47166_JOHNSON, JOE_20070129

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit# /
❑New ❑Modification ❑Complete Reissue El 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 � � ' �Z UU
mules attached.
Applicant Name Project Location: County
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Address- �i Street Address/ State Road/ Lot #(s)
City State ZIP r #
Phone # ( ) Fax # O Subdivision a
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Authorized Agent City ZIP
❑ CW ❑ EW ❑PTA ❑ ES ❑ PTS Phone # ( ) River Basin !
Affected
❑OEA ❑HHF ❑IH ❑UBA ❑N/A !�, %
AEC(s): Adj. Wtr. Body / (nat /man /unkn) i
❑ PWS: ❑ FC:
Wtc Body
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Mai. --
Type of Project/ Activity
Pier (dock) length U f
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp C
Boathousg/ Boatl.ift
Beach Bulldozing
Other
Shoreline Length _1
SAV. not sure yes no
—r
Sandbags: not sure yes no.
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes)
A building permit may be required by:
Notes/ Special Conditions
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
1-T�
See note on back regarding River Basin rules.
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Permit Officer's Signature.
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Issuing Date Ex0iration Da e
i 'X1 1
Local Planningfurisdiction 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:
❑ 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
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/ 1-888ARCOAST
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

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!IMCDENR
North Carolina Department of Environment and Natural Resources
Division (of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director WilliaraG. Ross ,lriNSec',MI ry
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006
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Applicant Name
Flailing Address 31Q
I eertify that I have aut{��aR-ia..ed (agenrt
�j1B1� 1 �� to act ou irr_
behalf, fog- the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (as.li`itY)—
at (location) ► 57d3s ��-bNT
This certificatiOU -s
Sil;na tore —
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+O,i 3ommerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ PAX: 252-247-3330 \ Internet: www.rvccoastalmanagement.net
An Ea.; ai r i"I�irlunity A`tirmativs Action Employer — 50% Recycled \ 10% Post consumer Paper

1�Jf CE�V'l'' tit t'ir'r' Y i
(FdR .4 PIFIUUNt; Q - 1-- O Yif7i'VJ��
I her v cer �i f !`
i y that I own property adjacent to
(N-lime of rope Otirr3
property located at
(Lot, Block, Road, etc`
on� Lomas PIC—FiEzk— in
Waterbodv) ( N.C.
(To �vu and, orl County)
He has des` ibed to. me, as show; below, the deve!opr;�ent he t, pro sing
location, and, I have no ooj.�tions to his proposal. I undersLnd that a iet/unco a� that
P ered boat l.r
must be setback a minimum distance or rire~n tent (15) from my �3rea of iipai-ic actd urrle
waived by me. ss
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I do not wish to waive .thd seiback reuiremeni.
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I do wish to waiv
e that setback rwutrement.
-----------------------------
DESCRIPIZi�N �.'�1:OIZ DRY, yt------------- ------ -- -- ---- -�=-- -- __
�+G OF PROFOSED DEyELOP'yLEST:
(To. bef1ea in b; cndividucl pr%pas:ng ierel�;pent)
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Date: �I`

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hereby certift I y that own property adja it to
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(�i:Iin.]e of Proper-tti' Owner) s
Property located at
(Lot, Block, Road etc. 6
on '
(Water -body)
(Toi avn add 1l unt.).--'
He has des` ibed to .me, as shown below, the deve!opr Lent he 1� prop�stn�. at tha
location, and, I have no oojcclions to his proposal, I undersLnd that aprat/uncovered�bo,a€; li-r
must be set(: ack a minimum distancy or r fteAn rat L�
1
waived by me: (' t) tTorit my ia�ea or Hpanan access unless
I do not wish to waive the Sciback re?uirernent.
j I do wish to waive that setback requirement.
--------- -------------------------
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DESCRIPTZOiti:�� /OR DRwp;G OF PROPOSED'DEVELOPNLE:N-T;- ------
(To be•,6led irz bl-V tnditi-idu,-,j prrpos'.-ng
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Signature
P r-in f or Type N.?;m e
Te[eplione Nurrtb•i�r

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