►►�ls, b•t Wata, b npa4�� �c a Qr sandbags
trust be sit back a �,lnir�ur', dista<ncc of 15 ftom tr1Yl m°a�o jnitiA, th++ Anr1'C1rhate blank
w:lvad by mc, tit you '� h to wsive th� setback, y'
below.)
—Z' I. dQ wish to the 1.5' setback=eq`1itemet:t.
I a�ot with :a '� aive t`.e 13' se:ba:k rcq��ur�"-nT
�ttwtura Ae+t�
Prim yams
ele 0C Nudger "Ai Arse Chas

NOV 30 2005 16:42 FR STOCK BLDG 919 431 1180 TO 912527269695 P.01i01
CERS'IFIED MAIL - RF,111N 1�EC:EIPT R�ES7'E
DIVISION 01: COASTAI, MANAGEMENT
AI)JACENT RIPARIA PROPERTY 0VY-N-ER NOTIFICATIONA VAINTR
FORM
Itiame of individual applying for permit: ltr'Y2.
Address of property; �. � �_gt- f; 4�{
Uot or street 9, street or mad) —T
r e:f CA
(city f county)
I hereby certify that I own property adjacent to the above referenced property, The
individual applying for this permit has described to Ple (as shown on the attached
drawing) the development they are proposing.. A description br drawing, with -
dimensions, should be provided with this letter_
GI have no objections to this proposal.
if ydu 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 notzfted by Certified Mail.
WAIVER 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, you must initial the appropriate blank
below.)
I do wish to waive the_15'_setback requi=eat.
I d_ o not wish to waive the 1 5' setback requirement.
R ' - �
Telephone Number With At'ea Code
is C; 't7�l.�i� 7`..'111 'x;•.Si 11 ire; ..: ,t a^�.: �Y?.:iS;�f .t; _,, �:i•-.,- r:��-?r�:, �.
** TOTAL PAGE.01 **

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A -LAN T. WICKIZER �
KAY WICKIZER + 8255
PH. 25Z-726-3137 j
150 BANKS ST. ~"�{^;�: ,¢ / yy ©s 55-1121531
MOREFMAD CITY, N.0 28557-2911 �. DSte / r�L 02301
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