40017_JONES, CARL_20041004

LAMA / I DREDGE & FILL 1V? 40017
"rG ERAL PERMIT /`
Previous permit # 1" I�
1 ew I IModification I (Complete Reissue I (Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources �j �/ 0
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC O /
r — I �les attached.
Applicant Name ° Project Location: County
Address I Street Address/ State Road/ Lot #(s)
city —�_.State -G ZIP � Lafi
Phone # P aY 9—I0-rFax # r Subdivision
Authorized Agent City QrIG'' I/ ZIPJ--71
Affected U I� 1 CW EW I I PTA ivfS 1 1 PTS Phone # ( ) River Basin f I OEA I-) HHF I I IH i I UBA I I N/A
AEC(s): Adj. Wtr. Body-_ �r na /man /unkn)
I_I PWS: I IFC: - - -- --- -
� . Pal Vey
ORW: yes / PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body -
Type of Project/ Activity Cp,V4-r"C �.j� 6 rJ� ✓ �� "`� C,
Pier (dock) length- -
Platform(s) _
Finger pier(s) -
Groin length
number
i
Bulkhead/ iprap ngth Cf f
avg dis nce offshore
max distance offshore NI,
Basin, channel
i�
cubic yards
Boat ram —
P
GX�
Boathouse/ Boatlift
G�wZ2 C
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
no
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
Notes/ Special Conditions 0
NWl' Vv
��od
� `C J 4
0
J
p
YnfI
(Scale: No'`a-- )
K) me
fe-o f.
.JUL_ 1 4 Z005
Morehe AtY �Vlrl
V "1 J" �tt^�`/ , - A See note onback regarding River Basin rules.
R-11 -A- 1! �- p[% ccd �'k lj kwD�n•d -'-f ) C Oa-r' .t Vot-+111-jl 1 /Ae.
k� b f% i ►� ® �! fi'^� c o s>—J �c r i c� +o
a s _r�- y
itj
o
t Prin N me
lease r mpli nce s atement on back of permit
00 [o-771
Application Fee(s) Check #
Permit Officer's Signature
J0 - V-o �
Issuing Date r
Local Planning) urisdiction
)- y" Of
Expiration Date
/�o`13JIYA
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 I) 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:
I 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 (252-946-648 [)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)
Morehead City District
151-13 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 Iniet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

• P. 01
TRANSACTION REPORT
JUL-18-2005 MON 09:53 AM
DATE START RECEIVER TX TIME PAGES TYPE NOTE M# DP
JUL-18 09:51 AM 912522491825 1159" 3 SEND OK 706

DIVISION OF COASTAL MANAGEMENT
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RE50URCE5
TO:
OFFICE:
TELEPHONE: ( ) 7 / - D FAX:
FROM:
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557-3421
Voice: [phone]
FAX: [phone]
Re: L Wl I f mad 'po't
DATE SENT: q J
TOTAL PAGES INCLUDING COVER SHEET: 15

__L`4
-
OCAMA / DREDGE & FILL ; r
� _� (117
GENERAL PERMIT Previous pe it #
uNew 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 I SA NCAC
C Rules attached. —
Applicant Name C ` Project Location: County
Address L -�` ' `S t / Street Address/ State Road/ Lot #(s)
City State ZIP Lc
Phone # () Fax # ( ) Subdivision
Authorized Agent City ��'r / ZIP
CW ❑ EW ❑ PTA MiS ❑ PTS Phone # ( ) 11 River Basin
Affected F- OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A r , f I
AEC(s): Adj. Wtr. Body' (ha/man /unkn)
❑ PWS: ❑FQ
ORW: yes / no PNA tye / no Crit. Hab. yes / no Closest Maj. Wtr. Body
�c• F:
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/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure; yes no
Sandbags: not sure yes no
Moratorium: n/a yes ;"no
Photos: yes (o
Waiver Attached: yes
A building permit may be required by:
Notes/ Special Conditions
i
Agent or Applicant Printed Name 4'
Signature Please read compliance statement on back of permit
l
4..
(Scale: ;Vv''ll- )
T' See note on back regarding River Basin rules.
Issuing Date Expiration Date
Application Fee(s) Check # 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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules __] Other:
U 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 (252-946-648 [)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 / 1-888ARCOAST
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

0Iuywj
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G Ross Jr., secretary
October 5, 2004
Mr. Carl Jones
106 Starboard Circle
Oriental, N.C. 28571
Dear Mr. Jones:
Attached is General Permit #40017-C to install 85 ft. of rip rap at lot #10, Orchard Creek Estates, Oriental,
North Carolina.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white copy for your
files and return the signed yellow and pink copies to us in the enclosed, self-addressed envelope. If the
signed permit copies are not returned to this office before the initiation of development, you will be working
without authorization and will be subject to a Notice of Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Stephen Lane
Coastal Management Representative
SL/rcb
Enclosures
151-B Hwy. 24, Hestron Plaza II, k1orehead City, North Carolina 28557
Phone: [phone] \ FAX [phone] \ Internet: www.nccoastalmanagement.net
e., c- -I k nu,,.....r,.,, A-C,,.. c,-,,,1--, - rn0l. l 1n°/ Pn.ct r'nrcrnpr Panay

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent toSP of Properly Owner)
(Name Owner)
property located at
(Lot, Block, Road, etc.)
-= C i2 ,n T( N.C.
I o n t 1#� i Le
(WaterUody) (Town and/or County)
ilk
R He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
�! pilings/boatlifVboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I clo 110t wish to waive the setback requirement.
I"wish to waive that setback requirement.
_________ - - - -----------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
t 0_ i`.J4iA fos sk�DW1J Od /07-jOLI'd f6;
i /Q f S
----
Signature
�
RA
Print or Type Name
,ay�-»3
Telephone Number
Date: � l a / 0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOA TLIFTIBOA T110 USE)
CA
5� �'Iti ! C.� 's
e certify that I own property adjacent to . U r f�lc? -
I hereby y
(Name of Property Owner)
- property located at L 4'� 10
0I �,';.� .,
(Lot, Block, Road, etc.)
I - on'
C a 5-£.. G ; in J �'�[ `.' ovh� , N.C.
o
1 (Waterbody) (Town and/or County)
T He has described to me, as shown below, the development he is proposing at that location,
j and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do no wish to waive the setback requirement.
I sI wish to waive that setback requirement.
I
- - -----------
__-
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
�i0aTbeJL
'iST/Q Ea
Signature
c7, LJz
Print or Typd Name
-�)5 - :� % - .2J`{%
Telephone Number
Date:

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392
N 26 g
/412
1
Q �
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431
q 340
g 478
a
so
N
ZIS
20NOSO a
3
101 jve tt
�`� 17 'C`S '�S�' 1� p • t 6
1 S
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w 15 �r 71 1p o
1b0
3 6 34
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12
170
�* V t -� Lot sizes and dimensions
are approximations
. ,