42716_KINCHELOE, WILLIAM_20050823

C7CAMA / ❑ DREDGE & FILL
G_ ENERAL PERMIT Previou permit#
hlillew ❑Modification ❑Complete Reissue ❑Partial Reissue Date a ious permit issued
As authcd ized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal R@sour es Commission in an area of environmental concern pursuant to 15A NCAC
�IiA
/' � ❑Rules attached. �
Applicant Name IN C���1 ek Project Location: County
Address � U # ? 6 .,I t �r,/c.� J-1 Street Address/ State Road/ Lot #(s)
City , i i" CkC4 1 f V State %*e'( ZIP
Phone # (,) 5 Fax #(^ Subdivision
rr
Authorized Agent � I- WJ, � IGI City %n j L % r /I .A ZIP
CW CEW l A [I ES ❑PTS Phone # ( ) River Basin
Affected i- OEA !J HHF ❑ IH ❑ UBA ❑ N/A � - (
AEC(s): Adj. Wtr. Body <:(,,' J -��� / Fri � /man /unkn)
PWS: ❑ FC:
ORW: yes / no PNA yes /�}io ; 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 t
Boathouse/ oatlift 1f x !
Beach Bulldozing
Other
Shoreline Length [ 0
SAM not sure yes �o
Sandbags: not sure yes to
Moratorium: n/a yes ho
Photos: yes ono
Waiver Attached: yes 'no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
(Scale: 'A `r J )
❑ See note on back regarding River Basin rules.
Permit Ofr' r' Signature
9) A ' // ; 3 h' I -
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Local PlanningJurisdiction Rover File Name

ti
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:
', Tar - Pamlico River Basin Buffer Rules f Other:
0 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 (910-796-7215) for more information on how to comply with these buffer 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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

40
,; 4 !'�DJt CEN'1' k�i_1't3it%r`�ir "V J"-x () Yi�N t ' ` J ENIF
(FOR A PIFRIUNCOVERED Bolt 1.111M
rNc-#Et-01
I herebv c.,rtify that I own property adjacent to s
(NILrue of Property Owner)
property located at - % 2-0 !
(Lot, Black, Road, etc.)
on 130CsyE SOCANb in I'N0Rf-*EAL) C-1 CA-
(Waterbody) (Town andiorlCounty)
He has desc,-ibed to me, as shown below, the development he is proposing at that
location, and, I have no obj-e`tions to his, proposal. I under5L'Xd chat a pier/uncovered boat lir
must
waived
eb setbacka minimum distiancr of riteen It ('j 1�from myiarea-or riparian access urriess
I
I do not wish to waive .the .setback requirement.
I d wish to waive that setback requirement.
---------------------------- �--------------------------
i DESCRIFI��7I`i . -D/OR DRA W-P G OF PROPO5ED D.EVELOP?tiM',,-T: -___
(To be )Ulea in h y inriiy&ujr -1 p r-;posing das e!�p/rrenc)
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18-Aug-2005 02:29pm From -TOWN OF MOREHEAD T-873 P-001/002 F-377
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18—Aug-2005 02:30pm From —TOWN OF MOREHEAD
T-873 P.002/002 F-377

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