40964_LENDLE, DON_20050707

F�' CAKOA / DREDGE & FILL NV
GENERAL PERMIT
Previous permit #
'New —lModification i_'Complete ReissueLIPartial 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
❑ Rules attached.
Applicant Name /,N GZ'U���' Project Location: County, --__
Address_ Aq x Si 1, ��2h� �.�iVE Street Address/ State Road/ Lot #(s)
City State "'16 ZIP 3171217 j =iC:
Phone # (�)���-r% Fax # O Subdivision
Authorized Agent City____ ZIP_.
CW D EW _�RfTA ❑ ES ❑ PTS Phone # (�.) '� �'' ? �i '� River Basin -1
Affected C OEA C' HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body /- ^14 - _(nat /man /unkn)
CI PWS: ❑FC:.i
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body ----____—_---___
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
rio
Photos: yes
no,
Waiver Attached: yes ,
no
A building permit may be required
by:
Notes/ Special Conditions
Agent or Applicant Printed Name
(Scale: )
-- - ----- -- I ti .._.._.�
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
f
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
7� i
Issuing Date Expiration Date
L.070-78,�
Local Planning] uriscliction 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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules 1 1 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
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 Il
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

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ADJACENT RipAR AN pROPERTy OWNER STA EW
(FOR A PIERIUNCOVERED .BOAT IIFX)
I hereby certify 'that I own property adjacent to
s
(Name of PtOperty Owner)
property located of J J 6 -J'lp `9-. A h "t" /L/" �-
MAL Rinnlr 71e.5-4 a&_ ,
an , in
(Waterbody) ! XC.
(Yawn aadlo County)
He has described to me, as shown below, the dcvclOPmcnt he is proposing at that
location, and, I have no objections to his proposal, I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (IS') f
waived by me. rom my area of riparian access unless
7 wish to waive the setback requirement.
I JQ wish to waive that setback requirement.
DESCRIIMON AND/OR DRAWING OF PROPOSED DEVE7.OpM=ENT: -----
(To be filled in by Wivldtad proposing development)e'j(
a
I�
0
Signature
WA L-TG%Z 6.4 sk t t-L
Print or Type Name
a 54�-- s-�) 4- 3S"a
Telephone Number
Date: �o - / Z- -
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ADJACENT REPARMN ]PROPERTY OWNER STATMM
I hcrcbY oeltifY t 10V m pmap" a€Bjacant to
aft= of r"Farty O-)
Iarrty l at 2-7L7 d'1�t..� ��,>+'�i',� o
of 'toad,
... atea'I � �FWYlb � �t+w•�
G N.C.
(Wsterb�dj►) a0va as cm- y}
He W gibed to me, as shown below, the akvtkr,%pw-t Ing, io XW4g ft at s
lcmdou, WW, 111we no objectkxn to his proposal. I mWastand that a pig/w aves+al boat lift
must be set back a tnij i ttm distance of fiftm feet (151) from my axes of r"Arum 99cm uniam
waived by me.
1 do n9l wish to waive the setbar.1t mguiremem
I ,dQ wish to waive that setback rat.
DESCRMION AND/ ►K DRAWING OF PROPOSED DEVEWPMMNT:
(O hef" in by fad vOual pmpoj*tg derdopm"t)
Print or Type Name
Tdapborti N mtba
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f.'/4�-

ERIC B. ELLIS 3029
JASA M. ELLIS PH [phone]
205 NOTfINGHAM DR. &�-66-30/531
MOREHEAD CITY, NC 28557 Date 133
Pay to the I vcj o
Order of � �/ f'� $ /
Dollars 6
FIRST CITIZENS —
jj First-CitiB. Bank N.C.Trust Comparry
Fwl t-Cc Boach,. 28512
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