34543_BUNCH, DORIS_20030708

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GENERAL PERMIT
6iZINew ❑Modification ❑Complete Reissue ❑Partial Reissue
J
Previous "permit #
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
Applicant Name Vo s 6414.t
Project Location:
Q Rules attached.
County !/„ If, or
Address q 2 7 H ' 64yx 01'
Street Address/ State Road/ Lot #(s)
City Qv State `Vi ZIP 2411Z
Phone # 011) %q&G3 Fax # (�)
�'�l V�.
Subdivision
C 10C rvpd !F rvc
Authorized Agent jl
City i "1)G, N � • I; ,';,& t I ZIP �
Affected El [JEW PTA ❑ ES El PTS
AEC s : El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
O
❑ PWS: ❑FC:
ORW: yes/. no PNA yes MG6 Crit. Hab. yes / no
Phone # ( ) River Basin
Ad'. Wtr. Body t� e H K4eJr eqe, /
I y (nat /cfiaN /unknj
Closest Maj. Wtr. Body v ` Jou" d
Type of Project/ Activity 1 r. ,t r{ fd frowall C ,
1
(Scale: A)4^1C )
Pier (dock) length
I
Platform(s)
i
!
I
Finger pier(s)
Groin length
I
number
!LL_
I
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
-
—
Basin, channel
—
r
I i
?
`
cubic yards
Boat ramp
!
r
Boathouse/ Boatlift
—
_
Beach Bulldozing
i
'
Other
Shoreline Length
SAM not sure yes ° _ '! ! ! -Fr
Sandbags: not sure yes no it*
1.4
Moratorium: n/a yes no ! o !
Photos: yes bho I I D LWaiver Attached: yes
A building permit may be required by: �tl>N iti� ',-dc ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions t„ f , r/, r t?c a .J Wall MrI►Lr Jf a r) ^+'+ri o I 1 W d r, h t r�.
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Agent or -Applicant Printed Name L1
0
Signature Please read compliance statement on back of permit
Application Feels) Check #
Permit Officer's Signature
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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules E 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 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 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-8 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)
www.nccoastaimanagement.net
Revised 10/05/01

ERIC B. ELLIS NCDL 65047
JASA M. ELLIS PH [phone]
205 NOTTINGHAM DR.
MOREHEAD CITY, NC 28557
mm
66-30/531
Date /� -7 133
Pay to the
Order of 4Z 42E 1v �
nRs-r CITIZENS()-�
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F-11C,ta— 8—k & T1. t Company
fo�l 13ANKAtia,tsc B.ach, N.C.28512
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For '61
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GUARDIAN%SAFETY BLUE ESBL

TOWN OF ATLANTIC BEACH
125 WEST FORT MACON ROAD
ATLANTIC BEACH, NORTH CAROLINA
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjoining
property located atzolo/es71j
as shown below, the developme t he is proposing
objections to his proposal.
Al /L/d h I
r, N.C. He has described to me,
at location and I have no
Description and/or drawing of proposed development: (to be filled in by individual
proposing development)
Si nature
,off; ✓LIB 7`/- i c
Name (printed)
.; 5- ---)- 7,;- (/, - X 003
Phone Number
POST OFFICE BOX 10 • ATLANTIC BEACH, NORTH CAROLINA 28512 • [phone] • FAX [phone]

TOWN OF ATLANTIC BEACH
125 WEST FORT MACON ROAD
ATLANTIC BEACH, NORTH CAROLINA
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjoining �� /,-i0S a/! is
property located at go A) aw He has described to me,
as shown below, the developme t he is proposing at that location and 1 have no
objections to his proposal.
Description and/or drawing of proposed development: (to be filled in by individual
proposing development)
11 wAII
Signatur
Name (printed)
Phone Number
POST OFFICE BOX 10 • ATLANTIC BEACH, NORTH CAROLINA 28512 • [phone] • FAX [phone]