41379_HODGES, CHIP_20050518

i !CAKA / �- DREDGE & FILL
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GENERAL PERMIT
Previous #
Aew _1Modification ❑Complete Reissue
,�� permit
i-Tartial 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 1
// ��
01 I �"��
11 Rules attached.
Applicant Name ��—r
Project Location: County —_
Address I Lo ✓ r `' `
Street Address/ State Road/ Lot #(s)
City . ' I e yy .• s �' P State A ZIP
Phone # (tj��) �f� /��Fax # (`)
Subdivision4.
X
�,.
l ' l `� I '�J
Authorized Agent
City_ _ i ZIP
Affected - CW ffrW TfiA ❑ ES ❑ PTS
Phone # ( ) River Basin
OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
i� �r eQ i
Adj. Wtr. Body �f . G(iat Oman /unkn) j
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 piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shor me Length
SA , not sure
yes
no
Sa dbags: not sure
yes
no.
M ratorium: n/a
yes
no,
Ph tos:
y,k
no
Wai er Attached:
0A
no
A building permit may be required
Notes/
4
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f y IJ-
flt ,L
by
Agent or Applicant Printed 7
Signature Please read compliance statement on back of permit
isLlJ
Application Fee(s) Check #
n34 �
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~JK
(Scale:
C--'''See note on back regarding River Basin rules.
Permit Officer's Signature
- I
Issuing Date Expiiratio/n Date
3
Local PlanningJurisdiction / Rover File Name

I ,
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 [)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:
Jl Tar - Pamlico River Basin Buffer Rules [ _J 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.nccoastaimanagement.net
Revised 10/05/01

IM"Ji'MIJ;t74 I iLLriuuAn rKVr1&KI Y V WAk K , I'AI"I H; I*
(FOR A PJZWMDOR 7VG PLUNGSBOATLTF!'BOATSOUSR)
I herby certify that I own Pmperiy adjacent to L: Ia 4-c ,--> . 's
(Name of Property Owner)
Pmpexty kxated at ,-v) L11 S
(Dt, B;oc$ Road, mac.)
-tin N.C.
(Wafubody) (Town and/or Comity)
HE vas i to me, as sbown below, the Mt he is proposing at that
location, and, I have,* objections to his pit. I u&lustmd that a gier/moonng
m be set back a min dim of Me= &d M from my area
Of riparian access unless waived by me.
I do not wish to waive the Setback r�rtir�sncsnt
I &o wish to waive that setback ref irement
DESCRIPTION AND/OR DIRAWING OF PROPOSED DEVEWFNMIT:
(To be,filled in by individual pmpoAzZ deydopment)
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Print or Type Name
Teiephcme Number
Date: / - . 30 - 06'
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May 17 05 05:19p Innerbanks Marine 252-249-1429 p.1
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WNERBANKs MARINE CONSTRUCTION INC.
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PO BOX 190 ORIE:I TAL, NC. 28571
OFFICE [phone] FAX [phone]
EMAIL [e-mail]
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May 17 05 05:19P Innerbanks Marine 252-249-1429 p.2
Ay
X UWALK SIAlkMENT
(FOR A PZERIMOORMG Pff"GSIROWTIFTIBOATHOUSE)
I hey certify that I own property adjacent ta
(Name of Property Owned
propefty locatE!d at
(LA BhWA, Road, etc-)
on in
(Watmtodjr) I (Town an&ok Camay)
He has descn-bed to me, as shown below, the development he is proposing at that
IIDCc€, M4 I haw no dbjecdms W his WOF.:— I mWm=nd that a piedmommg
PlEngs/bOaffift(boathouse. nmst be set back a minimum distanm offifte= fed (LT) from my am
Of riparian access udess waived by me -
I do not wish to waive the setback rmMirmeat
I do wish to waive that: setback rNwrement.
-717 - 3 3,1- 7 f 3 1
Print or Type Name
Telephone Number
Date: -114", /�"i -

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INNERBANKS MARINE CONSTRUCTION, INC.
P.O. B
ORIENTAL, NC 28571
DATE s /171
PAY k I
TO THE � V
ORDER
1875
55-30/531
472
$ %,,SQ. v0
_DOLLARS 8 .a
1 V w
FItsT CiTIZEIVS 972 I
BANK
((H�� N k & Trust company /.,
NP
www.firsteitizens.co
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