40334_MCCLEAN, JOHN P_20041115

-' CAMA { DREDGE & FILL
GENERAL PERMIT
DNew I�Modification DComplete Reissue (]Partial Reissue
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_
Previous permit #
Date previous permit issued
Ei Rules attached.
Applicant Name _`• ',�, �' ' l? !COAJ Project Location: County —
Address 04, Street Address/ State Road/ Lot #(s)
City �r' (' - �; i c: State ZIP
Phone #
-�:: c;
% Fax # (`)
Subdivision
Authorized Agent
City. — ---- ---- ZIP_
-i CW
Affected
0 EW
EJ-PTA ❑ ES ElPTS
Phone # (_ _) __ River Basin
,-1 OEA
AEC(s):
�i HHF
❑ IH 1 UBA ❑ N/A
Adj. Wtr. Body__
,i PWS:
❑FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platforms)
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
SAV: not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
3y
j -
4 ►F ---
J i
Agent or Applic OtIP09ted
Name
Signature ** Please read compliance statement on back of permit
r
Application Fee(s) Check #
(Scale:
(nat_ /man /unkn)
_ See note on back regarding River Basin rules.
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, 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 howto 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 / 1-888ARCOAST
Fax: [phone]
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

�y 2172
JOHN P. McLEAN SPECIAL
403 SOUND VIEW CT q 56-30/531
CAPE CARTERET, NC 28584 Date 10- n I -Zoo4- 342
Pay to the �t n
Order of C OASLA f
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FIRST CITI7,CNS IQ2
BANKFits -C tizons BaM &bust Company
Cap. Carteret, N.C. 28584 \
www.firstcitizens.com
For 5MA t 1G6-19Pk 13LI49 O PMM iT
1:053 L003001:0031, L7776987I�
RJ ('InrAe ilmeritnn
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Dollars
GUARDIAN®SAFEly BLUE DEBL

11/10/2004 2:18 PM FROM: Fax TO: 1-252-247-3330 PACE: 003 OF 003
ADJACENT RIPARTANPROPERTY OWNERSTATEMENT
I %
I hat!by curfify that I omproperty adjacent to 167CLT�Q-Pk)
............
(Mtm,of Property Owner)
CK-
property I(Vated at (-tt'/
(Lot,lftlock, Road, etc.)
on
in
(J'own andler Cuunty)
He h&v* deter bcd t� me as sh,.)Nvn Nelow, the development he is proposing at thaHocalkin.
and, I have no ohjeeficmq to his prormsal.
------------ ---- — ---------------------- -------
i?E4f 3 ANDJOR DRAWING I, ,r OF PROPOSED to -LOPMR7 T
(T) A[ fill in by individual proposing oe—lor, rrk-0
Pnint car Type Name
TrdephDW NUmbeT
r.
I r

11/10/2004 2:13 PM FROM: Fax TO: 1-252-247-3330 PAGE: 002 OF 003
ADJACENT RIPARIAN PROPEKI'Y OWNER STATEfNENT
! hereby certify that I omi ,pmperty adjacent to
ltiarav of Property Owner)
property located at
o c..
4Lflt, Block, Road, etc.)
t - `
on
�:.
(at�rtziy) own and/or Counts)
fie has described to me as shomm below. the development he is proposing at that location,
and, I have no objections to his propwjl.;
-----
DFSCRIPTION ANDIOR'DRAWMG OF PROPOSED DEVELOPMENT
('I v he filled in b1F indiuidm-d prapaaing ikn eh mrentt
f
l�
LZ
Print or rypc Name
Telephone bvimber