33104_COGGINS, JIMMY_20030507

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0 CAMA / ❑ DREDGE & FILL , 33104 — C
GENERAL PERMIT Previous permit#
FINew ❑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 I SA NCAC 7 P 12 q G
Rules attached.
Applicant Name wwj / � •l-5
Address S'-lc, 5 Z rr, )R
City
Phone # ('1�1 ) itl- S`jc`f
Authorized Agent'
j G
State N, ZIP
Fax # (9�) 719• �93t
Affected ❑ CW El EW ,p PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Project Location: County %a-
Street Address/ State Road/ Lot #(s)
'Pv ppU, S."N ! i%r lr
Subdivision
City IV'6w n / ZIP
Phone # ( ) River Basin
Adj. Wtr. Body `ram i u r ! v h ci (nat�/man /unkn)
Closest Mal. Wtr. Body 1 �' �r fc us,,)
vnVv: ( yes / no r"ra yes %.riz. nao. yes no
Type of Project/ Activity c f w "�� a !E th % �., rc �, �d
I ip' P� iX•►1�,
(Scale: f
/"� rti)
Pier (dock) length
Platform(s)
-TL
Fing
Groi
Bulk
Basin
Boat
SAM
Sand
Mor
Waiver Attached. yes no
l See note on back regarding River Basin rules.
A building permit may be required by: 1 ,� • le, E { ro,
Notes/ Special Conditions �, wt V �y ^' � • a ' J u Lc v e -H s wo ,
length
Boat
ir
Other
Beach
Shor
Phot
er
n
head/
•
Y
I
I
I.
f
pier(s)
length
i
�
I
I
r�,
f rH
number
Ri ra
Agent Or Applicant Printed Name
Signature Please read compliance statement on back of permit*
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisiliction 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)
www.nccoastalmanagement.net
Revised 10/05/01

POSTAL NEi' ORDER
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91476226675 nD ��'� ' �;� f 1a -1
SERIAL NUMBER YEAR MONTH DAY POST OFFICE"' ""'1 I U.S. DOLLARS AND CENTS
PAY TO J, C BITER IMPRINT
AREA
ADDRESS
FIR
ADD S:.
C.O.D. N 0. OR u r
USED FOR
V VAS
SEE REVERSE WARNING J NEGOTIABLE ONLY IN(TH1E U.S -AND P &SESSIONS
1:00000800 21: 9 14 76 2 26'6 7 SII'

ADJACENT RIPARIAN PROPERTY OWNER S'rATF.NlE%11'
(FOR A PIERJUNCOvl RED SORT LIFT)
,
t beraky carf4 fAat I owe pr*pertx t*acemt tw
prerom Avettted at
01*tk., ito.d. Vte.)
as a (To" and/or County)
Ike #aas 4"er4b" tP mg se sb#wa tmlew. the devttopwneut 1114 I, py6P90402 et thst ioeat,�n.
tad ( vs w• w�,�astAewp is %j* pe+00e81, 1 usden,mad t!►et a p8ertst+cevsvcA boot %ft must be Pet
b tceet talwi�►wtrt stlMAHrt (M) 0010 my •rep► e( €Ipertsm ecttetst up)*$* welved by my
i &M WWk to waive the sal"ck relwiratstat L
X jo awiYb to welvs tkat wbiKb ro"41,40"01.
(To be AW to by tttt#ivttlual OraptaUng d"VIOptt►ent)
a
itaep i'd�ttttiber
Date

05/06/03 TUE 15:02 FAX
[ihooi
F
ADJACENT RIPARIAN PROFEKTV OWNER STATEMENT
(FOR A PIER/dif COVERED 90A-r LIFT)
__p i
I •�
ohwaby tsrIlh (lest ( ants property edJreent to
INarne of ape nerl
top M located at
p (Lost, pleck. goon. ate.)
15-4.1
�>s _ _gu YIN.,
F (sewn and/or County)
as has described is Ate as sbawe below. the drvelopsAtsl/ be Is props"09 sR'het 1acateof9.
bsvoso Qbjeclbs•r to hh proposal. ! saden+tend tbat a p#echmwcoeered boal tilt mug? b: Pei
►u« go a aIsleas a of IIQeMn (IS,) rVem my area as flpafisa access unless woivtd by mr,
t wok to waive the ettback reQW6rement♦
I t@ wisb ss waive that "ibsici+ ►egfuirement.
glIPSClUPTION AND/Ort DRAWING OF PROPOStD DI?VE3,1< IPMFNT:
(To be lilkd is by oteliivAdW artspnans dcvelapnncAQ
Tolep Nambs► Date