48126_LEE, JIMMY & LEE, CYRUS_20070711

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❑CAMA / DREDGE & FILL V �j 481. �) � "
GENERAL PERMIT Previous permit#
El New ❑Modification El Complete Reissue ❑Partial issue 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
Address
City v_
State
Phone # •') �r
�f t/ Fax # )
(
(
Authorized Agent
❑ Cw
❑ EW 91 PTA Ki ES
Affected
ElOEA
AEC(s):
ElHHF 1-1IH ❑ UB
❑ PWS:
ElFC:
ORW: yes / no
PNA yes / no
Type of Project/ Activity
Pier (dock) length
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
ZIP
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
ElPTS Phone # ( ) River Basin
A ❑ N/A Adj. Wtr. Body (nat /man /unkn)
Crit.Hab. yes / no Closest Maj. Wtr. Body
Beach Bulldozing ----fir ,— --
Other
Shoreline Length Ste'
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
Z
i�
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
1C
1
•) \
(Scale: )
i
See note on back regarding River Basin rules.
PermitOfficer's Signature /
Issuing Date J Expiration Date
Local PlanningJurisdiction Rover File Name

I
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
Iandowner(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 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/ I-888-4RCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
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

tJT4AUNT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L— e— e-'s
(Name of Property Owner)
property located at c--r[ d . /� S i� +.
(Lot, Block, Road, etc.)
on kJ e .: S e-- A- v 9- r , in pc"A ) , �o C 0 li 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 AMID/OR DRANUNG OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
1 e-c c ri c. 1` G-tom`- � /,o I.- f o f r; Vtr 4-
Rip- N 2 'Qd?
Morehead City DCM
Signature
Zw ej C
Print or Type Name
,�2, � - _;�-49- /0 3 3
Telephone Number
Date: /,,/-�- o7

=: 3722
—"" - —'- fi6-30/531
472
�Ja»us T. Lee
k DATE . -l7 /--c
`f p0
0�iTO THE --u --�
ORDER of �JO �„_._�-
:.' O DOLLARS '
�'Ipr�'rlC 7�jo�rrr
and Iinevvark. k'Ro m bx
gryFirt Gd
Micro RIM signalurc line. Pe .7z�crz vs pU6",
FinCitzwB ridk It not present. do not cash.
ComgonV /
Criar.t N.C. 28571 / A
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5:053 1003001:0047 1752 2113r- 037 2 2
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fry:

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
IN Attach this card to the back of the mailpiece,
or, on the front if space permits.
1. Article Addressed to:
I
VO L'i
A""j
age G a
A. Signature
n
❑ Agent
X
❑ Addressee
B. Received by ( Printed Name)
6.
Date ofi Deli e
'N iU
D. Is delivery address different from item 1?
❑ Yes
If YES, enter delivery address below:
❑ No
}
i
3. Service Type
la Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Article Number
.(Transfer from service label) 7❑ D 5 11 b❑ D D❑ 5 1092 5 819
PS Form 3811, February 2004 Domestic Return Receipt 102595o2-M tsao

UNITED A
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20'JAIIJ "?'(.Y.17 pro, 0;
• Sender: Please print your name, address, and ZI
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