40706_GOODMAN, JIMMY_20041227 (2)

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GENERAL PERMIT
Previous permit #
_New _Modification i J Complete Reissue
❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
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and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑Rules attached.
Applicant Name---- � } , v `' `L•-f • } —
Project Location: County_
Address i fit; t' �" I. 1 "' `
Street Address/ State Road/ Lot #(s)
City i .; �' d i I)p State ;t: ZIP __. •
, i — — '< c_
Phone # -9 ' Fax # ( )
Subdivision
Authorized Agent
City /^ " ZIP
Affected Cl CW ❑ EW DPTA [IES ElPTS
Phone # () River Basin
AEC(s): oEA ❑ HHF I ; IH ❑ UBA ❑ N/A
Adj. Wtr. Body—_ gnat /man unkn)
❑ PWS: El FC:
ORW: yes / no PNA yes / no Crit. Hab.
Closest Maj. Wtr. Body
yes / no
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
k'
Finger pier(s) _
Groin length J
number ;
Bulkhead/ Riprap lengthy I
avg distance offshore
max distance offshore
Basin, channel.
cubic yards F' i r V
Boat ramp
Boathouse/ Boatlift_
Beach Bulldozing__�-
Other 14
Shoreline Length
SAV: not sure yes no - - - - - - -- - * t -
Sandbags: not sure yes no
Moratorium: n/a yes no Y i
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
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Agent or Applicant Printed Name Permit Officer's Signature
Signature Please read compliance statement on back of permit Issuing Date J % Expiration Date
LPL>.
Application Fee(s) Check # 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, 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:
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.nccoastaimanagement.net
Revised 10/05/01

ABDJ RENTALS
PH, 252-393-3022
197 BEULAH LN.
NEWPORT, NC 28570
1976
66-BS/531
DATE /Z - � o
PAY �^ D
-- TO THE / I
ORDER OF /` $ _
c�DL)
DOLLARS
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Centura Bank® CM CIMVG
Fayetteville, NC 28302
FOR _-Ji4IM44 �ao/a.t
11'0000 19 76112 i:0 5 3 1008 50i:0 2404 5 2 786111

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent to co 04 t-912 A", 's
(Name of Property Owner)
property located at / � ? &%F q L i8 >y ,� �r,✓r ,
(Lot, Block, Road, etc.)
on CoyC2/r, le , in C/92. I / / , 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
(To be filled in by individual proposing development)
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Signature
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Print or Type Name
(;?-aL)393`"3b-a
Telephone Number
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Date: 1 0 — ! ��

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at t o% l Bti u L o ti 4 A7�l
(Lot, Block, Road, etc.)
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on 6'00S C/e''''g-i2 , in C'r�r' TID1Ji ! , 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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Print or Type Name
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Mulle, r93-/1,
�: +�� Telephone Number
Date: - f G7,/��Z� z

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to / ea s soc /l 's
(Name of Property Owner)
property located at Z ct % L A-)
(Lot, Block, Road, etc.)
on Cod SEC'ree, , in C�Rh'� % , N.C.
(Waterbody) P (Town and/or oun y)
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
(To be filled in by individual proposing development)
------------------------------------------------------------------------------------------------------------------
<.� SignaturZ
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DEC 0 e 2004 Print or Yype Name
Morehead City DOM 2' ''7 , qs-
Telephone Number
Date: 0 at — O

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on , in
I
, 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
(To be filled in by individual proposing development)
Signature
S'p M uc 1 c SS"e .L L
Print or Type Name
:13 - KI � �-
Telephone Number
Date: .zolr

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at
on
(Lot, Block, Road, etc.)
, in
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=6
(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
(To be filled in by individual proposing development)
DEC 0 9 1004
Morehead l i'iy V-3W
Signature
Print or Type Name
Telephone Number
Date: