41747_HILL, ROSS_20050620

i
JCAMA DREDGE & FILL
GENERAL PERMIT 1 �
Previous permit
#
=1New C-!Modification _';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
/ ' ❑ Rules attached. 111
Applicant Name fh�'°% 1 Project Location: Coun
r
Address�� `' �f' I Street Address/ State Road/ Lot # s ' T
City ✓ J, ' ` _ State_ ZIP'
Phone # (�S ") Fax # O Subdivision_--_ Zr l
Authorized Agent c f City--- ZIP
Affected E Cw 9-115`W [9-"A DES O P *'' , Phone # () River Basin AVQ
C_I OEA ❑ HHF ❑ IH ❑ UBA . [ J N/A
�_' PWS: ❑FC: to
AEC(s): - Adj. Wtr. Body _- _ man unkn)
ORW: yes / noPNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body _--_——
Type of Project/ Activity
Pier (dock) length` ---
Platform(s)
Finger piers)
Groin length - -
number _
Bulkhead/ 'Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ram
Boathouse/ Boatlift
Beach Bulldozing_
Other
Shoreline Length
SAV. not sure yes no
Sandbags: not sure yes no:
Moratorium: n/a yes :no,;
Photos: yes hg
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Appl
/lY / ! \10
(Scale: P u '
E"See note on back regarding River Basin rules.
Permit Of•'s Signature
Signature l�9 ** Please read coml
H . . I i (.J
Application Fee(s)
statement on back of permit Issuing Date
Check # Local Planning Jurisdiction
Expiration Date
Rover File Name

4
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 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 / 1-888-4RCOAST
Fax: [phone]
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

ADJACENT RIPARIAN PROPERTY OM\ER STATEMENT ' .
I hereby certify that I own property adjacent to ^ � 5 �1I'1 � -s
(\are of PropertylOwner)
property located at _� 4z:: f & t-, 2
(Lot, Block, Road, etc.)
on r v LLD N.C.
�Va dy) (Town and/or County) 7
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIMON AND/OR DRAWING OF PROPOSED DEULOPIIENT
(To be filled in by indi; dual proposing dei'elopmen!)
Signature
717Z
Print or Type Name
?1C, -- ,� /9 -2-
Telephonic Number
Date: S CJ
—29—

ADJACENT RIPARIAN PROPERTY 0117 TER STATENENT "
I hereby certify that I own property adjacent to )Ce-1 S -:: � lV li"l 's
(Name of Property- Owner)
property located at
/F! V tf IV- A- I J'.
(Lot, Block, Road, etc.)
on in �� C Cc�r ry T, N.C.
(VVaterbody) (Town and/or County)
He has describer) to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION ANTD/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by indii,idual proposing deti-elopmen!)
712
_29_
SicnatUre
� Ze�
Zfz/
Print o: Type Name
Telephonfe Number

HODGES MARINE CONSTR4JCTION 201
NCDL 1999167 PH 252-745-7018
55 BAYSHORE RD
f,! �`f ` ! , %, 66-30/531
MERRiTT, NC 28556 of ' Date 472
Pay to the
Order of_
$ %0 00
Dollars 8�",a"
FfiRST CITIZENS 472
D /j Arm First-Citimns Bank S V-1 Company �•. l: •! . (i! ' t
j)C'1i �i` OriarRal, N.C. 28571 j
{� fFrs is * i
For_ _
I:0 S 3 i00 3001:004 7 L 2008 348ii402SO L
GUARDIANS SAFETY BLUE WDBL