39778_HELMS, LARRY_20050419

❑LAMA / - DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue i'-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-7 �/ I,� OU % • 1 r
J� � Rules attached.
Applicant Name f % F-'� tilts 5 Project Location: County i? We,
Address I' , 55 Street Address/ State Road/ Lot #(s)
City- u 1 } _ State ZIP is
r
Phone # (__)`' Fax # (^} Subdivision '� �I�'/e J'' J J- s
Authorized Agent City zip I 1
CW Q EW O PTA DES ❑ PTS Phone # O River Basin
Affected L OEA ❑ HHF ❑ IH ❑ USA ❑ N/A �
.Gnat /man /unkn
,. �� /r /� +�; fPr� -L--) AEC(s): Adj. Wtr. Body_
El PWS: ❑FC: � �"
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. BodyVA 11,V4
Type of Project/ Activity
(Scale;(
Pier
Platfo
Finge
Groin
Bulkh
Basin,
Boat
Boat
Beac
Othe
Shor
SAV:
Sand
Mora
Phot
Waiv
A building permit may be required by:
Notes/ Special Conditions
rid
MEN
on back regarding River Basin rules.
—
-
See note
Agent or Applicant Printed Name r /
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature
05' l�7 I- 0_�,
Issuing Date Expiration Date
Application Fee(s)
Check# Local Plan ningJurisdiction
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:
J' 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 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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Morehead City District
Wilmington District
151-B Hwy. 24
127 Cardinal Drive Ext.
Hestron Plaza II
Wilmington, NC 28405-3845
Morehead City, NC 28557
910-395-3900
202-808-2808
Fax:[phone]
Fax: [phone]
(Serves: Brunswick, New Hanover,
(Serves: Carteret, Craven, Onslow -above
Onslow -below New River Inlet- and
New River Inlet- and Pamlico Counties)
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01