41176_DORRIES, ELANOR_20050405

'DREDGE &FILL •
GENERAL PERMIT
Previous permit#
DNew C;Modification -]Complete Reissue ('Partial Reissue
Date pre ' s permit issue
As authorized by the State of North Carolina, Department of Environment and Natural Resources uo
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
attached.
Applicant Name tq A./Ur' "")e. L �j
Project Location: County_
Address :` '�� "s c f!.'
Street Address/ State Road/ Lot #(s)
city--- c w' �e ,' n.' State ZIP ? 4 '� t✓� " -
p,
1 L hone # ()ii'1.) L 3 7 - A 3 )q Fax # ( )
Subdivision
Authorized Agent
City ZIP
_1 CW ❑ EW A-1;TA El ES ❑ PTS
Affected
Phone # ( � ` River Basin
ElOEA ❑ HHF ❑ IH ❑ UBA El N/A AEC(s):
Adj. Wtr. Body (nat /man /unkn)
I PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body.
Type of Project/ Activity
Pier (dock) length 1
Platform(s)_ _
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other t i r ? V H1
t
Shoreline Length
SAM not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: y
no
Waiver Attached: yes
no
A building permit may be required
by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
)9G9
Application Feels) Check #
(Scale: )
.._..--�-
See note on back regarding River Basin rules.
i
Permit Officer's Signature
Issuing Date Expiration 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:
I_ I 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 (252-946-6481) or the Wilmington
Regional Office (910-395-3900) for more information on howto complywith 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
l
I hereby certify that I own property adjacent to ��� 7 12 's
(Name of Property Owner)
property located at
Oe
(Lot, Block, Road, etc.)
on - - /�(h , in �(�% _ , N.C.
(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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
Print or Type Name
L
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to<L ZC' �2 's
z / (Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on , inP��rf ti , N.C.
(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.
-------------------------------------------...----- ------ -----------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
&f'eal� Al� ��� "W( � � /-x-- h—xr,
Signature
Print or Type Name
?456 SGIID —/Z QX
Telephone Number
Date: .j ll

MARITIME PARTNERS
DIVISION OF WLC, INC. PH 252-037-0381
PO BOX 3147, 4103 OLD CHERRY PT RD
NEW BERN, NC 28564-3147
1707
Date 4'- � a5_ 55-112/531
01901
Pay to the
Order of e��
Dollars
BRANCH BANNING AN� COMPANY I
NEW BERN, NORTH CAROLINA ll
1:053 101 12 11:5 1956 2464 iu'01707
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