47121_MCLEAN, HELEN_20061221

r
❑CArVIA / ❑ DREDGE & FILL
GENERAL PERMIT
ONew ❑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
Applicant Name i c'' ► �..
Address
City! ' ,1 V State ZIP
Phone # O Fax # O
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
ElOEA ElHHF ElIH ElUBA ❑ N/A
AEC(s):
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / nc
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 Name
Signature Please read compliance statement on back of permit
ApplicationFee(s) — Check#
Previous permit # 1
Date previous permit issued
Project Location: County_
Street Address/ State Road/ Lot #(s)
Subdivision
l ./
City ' ZIP
Phone # ( ) River Basin 1^ (41 r;
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: �� )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date ' Ezpiratiak Date
Local PlanningJurisdiction Rovel 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:
J 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 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/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mail
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

gym. % � 1 �!_31 j,13
i� q 7�� i 2006
vld tf ,�f�: fit 'j 'A C.�'_J IY .c 1 ti rj x'. � �ti i7 T7g'a Y: �•j fir ti t� DJ'A J. N l� , I )
IT 0—R a4 PIFRIUNCO ijERF"D i3Of1 T' I1Ii 7]
> I [rereby cerCify that I Own property adjacent to
a
e city DCM
i
PFI)Perty Ia�ared at (_p LAc-
Block, Road, etc.} ----
On
(Elaterbodv) "����-_-}} __ P+.C-
(Toowu and./orlC:dunty)'
fLe eras desc ibed ro -me; as shown be[ou the devc!opr;rent he. i.� proposan, at t:a.t
location, and I nave no objr� Lions to his proposal, I underst<?.nd +;hat a pier uncovered boat , iit
must be se:;F�ack a minimum di.stanc4 or ritte�rr x�t ( IS') trom my area or -i iariarr aced urife �s
waived by rile.
I do not wish to waive the seiback reauircment_
I do wish to waive that setback re
Qu[r,.menC.
-------------------------------------
------ - -------------
DESCRCP'T*IOIy-A-N-D/OR DRY, WINC, OF PRO POSFi)i DEtiEL0P_-A f ,N-T:-=
(To b� fzilea in b�irz�i>,-icfccaf p,;,��� �� d�,•si�,Fmen1) �jy�o
l'3
------------------- -----I---------
Vu-J
Pj-.OA&
0-
rig a to I ��&
r e I P
Print or
epl�one N�.IrnE�Tr —�-
-----------

Nov 15 0E 10:33a Inspection Dept. 727-7043LIS
vir
r fi9.1ACENI - Rl. 'r t��r�i� Y V 2 P 2006
ra ;FOR A PIE RI UN COVERED B0, T teta
�IP�j renE aCj
Cit
Y DC
I hereby c4(Zify [hat I Qwn Prpperty adjacent to
hrt,e vF .k'r'o�erty s� er )
� pr�)pery located at
(Lot, Black, Road
Oil in
'`� �aterbody)
(T00D and/o Countj+J
lac has desc.-jbed to mc", as Shawn :tea
location, below, the devc!p ( 'K
talon to and [ ' f nt hC,
tl�V� ho D�7'�•t,l P �S fC1 {�a
ans P
1 to his r P°s bat t•:ac
a
must be set4w.k a minimum distanct Of rTctt � �t 1.5 ftor Fnd chat a �,� lttn avt ct5d
j waived by me_ _ ) trout rriy;ar:ni rhpiart access t,rss
-
[ dQ-M wish to wa.ivz.the seiback requirernmit. i
' 1 ✓✓✓ AQ %ish ra waive that setback requircrcmcnt.
I ,
DIES CRLM0N.&%jD/
PROPOSED'
z) ` y ,
i it "o bE j zllea .fix b r ,�rl,,��l'ua.! p,;, pv3zrzg del.
TS
1-3
I�
St.'rtarctrc I "
,Print or TyP.- N- vile
7'�(epiiane N-jrrih tt r
Date:
,J

i C
N
North Carolina Department of Environment and Natural Res
ources
Division of Coastal Management urces
Michael F. Easley, Governor Charles S. Jones, Director,
F. William G. etary
Date �`� cl -a6 U
V
t.
Applicant Namemil
Mailing Address j
C
N
I certify that I have authorized (agent) T-P'0661;ir 1111sab
to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) �{�'"�
at (location)
This certification is
Signature
thru (date)
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity l Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

0* UP 50:
NOT VALID OVER $1,000.00 y�
ISSUING BRANCH yi1 :;-Oi,—f•1f7rlc_-rtr..? rsta7ra
63379893
DATE JANUARY 04., 200 93-541/920
21
MARGE
IDE.
f
11,63379139311' '1:0920054111:017071045109211'
■ 'HIS DOCI :',fl N'T HAS AN "'I I 11 I I I l� I 'II IE BACK. THE FRONT OI' I'HE IXX:UMEN'I' IiAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE. FEATURES WILL INDICATE A COPY. ■
THIS Ml 11 TI-TOME A
��•••�•• • ..M"a V VLUK UHAULIALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
NOT VALID OVER $1,000.00
ISSUING BRANCH 607E3.301— OREHEAD MAIN
DATE JANUAR'I'
PAY TO THE
ORDER OF
BB&T ,
DRAWER: TRAVELERS EXPRESS COMPANY, INC.
a 0. BOX 9476, MINNEAPOLIS, MN 55480
�9pd^JEE: FIRST INTERSTATE BANK, HELENA, MT
� f
0
63379894
93-541/920
DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
AND OERMHE REVERSE SIDE. AP
11'63379139411' 1:092005410:017071045109211' /
THPS UUCLCMFNT HAS AN AR'111 ❑ ! i TVA I RKMARK 1931N I I:D ON 1'I IF BACK. THE FRONTOF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEA'IURI-'S WII.I. INDICATE A COPY. ■