47182_POWELL, SIDNEY_20070120

1
17 Ste/
❑rAMA REDG,E & FILL
GENEKAL PERMIT Pre s permit #
❑New Modification El 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 jc1C'.Y�
R es Atached. I
Applicant Name `> c .4 0E L i✓
nv�
Address
City r �J- ;,J
State ZIP
Phone # (^)
Fax # O
Authorized Agent
❑ CW ❑ EW
❑ PTA D ES ❑ PTS
Affected
AEC(s): ❑ OEA ElHHF
❑ IH ❑ USA ElN/A
❑ PWS:
❑ FC:
ORW: yes / no PNA
yes / no Crit. Hab. yes / nc
Project Location: County j'Gn.t . r o
Street Address/ State Road/ Lot #(s) ,/1/6, �/ c
Subdivision
City
0( CC.k! ZIP)S%�
Phone # (- r j )`` ``' JRiver Basin
Adj. Wtr. Body rtl { .3 ktk. l ti/mom an /unkn)
Closest Maj. Wtr. Body —
Type of Project/ Activity 1
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length - -
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore___
Basin, channel
r
j
T --L
1
T�
1(14
cubic yards
Boat ramp —
Boathouse/ Boatlift
Beach Bulldozing
Other __
Shoreline Length
SAM not sure yes to Sandbags: not sure yes no) fi
Moratorium: n/a yes
Photos: yes :" t
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
-
---
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k
doff
—
6
1
LM
I —77
—
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L _ r-
K See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
`fr0rj
Application Fee(s) Check #
Permit Officer's Signature
- o� "1-2y - �-,, -)
Issuing Date 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
CII 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ l-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/05

ADJACENT RIPARIAN PROPiIY'1'Y OWNliR S'T`A"MmEN`x'
7 hereby cer4y that l own property adjacent to �fbovqUwTter)
(Nalike of ProptrtY
property located at
(Lot, UlDek, Road, etc.)
u �R— , in m c
an or Comity)--
Materbody)
He iias describe to me as shown below, the dtveloptnCnt he is proposing at that location
and, 1 have no objectiMs to his proposal.
tll►/ � ,PAL A� . -- -�..- — `
DESCRIPTION AND/OR DRAWING Oi' PIZOPOSED DEVELOPME
{To be filled in by individual proposing Velopmeni)
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a-111�1
$ignatur
print er Type Name
Telephone Numher '703438- -YO? -�
Date; --
-29-

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I HERBY CERTIFY THAT I OWN PROPERTY ADJACNET TO
(NAME OF R�EWrYOWNER)
PROPERTY LOCATED AT
(LOT, BLOCK, ROAD, ETC.)
ON ``�? R ,-,,c rt,�zv ,IN -=fit '
. --- NC
(WATERBODY) (TOWN AND/OR COUNTY)
HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATIiON AND, I HAVE NO OBJEACTIONS TO HIS
PROPOSAL..
DESCRIPTION AND'OR DRAWING OF PROPOSED
DEVELOPMENT (ro BE FILLED IN
X f 'sr"
�.-
DEVELOPMENT)
` E W ik-I-/
o S �rf; n �ljd-
W A �'" signature
XtST
print or type name
2 232.Z
Telephone number
U
DATE
w V (0
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■ 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 toyou.
■ Attach this card to the back of the 7hailpiece,
or on the front if space permits.
1. Article Addressed to:
19 S Y F c) xS+O n(:E!.-
V I Q, nr1o, / Vo- a s I Y--I-
A. Signature
X
Ej. Received by (Prl erne
Is delivery different
If YES, ent Iva
tiN 3 I �
❑ Agent
C. Date of Delivery
. ti
❑ Yes
O No
3. SePA6e Type
ET Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mall ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2. Article Number 7 0 0 5 1160 0005 1092 5727
(Transfer from service label)
PS Form 3811, February 20Q4 Domestic Return Receipt �9 102595-02-M-1540

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