37295_MONK, BOB_20040714

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❑CAMA / ❑ DREDGE & FILL
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 I SA NCAC
Rules attached.
Applicant Name
Address
City .
State ZIP
Phone # (. )
Fax # ( )
Authorized Agent
Affected ❑ CW
❑ EW ❑ 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_ -
Phone #
Adj. Wtr. Body - _- --- -
Closest Maj. Wtr. Body
ZIP - - _-
River Basin
-(nat /man /unkn)
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
i
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
4
L
SAM not sure yes no
Sandbags: not sure yes no z:( •.- a a- ---�••...--.•«__ _...
Moratorium: n/a yes no
Photos: yes Ao
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
J
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
See note on back regarding River Basin rules.
Permit Officer's Signature /
Issuing D ' e ' Expiration Date
.4
; r, fi 1
Local Planning) nsdiction Rover File Name
i

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 ❑ 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 / 1-888-4RCOAST
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

T D EURE CONSTRUCTION CO., INC.
PH. [phone]
P O BOX 650
MOREHEAD CITY, NC 28557
PAY TO
ORDER OF_ D -; 1 1 •
ORDER OF ,-[ /v
BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY. NORTH CAROLINA 37590
66-112/531
02301
DOLLARS
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07/12/04 15:40 FAX [phone] T D EURE
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01/12/04 11:38 FAX [phone] T D SURE IM02
ADJACENT RIPAKIAN 1140PL'KTY 011M ?K S1-A"1'LA1l:N'1'
(FOR A PIPRIA100RING PILINGSIBOAT,LIi%IYITwItouw)
I hereby certify that I own properly adjacent to 8d 5 MOAIK' ,s
(Name of i*rapemy Owner)
property located at
(Lot, Block, Road, tic.)
Oil sM0A/"-< ea.RgA1!C , in d A , N.C.
(Waterbody) (Town and/or County)
Me has described to mt, as shown below, the development he is proftosing at that
location. and, I have no objections to his proposal. I understand that a pier/mooring
pilings/koatlift/boathouse must be set back a minimum distance of fiftwi feet (15') from my area
of riparian access unless waived by me.
I do not Kish to waive the setback requirement.
1 A wish to waive that setback requirement.
DESCRIMON ANDIOR DRAWING OF PROPOSED DEVELOI'MF.NT-
(To be filled in by indi►'idaW prvapoaing 41-010menr)
- - - ---------- ----------------------- - ------ - ------------- ---------------- - ----------------
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Print or Type Name
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Telephone N weber
Date: 1 i�.s3 oa
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07/12/04 15:40 FAX [phone] T D EURE
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01/12/04 11:29 FAX [phone] T D EURB I®O1
ADJACF-Mr RIPARIAN nzom rn, OMFNEM STATE MUN'r
(FO)i A PIER/A100RING PILINGS/DOA TLIPT.180ATHOUSI.)
I hereby certify that I own property adjacent to 9 Dp MONK s
(Name or Properly Owner)
properly located at 114 &)WA9= n R
(Lot, Block, Road, elcJ
on SFaort/ ram "6F-A--. in _ G► k*rfi RE _.1 N.C-
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposin0 at INN
location, and, 1 have no objections to his ptoposal. I understand that a pier/mooring
pilings/boallift/boathouse must beset back a minimum distaizceoi rifteen feet (15') from mv,arca
of riparian access less waived by int.
1 do 11ol Wish to 've the setback requirement.
I do wish to waive that setback requirement.
- --- - -- - -------------------- ......................
DPSCRIPI'ION ANDIOR DRAWING OF PROPOSED DEVELOPMENT -
(To be filled in by individual proposing dtz-elopmeni)
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