48466_JONES, ALAN & MARTHA_20070426

• -.. 0 CAMA / ❑ DREDGE & FILL
GENERAL PERMIT F
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue [
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
4
permit #
wious permit issued_
❑ Rules attached.
Applicant Name .11 . -1, i r \:-� r '\• ...1, ,;,: , �_ `-> Project Location: C�unty
Address Tc Street Address/ State Road/ Lot #(s)
48166
C. _._
City', . ...
State :,-`,—.ZIP
Phone # O ``
�"`'I �' ?�
Fax # O
Subdivisio�n1,�
Authorized Agent
�' � ' :r '
" -'
�r
City nI�G 1�'er ^- ZIP
❑ Cw
❑ Ew
El PTA El ES ElPTS
Phone # O River Basin t t ' ' �-•
Affected
❑ OEA
AEC(s):
❑ HHF
❑ IH ❑ URA ❑ N/A
Adj. Wtr. Body /`" ' ` C �• ' (nat `/man /unkn)
❑ Pws:
❑ FC:
i
Closest Maj. Wtr. Body E t='
ORW: yes /. no
PNA
yes / no,. Crit.Hab. yes /; no"
Type of Project/ Activity
Pier (dock) length
Platform(s) r
Finger pier(s) 4
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
I;.1
SAV: not sure yes n
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes n
Waiver Attached: yes I no
A building permit may be required by: w
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
(Scale:
E See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date J 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, certifythat this project is consistent with 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
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06

Appenci ix A
Adjacent Riparian Yroporty Owners Statement
(for a bulkhead, doc!, /mooring pilings)
I hereby certify that I ()xwn property adjacert to 'e�l /Vf 5 —'s
(Name of property owner)
propert) located at
(Lot, Block, Road, etc.)
on �x-�----�in ��� �_E 1.+ __ _ r'' "A'_�?�NC.
(Waterbody) (Town and/or County)
Ile has described to me, as shown below, the development he is proposing at Idiat
location, and, I have no objections to his proposal. I understand that a dock/rnoorirlg
pifgngs .-must be set back a minirmurr:, distanc t of fifteen feet (i 5') from my area of riparian
access sinless waived by me.
I do not, wish to waive the .settack requirement.
____ _✓� I do wish to waive that setback. requirement.
. %)escription and drawing of proposed development:
To be filled in by individt al proposing developmenrl
5 i.�Yatr�k"e
7 _
Print name mate
-kddress Tel number:
%-2

Appenc!ix A.
Adjacent Riparian Prop+,rty OwDers Statement
for a bulkhead, doc Onooring pilings)
1 tivrebti certify that I own property adjacert to,�'�,.�,�r`
(Nacre of property owner)
roperty located at r
(Lot, Block, Road, etc.) sa
v in _/-_ L-�_' c�,1r' NC
faterbody) (Town and/or County)
lie lias descn'bed to me, as shown below, the development he is proposing at that
location,, and, 1 have no objections to his proposal. I understand that a dock/inoorittg
pilings mList be set back a minirnurn distanc, � of fifteen feet (IS') from my, area of hpariaaa
aA cess ;artless waived by nee,
i ge njLt wljb to waive the setb ack requirement.
i Rio wish to waive that setback requirement.
yDescription and drawing ®fproposed development:
( T,�� be flied in by individu d proposing deveaopmew)
ptifv sxame Ditte
_ l _17
;.ddr gs T elepbone number
/. 2

j
II
side View
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view

PAY.
TO THE
ORDER OF
E1 5 u r rr t
11f1EDFflRD ,MARINE CONTRACTORS 09 03
AgKINS SIR GIL'H'ASKINS el.,
bNRH25655242 ��'r\1J:`ss-aorstsl2
410 CHURCH . fi
NEW BER[J,NC28560 't'rf �i' /tti\<J�bA7E, ;T.lrls�ls-
444.033
NC DL#
/ ,
DOLLARS 8 "�
RST CITIZENS BANK
www.flrstcitizens
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