31503_TRIMP, WAYNE_20020305

�CAMA / El DREDGE &FILL (NO 31503
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑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_L�14„r ! t
Address —i ; , ❑t'c �c,
City l - {
State NC.. ZIP p
Phone # (_—) aJ`j- -.:; 3
Fax # O
Authorized Agent
Affected CW ❑ EW
0-PTA ❑ ES ❑ PTS
AEC(s): C1 OEA E HHF
ElIH ElUBA ` N/A
C PWS:
❑FC:
ORW: yes / no PNA
yes / no Crit. Hab. 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
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no - - -__ _. _! _ . ------
Sandbags: not sure yes no f -
Moratorium: n/a yes no
Photos: yes no �r1
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Pri ted Name
t
Signature Please read compliance statement on back of permit
Application Fees) Check #
Project Location: County.
Street Address/ State Road/ Lot #(s)
Subdivision
CityZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat'/man /unkn)
Closest Maj. Wtr. Body
(Scale: )
-- - 1
J ,
i
i
• � � t it ,�,:
L- -- t
i � � _vim`_----...__..-�•�'�-�~`~'��--
it i lQ,
E; See note on back regarding River Basin rules.
(.t_
Permit Officer's Siioat^u�re
Issuing Date Expiration Date
rr
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, certifythatthis project is consistentwith 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 (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888ARCOAST
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
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 10/C

E�h�[Pi cf ✓i?- '6790Pr
PSP p�9-1 f6 ✓ 6> �P69P9 2488
66-152/531
Date
Pay to the (�
Order s
i
WA-Co ars t ;
w"CIV18 C Bank, N.A.
BeyboroN2&i15
For 6tT�Scr 3 (lylj Wr �—
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CL ssIC

ADJACEIN4 K1PAR A,N PROPERTY OWNER STATEINTEN—
[ i:e:e")y certify that I own property adjacent to 64" Tg_:TWtp _ is
'Name of Property Owner)
propen y iccared at_ 1 y a0 SSA pC K
(Lot, Block, Road, etc.)
o,l O HL T"iAKC� ���C-L� , in D���r.��AL
(Waterbody) (Town and/or County)
f �c has described to me as shown below, the deve?opr,eat he is proposing at that loca,on,
U-nd _ 1 have no objections to his proposal.
DESCRIPTION AN, D/OR DRAVV-r G OF PROPOSED DEVELOPMENT
(To he filled in by individual pro
posin; development)
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hj)JACEN RWARiAN PROPER' OVVINER S` AI-E-NI M
certify that I own propertrt adjacent to (,, )Pe. EMp is
-'tame of Property Owner)
prupe:�ylccut�e:iat 1'-3ao S�.A-�FIQcR �e _
(Lot, Block, Road, etc.)
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(Town and/or Count;)
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H-0 bas descnoed to me as shown bellow, the deleloprne:,t he is proposing at that Ioc nor.
�` d. I Ilavc im 6bje-ctlons to his proposal.
i>t l:ILIl' TIOt�1 A-NL -D/OR DR.a.NNTNG OF PROPOSED DEN-ELOPNIEN'T
(To be filled in by indiv&ual proposing development)
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