38356_SKAHAN, WILLIAM_20040506

❑CAMA / ❑ DREDGE & FILLJ
GENERAL PERMIT Previous permit #
❑New !1Modification ❑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 15A NCAC
❑ Rules attached.
Applicant Name fh0 N+
A Project Location: Count
y
1
Address (G I rr 4 'r � Street Address/ State Road/ Lot #(s)
I
City
^v.r<v ���
State MD ZIP 7 4it
Phone#("')6��'
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Fax#( )
Authorized Agent
CW 0 EW
Z PTA ❑ ES ElPTS
Affected
—1 OEA ElHHF
❑ IH ElUBA ElN/A
AEC(s):
PWS:
❑ FC:
ORW: yes / no PNA
yes / {%,, Crit. Hab. yes / n
3O E.
Subdivision
City / c ZIP
Phone # (. ) River Basin
Adj. Wtr. Body ji l• (&L' man /unkn)
Closest Maj. Wtr. Body ��' ` �' 0`
0
Type of Project/ Activity
i j
� r . / '/ ` I rl, u , l-� ' o l (i Y r� ►'U c � (Scale: �•� - • i
Pier (dock) length--
Platform(s) i )'
Finger pier(s)
Groin length i �(
number - - - -
Bulkhead/ Riprap length c'
avg distance offshore
max distance offshore
Basin, channel C
cubic yards,
Boat ramp ---
Boathouse/ Boatlift
Beach Bulldozing_
Other
M a.
1
-- i
Shoreline Length d ►Ir _�_ r-_
SAM not sure yes no, S1 --- - _
Sandbags: not sure yes no I' --I ; .T..'
Moratorium: n/a yes no {
Photos: yes no �. { e L
- �.
Waiver Attached: yes , no - - - - — ---.� - -- --- — -
A building permit maybe required by: e �r� l !! 0 See note t/on back regarding River Basin rules.
Notes/ Special Conditions lK M vO �• - (•�O t e S o j ��" rr+oi� rah r �,� i�
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit >
t,0
Application Fee(s) �,, ti heck#
r r i/A
Permit Officer's Signature
Issuing Date Expiration Date
Local Planningf unsdiction 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:
E 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

Miranda S. or Jason R. Hill
Nc&'21718067 Ncd18929001
499 Crump Farm Rd 252-637-1595
New'6ern, NC 285$2
Pay to the
•:.
66-7538/2531
Date 03
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v6wNew Bern, N.� f
www.firstflightfcu.org
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For �.� -. - ---
1: 2 5 3 L 7 5 3841: L080 L 5 2 L L80911• 3986
LOVING REFLECTIONS— WLR
gt'larke Am¢rkwn

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to A >4 " 's
(Name of Property Owner)
property located at C(J
(Lot, Block, Road, etc.)
on in �� �— lfe1� , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
33t
IG
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPINIENT
(To be*led in by individual proposi g development)
-I
1
-------------------------------
Signature
1 �
�° K j , I/ , �� c- c ( L
Print or Type Name
Telephone Number
'-0
Date: �C�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to wt'il//'� �- ��G� 's
(Name of Property Owner)
property located at
��( ^ -7,-
(Lot, Block, Road, etc.)
on l l`c�r �� , iny��� , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
�-4T6 be filled in by individual proposing development)
V
Signature
Print or Type Name
9.5'2t Y63 r 0629
Telephone Number
Date: " � A � y- G5