41746_COUNCIL, LOLA_20050601

--1CAMA / L.' DREDGE & FILL
GENERAL PERMIT
-'`
Previous permit#
❑Ntw ClModification CComplete 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
I Rules attached.
� i t
Applicant Name ` 1
Project Location: County
Address % " r
Street Address/ State Road/ Lot #(s)
City ✓�lt J' State ZIP
Phone # (" ) r Fax # ( )
Subdivision
Authorized Agent i��' (.�oC` "J
City_ l �f /�'J ZIPs
❑ CW CAW [7PTA C�S� ❑ PTS
Phone # ( ) River Basin 1 v
Affected
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Q. Y •� ° I I ,-. j < .i...�{
Adj. Wtr. Body " (nat�/unkn)
❑ PWS: ❑FC:
.1
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / lno 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 "i J
,r: \
Boat ramp
Boathouse/ Boatlift r ----a
Beach Bulldozing
i
Other
Shoreline Length
r�
SAM not sure
yes
no
Sandbags: not sure
yes
n
Moratorium: n/a
yes
no
Photos:
yes
nW
Waiver Attached:
yes
,n?)
A building permit may be required by: _
Notes/ Special Conditions
r
A4 ent or Applicant Printpid Name /
Signature Please read compliat;a statement on back of permit
Application Fee(s) Check #
(Scale: " )
See note on back regarding River Basin rules.
Permit Ofi s Signature
Issuing Date Expiration Date
A J
Local Planningf urisdiction 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 [_I 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 (910-395-3900) 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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L i�' L /A C , C<� Ll /lo'C 1 L- 's
(Name of Property Owner)
property located at Lc-T-h�-� /2 ? 1.o,6LOLL�
(Lot, Block, Road, etc.)
on eAA'A L , in T/ /� f(i}��1� `�HD��S , N.C.
(Waterbody) (Town and/or County)
s�t� S��
e has described to me as shown below, the develop men t4 is proposing at that location,
HEN-1-
and, I have no objections to #is proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
-CPO 14C'P— �( j S f f Nq S�C� WC 1 p�v� q
f
Sigma re
Print or Type Nam
Telephone Number
Date: d5 `' a (.; ` 0 5

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L v L", C� C C U N/C I L
(Name of Property Owner)
I
property located at l-L T-4 q, /2 7 Z-66 LOL- - y V k ,
(Lot, Block, Road, etc.)
on fAIn A L , in P11yF h'XlcLL sHoR ES , N.C.
(Waterbody) (Town and/or County)
HE- 5H C--
-FIe has described to me as shown below, the development -be -is proposing at that location,
and, I have no objections tors proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signatur
Print or Type Name
72-6-67C-?S
Telephone Number
Date: S— e — o'

BLUE--,___
WATER
Alan G. Bailey
PO Box 93, Morehead City, NC 28557
504-0737 • 726-5443
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PINE KNOLL SHORES, NC 28512 ���- ����
231
GAY TO r �! 'vr- 66-152/531
THE ORDER OF /�
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DOLLAR
HIGH PERFORMANCE MONEY MARKET
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