35281_SMITH, ANDY AND BONNIE_20031003

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CAMA / DREDGE & FILL
WGENERAL PERMIT
Previous
permit#
L-]New ❑Modification ❑Com Iete 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
�y
34 `.. L.
r ['I Rules attached.
rlv
Applicant Name t'fir, P rvr 4
Project Location: County l e
Address i L t' �J ! ,. r L t^, ur1 YI
Street Address/ State Road/ Lot #(s)
City IU in ej rt- State IJ( ZIP
%4 Phone # ( ) Fax # (_)
Subdivisionit/ur Nr�
Authorized Agent -10 y (C •f r� c y
City l 1,. - 1 r r � . ! c �F ZIP C 5 � Z
Affected ❑ CW 3 EW D PTA ❑ ES ❑ PTS
Phone # ( ) River Basin A1Pv /-C
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Y� r ,
Adj. Wtr. Body � / v � !-.:r ' ' � (da,/man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA eyes / no Crit. Hab. yes / no
Closest Maj. Wtr. BodyJ1I Pam( Jr V" `°
Type of Project/ Activity rc ,�r- J o rr F _;_l (, ,
�tr 'or-r
(Scale:
Pier (dock) length ( I t!
Platform(s) (,
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
3
avg distance offshore
max distance offshore
T
D
Basin, channel
-
t
-t- --- __
2e
7
n
cubic yards
Boat "J -
NWT
t:
►b " Y
.
ramp �
— .�
Ir
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length % S
SAM not sure yes _�•
_-_.—=.�—__-_—. ___._�_
i _ _.
d
Sandbags: notsure yes �1qlL
-� -
L V1�W
Moratorium: n/a yes �a
.
q
-' -
�l
(r
Photos: yes F� c f(r .
Y
I {�,'
t/�`'" �J
it
Waiver Attached: yes tt�q
- ---
-
--
//
A buildingpermit may be required b : (r o 'vVIr
p y q y
! C
See note on back regarding River
Basin rules.
t
Notes/ Special Conditions _ I j7 r. rt �� h a , �,� y! ; �, t: L,,11 I N , r
a r (� r y f r✓p
(it"`fit i'_ fh
; �rY ('d• w�' ry
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
I(- ! pd t��fi,au� li�z5
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planningf urisdiction 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 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 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 / 1-888-4RCOAST
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

1925
RUDOLPH TAYLOR
4125 HWY 101-
HAVELOCK, NC 28532 _ =^ / - 66-152/531 77
PAY -
ORDER OF
=C/�. V� - r�...,----'DOLL'ARS=
A_CHOVIA�_
Wechovia Bank N.A
=-Bey NC28516
— Fmo
1 3 10 is 2 91:.:. 5 4 0

�JACEIVT R.IPARL N PROPERTY OWNER STATE_NM�T
(FOR A PIER/MOORING PILINGS/BOATZIFT/BOATHOUSF)
I hereby certify that I own property adiacent to„���, t '���; fh,,;-K
s
(Name of Property Owner)
prover ry Iccated at 1.f
on CILti�t�
(Waterbody)
(Lot. Block, Road, etc-)
In
(Town and/or County)
, N.C.
He has desc.;bed to me, as shown below, the development he is proposi-` z tl at local on;
and, I have no objections to his proposal_ I unders:d t:a_ a pie,.-,'moorn�
pdin cc,`poa� boathouse must be sc: back a mInlmlIm dIS%arlce Qr %fLetn ftt: ( from mV a_rea
of rpa-ian access unless waived by me. )
I do not wise to wa'," the setbac'< rzcuire
I J—n wish to wive `_. se;bac'.{ recu- re M,ent.
DESCRIPTION AND/OR DRAWENG OF PROPOSED DEVELOPNIL`T:
(To be filled i by individucl propose; developmerzz)
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SiSna r;
Prr,t or Typ,. Na:-,,,-
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