40385_FRANKS, JAMES_20041202

CAMA / . DREDGE & FILL G� �9 cxw' ,rwj
GENERAL PERMIT Previous permit# --
CiNew C Modification _1Complete Reissue _ Tartial 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
_ 1 Rules attached.
Applicant Name _ Project Location: County____-_______-__
j Address_ = = ' Street Address/ State Road/ Lot #(s) -
City state,ZIP
Phone # ( ) Fax # ()_ Subdivision
Authorized Agent City- -- -- ZIP -
Affected CW `-i EW ❑ PTA f ES ❑ PTS Phone # (_) River Basin
OEA ❑ HHF ❑ IH UBA ❑ N/A
AEC(s): Adj. Wtr. Body_ _-_ _ (nat-1man_/un_kn)
L-! PWS: -IFC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body -- -- -- -- --- _- — —
Type of Project/ Activity
Pier (dock) length
Platform(s)__
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length -
avg distance offshore _
max distance offshore
Basin, channel
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM 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
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
Local Planning Jurisdiction
'.
Expiration Date
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:
FJ Tar- Pamlico River Basin Buffer Rules __J 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 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza 11
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.nccoastaimanagement.net
Revised 10/05/01

L'ity WphoBetezaa, Pvc. 4867
611 EAST MAIN STREET
HAVELOCK, NORTH CAROLINA 28532
BBff 66.112/531
- Branch Banking and T-al Company
PAY n�
DOLLARS
DATE CHECK NO. AMOUNT
TO Till
ORDER OF D / f et
CITY UPHOLSTERY, INC.
AUTHORIZED SIGNATURE �NIP
II1I00486711' 1:0533101,120:5212722733ll'

fF NORTH CAROLINA DEPARTMENT OF
r;
ENVIRONMENT AND NATURAL RESOURCES
STEPHEN LANE A
FIELD REPRESENTATIVE
DIVISION OF COASTAL MANAGEMENT NCDENR
400 Commerce Avenue
- Morehead City, NC 28557
slum Phone [phone] FAX [phone]
Stephen.Lane Q ncmail.net
RECYCLED PAPER

ti
09/28i2004 15:40 19107921533 SEASLE'-' APPRAISAL PAGE 02
09/28/2604 03:59 252-a47-0155 C?TY UFHG�S7ER'f IiC. PAGE 01
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I hereby certify that I own property adjacent to - � �� ks 's
(Name of Eroparty Owamr)
propefty located at elm 4*dslev. r
,/� �! (L4A, BWk, fit&, +ere.) /_ ` �`.d _
can C��v� d� i ( Pi@ !. s ell,`,caAr�_ _ _, I.C.
(Waterbody) (Town andlor County) iI
He has desetibed to mc, as shown below, t9te development hu is propoAng at that location,
and, I have no Aections to his pxvposal. I understand that a pier/moofing
piiings/boatlifrlboatImse trust be set back a minimum distance of fifteen feet (13') from my area
of curiaann access unless waived by me.
V I dil not wish to waive the setback requirement.
I & wish to waive that setback requirement.
DLSCfdll''L`ION ANDIOR DRAWING OF PROPOSED DE'VEW MENT:
(To be -Alkd M &Y ia&wdaud pmposFng deveaoypxteat)
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