41787_HADLEY, REED_20050609

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�CAMA / - DREDGE & FILL 41787
�^ GENERAL PERMIT
Previous permit #
CiNew —'Modification[-]Complete Reissue F JPartial 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
,�) �. I Rules attached.
�' . --1,7Lf�'t Project Location: County- ' Applicant Name_ � � c� E � I
Address / -fit /�tij' r Street Address/ State Road/ Lot #(s)
%t / .-sy' /5 e r J State /L, ZIP `''''
� Cif,
Phone # O / ' �! / �� Fax # ( ) Subdivision
Authorized Agent P /-L� �� City / �/i-9,t't�'c ZIP
J, CW ❑EW -}PTA ❑ ES ❑ PTS Phone # ( _) 5� i 7 River Basin
Affected
❑ OEA J HHF ❑ IH ❑ UBA ❑ N/A ' + ,�,��
AEC(s): Adj. Wtr. Body (at /man i/unkn)
1 PWS: ❑ FC: -
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
cubic yards
Boat ramp
Boathouse/�koatli \� /
A)
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:
, eI
no
A building permit may be required by:
Notes/ Special Conditions
tj
Agent or Applicant Printed
C ��L,
m —
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
1
(Scale:
i
- See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date } Expiration Date
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 / I-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.nccoastalmanagement.net
Revised 10/05/01

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.(FOR A PIER/LIN OVERED BOAT IJIM
I hereby certify that I own property adjacent to�,�%1/5��iPrG�.a�,
(Ni:11rue of Propertv Os vier) %S
property Located at _ �� ✓ 0- 4 ?///;- -
(Lot, Block, Road, etc.)
on in.y tv . C .
(V�'aterbodv) (Tow-n andiorlCounty)
He has described to me, as shown below, the dev�ciop4ient he is proposing at tt:at
l(xcation, and, I have no objections to his proposal. I undersulrid 0iat a pier/uncovered boat lift
must be set back a minimum distance of fifteen fe~t 01.5') from my area of riparian access unless
waived by me.
I do not wish to waive _the setback requirement. [ 1
't! z do wish to waive that setback requirement.
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DESCR.LP(D A_N_D/OR DRAWING OF PROPOSED DEtiELOPNLE.`�T:
(To be filled in by indiy&ualYn;por,ng de:•ell,p�nent)
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FOR A PTERIUNCOVER.E'D BOAT 11
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I hereby certify. that I own property adjacent to 104/=5/,�
(NI nae or Property Owner)
property located at
(Lot, Block, Road, etc.)
on T�� pv,✓p m�,/%/�//� N.C.
(Waterbody) (Town and; orl (county)
He has desc 'bed to me, as shown below, the developrtient he is proposing at that
location, and, I have no objections to his proposal. I understand (iliac a pier/uncovered boat lift
must be set back a minimum distance of fifteen fz~t (15') from my'area of riparian acczs5 unless
! waived by me. -
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I do not wish to wave .the setback requirement.
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I d wis
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DESCR.LP ON A-N-D/OR DRANIvD G OF PROPOSED DE%ELOPMF—'N-T:
(la be fl-Ued in by indi;,idut-J pr;pozng uerel1,prnent)
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