48469_JONES, CARL_20070425

❑ CAMA / ❑ DREDGE & FILL
GENEJRAL PERMIT t Previous permit #
[]New AModification ❑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
❑ Rules attached. �
Applicant Name Project Location: County
Address - Street Address/ State Road/ Lot #(s) -
City
Phone # ()_
Authorized Agent
Affected O CW
AEC(s): El OEA
❑ PWS:
ORW: yes / ;n� o
_ State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes /ro`) Crit.Hab. yes no
Type of Project) Activity
Pier (dock) length
Platform(s) Aix
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
i
Basin, channel _
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other `
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Subdivision
City ZIP
Phone # (`) I /^River Basin
/-�
Adj. Wtr. Body V� he, C� (.0 (nat /man /unkn)
Closest Maj. Wtr. Body
� I
r
t
I
(Scale: )
`f"o 6 �-x/� / �;me(15i 0ns
�P P
� C/
Agent or Applicant PrAted Name
Signature 'Please read compliance statement on back of permit"
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s)
Check# Local Planningjurisdiction
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 ❑ 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

FEE-27-20a7 11:18 Fron,:NC NQ COASTAL NGNNT 2522473330 To:2722491819 P.1.1
North Carolina Department of Environment and Natural Resources
Division of Doaatai Management
MOO F. Eas4y, Governor Charles S. Jones, Eilmdor MUM G. Ross it., Secretary
Date L-q/ 2
Applicant Name
Mailing Address
I certify that I have authorized (agent) to act an my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
Install or construct (activity) C>c— K ,
at(locatiou)' ZDl
This certificati valid thru (date) 12,410
Signature
400 Commerce Avenue, Morehead City; North Carolina 28557
Phcne; 2152-808-28081 FAX: [phone] Internet: www.ncooastaimanagement.net
bn C1v,1A Veeh,roNu 1611irw ihlo kHi^n RVV 0441 In% Prod C:nnaC"W PAM(

liereby certify that I own property adjacent. to
(Dame of Property t wn-
property located a#
(Lot Block Road, etc ) --_
(Waterbody) (Tawa and/or County)
)
He has descfibed to me, as shown below, the development he is proposing at 'taut
locatIon, and, I Dave: no objections to his proposal. I understaad €fiat a Di-U nI00TL' �g
pi&gsi boatlifL[boathouse must be set back a minimum distance of fifteen wet (15) from my area:
of etparian access witless waived by nee.
✓ l do not wish to waive the setback requirenient.
t do wispi to waive 'that setback. requirc:rient_
--------------------
D SCRIP IO AINIVOR DRA'A"PiG OF PROPOSED DEVEIA PNMTff:
(To be filed an by arat iviti`ud proposing develop ni w.)
r.
Signature
AuL
AIDU IQd.___..._—_____._
Print or Type Name
;z� - agf (200
Telephone Numbez

.-WJACUN'r mp PROPEM'OWNER STATEMI T
'FOR A PIERIMOCRiUNG
hereby certify that I own property adjacent W y -J�ifjeS
(Name of Property
propes-ty located at % �'` ��� Q _ C'�L�� lei( /�i�v�G�,� i
(j-'Ot. Block, Road, etc )
110 1,0-tr"-5 6>1 iv _ Zev
aterbody) (Tovvm and/or Ccuntj,)
Re has described to me, as shown below, the development he is proposing at that
locatlula, and, I have no ob ections to his proposal. I understand 0-jat a pi
piiing-siboatllfUboadiouse must beset back a minimum distanceof fifteen feet (15').from Myaxez
of ekpacian access unless waived by me.
I do not wish to waive the, setback requirement.
do wish to waive that setback ,requirement.
DL,',SCWPTI0N ANDiOR DRAWING OF PROPOSED DEVELOPNErIff:
"T o be filed in by irwhxAdua propasing deyelopment)
Signature
L)L no�JOVIQd-
P-iint Or Type Name
I.yf- 00�<o
Telephone Number
I
Date: 414YI-C

SPRING CREEK CONSTRUCTION 2633
Ph 252-249-1819 61341/530
2398 WhortonsvWe Rd BRANCH 77512
Merritt, NC 28556 t�
DATE
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