39350_SHULLER, JOHN_20040719

r ' OCAMA / 7 DREDGE & FILL s still
GENERAL PERMIT
Previous permit #
ONew ❑Modification-JComplete 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 # O` Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW O PTA ❑ ES ❑ PTS
AEC(s): ElOEA [IHHF ❑ IH ❑ UBA ElN/A
❑ PWS: C 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
Pier (dock) length
Platform(s)_.-
Finger pier(s)
(Scale: %U � )
� •. �...
'/
Groin length
number
Bulkhead/ Riprap length
g
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
h
4
I
_
_
4
IPA,
(f
J
I
I
t
A J
_e'114ff
/
,'`
_
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
'—
a
rtI
See note on back regarding River Basin rules.
Agent or Applicant
Permit OffiSignature
r 4 -6
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
c^
Local Planning)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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
E. 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 / 1-888ARCOAST
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

-
PRESCOTT BROTHERS INC 7/ � V
141 TARA TRL NC 28529
GRANTSBORO, DATE %
2599
66-30/531
472
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MAR-09-2004 TUE 02:38 PM NO DIV OF GOWML MWf t,M Mul 4 Vc.
{
ADJAcr,.mr nirARIAN PROrrRTY OWNER S'rA'1'EMENT
(FOR A 1,11sR111fOORING P11,1)VG.SlBOATur.TIBOATIIOUSA)
I herebycertify that I own property adjacent t
(Name o f Property Owner)
property located at � 7 '
(LA, Block, Road, etc.)
Oil /jC 1,l1/c in_, _�.�i��/ �y ��>�«. / , N.C.
(Waterbody) (Town and/or County)
Ile las described to nte, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
I)iiings/boatliftlboltlmuse must be set back a minimum distance of fifteen feet (I5') from my area
of riparian access unless waived by me.
I do not witih to waive tite setback requirement.
I tdR wish to waive that setback requirement,
------------------------------------------------------- ---
DESCIM TION ANC/OR DRAWING or PROPOSED DEVELOP«1;NT:
(To be filled in by i►rdividiral proposing development)
0
ignaturc e
Print or 'Type Name T-
'telephone Number
Date: 7 Af t

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302 1RYON PALACE DME
NEW BERN. NOR-M CAR"A
[phone]
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PROPOSED MOORING
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Tomys P No. T PAMWO GOLWTY NOM GAROLAI

41
MAR-09-2004 TUE 02:38 PM NC DIV OF COASTAL MGMNT FAX NO. 4 P. 02
ADJACiENr RIPARIAN X'ROR ERTY OWNER S fA.'I'ENxENI T
(POR A MERI MOORING PII,IN(--.S/ROA'fl il'TIBOA'TIIOUSIi)
I hereby certify that I own property adjacent to Dl�OJ� (',, 4LIC
(Nnme of Property Owner)
property locales att ie- a!w� �
(Lot, Block, Road, etc.)
an ��l _ Cf!'Ce� i� in
....5.. _.. ��!rC /Gc�04�-A--., N.C.
(Waterbody) (Town suicl/or County)
Ile has described to mc, as shown Oulow, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
1)ilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of ripariaut ace unless waived by me.
I da not wish to waive the setback requirement.
1 sIn wish to waive that setback requirement.
DESCIM TION AND/011 DRAWING 01' I'1201'OSED DEVELOPMENT:
(To be filled in by individual pr-oposing development)
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Signature� - LIq I L-1 C2-1
-
Print or Type Name
Telephone Number
Date: G

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RIPARIAN LINE PER
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0 50 ioa 200
DATE+ FEB 2, 1998 Atlantic Survey + Design
JOB No, 7255
302 TRYON PALACE DRIVE O
SCALE, 1" = 1©D" NEW BERN. NORTH CAROLINA {�°
[phone]
SKETCH
PROP05ED MOORING
BROWN'S GREEK
FOR
JOHN 50HULER
TOWN5HIP No. 7 PAMLICO COUNTY NORTH GAROLINA