40041_TOWN OF EMERALD ISLE_20041001

X
CAMA / ._I DREDGE &FILL a.i-�''
GENERAL PERMIT _ , 4
Previous permit #
-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 7/—/. J / co
•- ules attached.
Applicant Name J )LGA' of
Address -7j-79-"ram.v 1^!
City iilF'?;1State AC ZIP
Phone # (°�`Z) }� yc/567 Fax # (f Z) 351' - 214V
Authorized Agent �f7�'�'i.JP914- 51,1
Affected C CW F eW [!(PTA Q6 ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑' PWS: ❑ FC:
CIRW: yes / no PNA yes /no/ Crit. Hab. yes / no
Project Location: County 76- !e. -r
Street Address/ State Road/ Lot #(s) --ft-m" ry k, ; i % - c: 4" 4A
Subdivision
City A& ZIP .Z, - ri 1
Phone # (Z ` Z) J Li" G/y/ " River Basin / /I
Adj. Wtr. Body �c: c- �._:> natV man unkn
Closest Maj. Wtr. Bodyc.c'
Type of Project/ Activity r`k 'L k rl � : i A 1). � ',
(Scale:
Pier (dock) length
Platform(s) Ad^ r
fit
Finger pier(s)
Groin length
f ��C,PCSC- � D-rf>o riJA%c.�Cclisi'+.� �w'J)
number -- - —t 3 &-tt- , i
Bulkhead/R ra len h 'f r < � d 7i � '
P P gt .L, R- tat+t 6 1> 0 1Lfr'cl&-11
avg distance offshore
max distance offshore
- ---- -
Basin, channel t� � 1 �y-
`-f� A
cubic yards___
Boat ramp____ _ MQ."1
Boathouse/ Boatlift
X Q�
Beach Bulldozing u cn T CJ �"� �Z-4
Pic' 4+ Pic. Other a
Shoreline Length ZC
SAM not sure yes 7n,
Sandbags: not sure yes anaMoratorium: n/a yes
Photos: �s no
Waiver Attached: ,"yes) no
A building permit may be required by: C3,f t �/ See note on back regarding River Basin rules.
Notes/ Special Conditions t
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Sgnature
<', &//
Issuing Clate xpi tion bate
Local Planning Jurisdiction Rover File Name

M
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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
01 Tar- Pamlico River Basin Buffer Rules Other:
__1 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 Citv 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

PAY
TO THE
ORDER
OF
OF EMERALD ISLE
7500 Emerald Dr.
aid Isle, North Carolina 28594
ACCOUNTS PAYABLE
I Dollars and oo cents
Lon of Coastal Management
151-B HWY 24
Hestron Building
Morehead City, NC 28557
,! 19405
/Y DRST CITIZENS
PAW No.
66-30/531
DATE CHECK NO. CHECK AMOUNT
10/01/04 19405 $100.00
THIS DISBURSEMENT HAS BEEN ROVED AS REQUIRED BY
THE LOCAL GOVERNMENT BUDG ND FISCAL CONTROL ACT.
AUTHORI D SIGNATURE
AUTHORIZED SIGNATURE
u9no605v i:053i0ninnr,nni4ie?5i�4?'

SEP-30-2004 THU 10:43 AM NO DIV OF COASTAL MGMNT FAX N0, 4 P. 04
,Ai)Jr (-,'F.N" r RIPARIAN PROPERTY OWNER STATENIEtiIT
I heroby certify that I own property adjacent to -s
(Name of Property Owner)
proj.,lorty loc•atcd at _ e S v e
(Lot, Block, Road, etc.)
011 e'1
.4q a; N.C-
4'at.crbody) jowrn andlor County)
Ile has dm; ibeA t0 me as sl10wr1 below, the dewelopment he is proposing at that location,
anti, I have no objections to his proposal.
DF,, ["'ItlMON ANT)/tilt DRAWING OF PROMSED DEVELOPMENT
(To be,Jilled in by in(lividuol proposing development)
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Si ;ahirc
Print or Type Frame
Telephone Number
Dato,

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4th Street, Emerald Isle
"A Roads
Parcels
Water
EMER�wR
1 in. = 106.0 feet
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