37274_MCDONALD, BOB_20040122

[i CAMA El DREDGE & FILL
GENERAL PERMIT Previous permit #
DNew 1: Modification ❑Complete Reissue LIPartial 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 Q V H , !7.5 00
[�Mules attached.
Applicant Name /. _. , ,
Project Location: County
Address Street Address/ State Road/ Lot #(s) 17?)Crq""
Ci State Mf ZIP
Phone # Fax # Subdivision
Authorized Agent City 4^ A ZIP 1!S "o
El CW Ll EW ❑ PTA DES 0 PTS Phone# River Basin Affected El OEA El HHF D 1H D UBA Ll NIA
AEC(s): ❑Adj. Wtr. Body--- C (nat ki5an/unUn
E] PWS: �—1 FC:
ORW: yes/ no PNA yes / no Crit. Hab. yes no Closest Maj. Wtr. Body, ktqt'
Type of Project/ Activity
Pier (dock) length___
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Piprap 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,
-7-
Sandbags: not sure yes ("no
Moratorium: n/a yes -no
Photos: yes bo
Waiver Attached; yes no
A building permit may be required by:
Notes/ Special Conditions _
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
v1pd Vt7D.
Application Fee(s) Check #
D -
(Scale:
See note on back regarding River Basin rules.
Permit Officer's SignaturAl
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
J 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 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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

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A R_ AIC" NT RIPARIAN PRt.1P.LR S O Y 1 L \I,iR Si A,l ) ,NWNT
I hcreby certify that I own property adjacent tad v ,,!j r\ �� i � /� - v,j 's
(Marne of Property Owner)
property locateki at ` 7,S.
(Lot, Moth, Road,
;i
on, L�l�/�5��`� rBv�J�-
( .......__._� . in �.� I N�;I;so / �`) � rfic f t4.4; f �� t N.C.
(14'nlerhncly} ("Town andJor County)' /
Ile has describcd to mop as shown below, the development he is proposing at that location,
;1nd, ) havc no objections to his proposal,
DRY CIIZlPIJON ANINOR DRAWING OF PROPOSED DEVELOPNIENT
(To he filled in by irrdivirlutrl proposing development)
Signature
Print or ypc Name
Telephone Number
Date: - //— /Cl — 0-S:1

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ADJACENT R PA.RIAN PROPERTY OWNER STATEMENT
I hereby certify that I own Property adjacent to��'�a
(i`Iatrte of Property Owner)
property located at % % •3`�SZ.
(Lot, 1310 k, Road, etc.)
on L_[�til�S`(�`(ZrovJ� in
Mand/or'-County)'
aterhody) ("Town acid/or County) T
Ile has described to me as shown bclow, the development lie is proposing at that location,
anti, I have no objections to his proposal,
-.--------------------------------------------------- ---_---------------------------------------------------------
DI"SCRYMMON ANU/OR DRAWING OF PROPOSED DY-VELOPNIENT
(TO be in by individual proposing de velopn-i on t)
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Signature
Print or Type Name
2 Z`-f `i - � -1 3 �-
TZeIrphone Number —
Date: . t t � O 3

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ADJACENT xz�,�rr�a���r� aVrc� sT�xrnEvT
I hereby certify that I own Property adjacent tca�
Marne or n-operty Owner)
proporty located at ` /� / Ct� v ti �-✓ G l v �3_
(Lot, Blocv, Road, etc.)
a
on j, (Z16tise j{ in Irv, ,�y:� � c4j a � L f c,,c) Cc���,� i v, N.C.
(Wnierbody) (Town and/or County) �
He has described to me, as shown below, the devel0Pn1cnt he is Proposing at that location,
k)nd, I have no obicctions to his proposal.
DRSCRiPTXON AN"WOR DRAIVING OF PROPOSED DEVELOPMENT
(To he in by individual proposing develapynenl)
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1 N LF—wrS 1-3(R-6.vc,0 AUD
Signature
Print or Type Name
Telephone Number
Date., X��'