34737_CRIBB, DICK_20030909

�CAMA DREDGE & FILL j +
GENERAL PERMIT
dification ❑ Previous permit #
New f�Mo'r?
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
❑ Rules attached.
Applicant Name..
Address 7"
CiState ZIP
Phone # () _. t lC1 �' a� Fax # ()
Authorized Agent t`1 c ,�f,t i
Affected ❑ CW DEW 2,PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes /(-no PNA yes / no Crit. Hab. yes / no
Project Location: County_ _
Street Address/ State Road/ Lot #(s)
Subdivision
City- ZIP
Phone # (_ ) River Basin
Adj. Wtr. Body_ _ (nat; /man /unkn)
Closest Maj. Wtr. Body I'�, �"�� �' y C
Type of Project/ Activity
QV,cl
rvk
n
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length W_EL
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
BoathousekBoatlift
Beach Bulldozing
Other -
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Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no -
Moratorium: n/a yes no r
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
( I
N
-
I
❑ See note on back regarding River Basin rules.
y ho ice[" 41VI,6k> r
(AJ(fj QM SCI
Agent or Applica
Signature ** Pld�sp read compliance statement on back of permit*
�;Dco x' C%g /,a(
Application Fee(s) Check #
'Permit Officer's Signature
Issuing 0116 Expiration Date
/; r r �C7 df i0'FOgf (4l "`?
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:
❑ Tar -Pamlico River Basin Buffer Rules U 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

1091
66-152/531
SPRING C REEK CONSTRUCTIONP-24
2398 WHORTONSVILLE RD
MERRITT. NG 28556 DA I E
VIL
WechoviBank. N A
N
gayboro. NC 28515
FOR Gp
78 3 �' 000 L881ie 10 L
1.. 0 5 3 L 0 L 5 2 9. 0

ADJACEWMPARLAN PROPERTY OWNER SrfKnD4EN'T
!FOR A PrER1mo0A 7VG MUNGSIBOA 1.F'd BOAMOUSEi
l hereby certify that 1 own pcopery aciAaceut to ��^'S
Game of Prap� inter)
pro erq locatea at `-1 j ! v JAb;11; tztu I F
(Lard, Block, Road, tic.)
is ji a�, , N.C,
(Waterhody) rr,6M n aa&O r Coway)
E3 t.as described to me, as ahown Wow, tho development bt is prcjposing at tt;at
lac --'.ion, aA, i have no objwdom to Ws propoW. I anderstand that a pisvIMwr�g
pi�ingrl7x a!tii:(o ifu�usc must be set backa minimum dial mote of fifteen feet (15') firom my azea
of ripwrian Kcrss vniess waived by :me,,
Z do wat wish to. waive dit suck requirranent.
___ __ i IN wish to waive that setack requirttt mt.
DESCRIMQAi A"IOR. DRAWING OF PROPOSM DEVELOPNW-NT-.
(To be fUW 6z by ia&Yit W pmposiar develapiuext)
` �nnc"Numbtr
it:

08/ 25/2©€33 15: 51 2522491819 RANDY (aULIWI J
ADJA,CEW RWARTAN PROPMTY DWG STAT PUNT
(Mt A PnWMOORMG Pff ilY( SM0A1UFT1X0AT H0USB)
i hereby certify that I own property adjacent to - 5
(Ks�m+e of propertl anex$
piny located at efJ R�
(L t, Moo, Road, etc.)
Miaterbody) (TgVM and/or Couuty)
He has dcssribed to me, $3 shown Wow, d w developa=t he is prOPosing at that
location, and, I have no objections tO his proposal. t understand that a pierlmoOting
pilingslboatliRlboathouse must be set back a minimum dis=ce of fift=fl feet (15') from my area
of riparian access unless waived by n1e.
Ipvt wish w waive die setback regUireament.
I & wish to waivrc that setback requirement.
'IDI-SCItiMON ANVOR DRAWING OF PROPOSM DEVF-I.O 1-.
(Tv be JW*d in by individwad pmpaAme develoPme t)
3W
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�t�Lc�aYt 71 « V r i Scq vl
Print or Type Name VKU�� ny
Telephone rlunobEt
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