47139_MERCER, GARY_20061221

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❑CAMA / ❑ DREDGE & FILL
G E N E RAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit i ed
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 r
❑ Rules attached.
Applicant Name
Address 't: () %
City
State
ZIP r'
Phone # (!)
Fax # O
Authorized Agent
❑ CW
❑ EW ❑ PTA ❑ ES
❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no
Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
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
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
Agent or Applicant Printed Nan
—A
}
A „!
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O f River Basin
Adj. Wtr. Body (nat Gan, JunUn
Closest Maj. Wtr. Body— oe
(Scale:
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
h
Local PlanningJurisdiction Rover File Name

it
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 i Other:
_J 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 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
Fax: [phone]
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 Mali
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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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1NCD��R
North Caroli"-ia Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director Witliam.G,,Ross Jr., Secrei;:Iry
Date
Applicant 'game
(flailing Address 0�
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t cc,•t:ity tl� t t lame aaitbovized (agent:) � �fllus�� to act: or, ov
behalf, for the purpose cif applying for and obtaining all CAMA Permits necessary tO
install or construct 0"ct�
at: Oosata a�a ��� �-
This certification is vali,J tb'r fl 4s134:e
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40r, : ommerce Avenue, Morehead City, North Carolina 28557
O, hone: 252--,:1-2K8 \ FIX 252-247-33301 Internet: www.nccoastalmanagement.net
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Adjacent Riparian Property Owner Statement, ��=� ✓`==� �'��`
1,52006
T hereby certify that I own property adjacent to
( me of Property Owner) /tj/ ®C
property located at &t 2 2/ tA P,Ly/-
(Lot, Block, Road, etc.) %
on 7NA16a i
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waterbody) (Town and/or County)
He has described to the as shown below, the -development he is proposing at that
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location, and I have no objections to his proposal.
Description and/or Drawing of proposed Development
(To be filled in by individual proposing development)
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date
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Adjacent Riparian Property Owner Statemew�"', r goo
I hereby certify that I own property adjacent to C/�F
( me of Property Owner)
property located at S2 4Z-
(Lot, Block, Road, etc.)
on —on sir
waterbody) (Town and/or County)
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He has described to me as shown below, the,developMent he is proposing at that
location, and I have no objections to his proposal.
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Description and/or Dravvtn:g of proposed Development
(To be filled in by individual proposing development)J
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print or type name
L,N\1,L- 4; L`L'21"Vi
telephone number
date
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NOT VALID OVER $1,000.00 63379893
ISSUING BRANCH-
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DRAWER: TRAVELERS EXPRESS COMPANY. INC.
P.O. BOX 9476. MINNEAPOLIS, MN 55480
DRAWEE: FIRST INTERSTATE BANK, HELENA, MT
Al.
DATE JANUARY 04., 2007 93-541/920
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DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
AND OTHER TERMS THE REVERSE SIDE.
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NOT VALID OVER $1,000.00
ISSUING BRANCH "i07E3-301-MOREFIE:AD MPI N 63379894
DATE - JfN+lIJAW'l Q4, 200- ? 93-541/920
PAY TO THE
ORDER OF
BB&T
)RAWER: TRAVELERS EXPRESS COMPANYINC.
0. BOX 9476, MINNEAPOLIS, MN 55480 ,
I54"VEE: FIRST INTERSTATE BANK, HELENA• MT
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DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
;IDE.
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5 IBIS UCK:UMENT HAS AN WI ❑ u ,i 1 •A rpg ,; g, I CD ON FH4 BACK THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. ■