41151_GRIFFIN, BILLY_20050414

f--]CAMA DREDGE &FILL
GENERAL PERMIT-�reviouspermit #
LlNew ClModification ❑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
E] Rules attached.
Applicant Name` / % - Project Location: County_
Address ' '' / Street Address/ State Road/ Lot #(s)
City_ �°' _ , State ZIP
Phone # ( ) Fax # O Subdivision
Authorized Agent o ! 4 `' l , < ° l e J-�fc City_ `` 1 ! ZIP
01 CW DIEW Cl-PTA ❑ ES ❑ PTS Phone # ( ) River Basin
Affected ` OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A % r
AEC(s): Adj. Wtr. Body (natl/man /unkn)
❑ PWS: ❑FC:
17
ORW: yes / no PNA yes / no; Crit. Hab. yes / no Closest Maj. Win Body
Type of Project/ Activity
Pier (dock) length
Platform(s)_ i
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length _
avg distance offshore
max distance offshore
Basin, channel
cubic yards__-_ _
Boat ramp
Boathous Boatli
Beach Bulldozing
Other
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
l fin lull'/ram
Agent or AJj licant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
i
(Scale:
See note on back regarding River Basin rules.
Perm t Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name

i t
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:
I Tar - Pamlico River Basin Buffer Rules
ri Neuse River Basin Buffer Rules
L I Other:
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 Citv 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

-,1MA / DREDGE &FILL -^ J' - 1V 41151
GENERAL PERMIT '
p Previous permit #
w 4�lodification 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 �t
ulattached.
Applicant Namef Project Location: County aY' e �/-
p
Address /3 Street Address/ State Road/ Lot #(s)
City �o �t/Ac�J ✓!�% / State N C ZIP -4—e�3 !7l �l /,p ,' :i lei
Phone # Fax # () Subdivision /ly �c r
Authorized Agent f yraow / / M 1JYX-" '�- City t^ (u`��1 �i L ZIP
Affected "� W E A ❑ ES ❑ PTS Phone # ( ) / River Basin
AEC s : ❑ OEA ❑ HHF ❑ IH D UBA ❑ AdWtr. Body U'� N/A •. L k� � L� () i y nat /mom an /unkn)
❑ PWS: ❑ FC: /
ORW: yes /Q PNA yes / (a Crit. Hab. yes 1 no Closest Maj. Wtr. Body
Type of Project/ ActivityrA
earyf�,
(Scale: W
)
Pier (dock) length 6 P 9r
Platform(s)
Finger pier(s)
+r
Groin length
number
--—�
- - _
-- - -- - - J —
-
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
-I
Basin, channel
- -
cubic yards
Boat ram
�,-
Boathouse/ Boatlift
i
a
-P,—
`
I
c
Beach Bulldozing _, l
f
Other
i
Shoreline Length o
SAM not sure yes no �� k�a a _ /
j N i
Sandbags: not sure yes n fi-ild
Moratorium: n/a yes n
Photos: yes noS
Waiver Attached: es no - -.%'
A building permit may a squired by: f'"' �c c '�" ` y��`'See note on back regarding River Basin rules.
Notes/ Special Conditions dr` ii7 �Af��Fi' �mAxrw�uK- A;n7 �. te r' iur�. r '91�—!
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit 05Ws Signature
It—i v-o-r— 7-1 v-o
Issuing Date Expiration Date
fo A©�1��A
Local PlanningJurisdiction Rover File Name

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aA of fxrucn feet (15') from my arcs
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i Q wish to waive that setback requirrntent j
T) CRIPTION AND1OR DRILWING Or- PRO 30SED M, Vr-L,01'M7.NT:
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SOUTHERN BANK
SEASIDE MARINE CONSTRUCTION 66-258/531
TAX ID 13-4269801 PH: 252-923-1000
PO BOX 273 1651 HWY 92
BATH, NC 27808
PAY TO THE
ORDER OF
1922
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12
W. BYRON MIDYETTE III
LONNIE M. FOSTER
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MEMO 1 � _ UAE _._ __- -----
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