42995_MAGNUSUN, BILL_20050930

CAMA / IDREDGE & FILL / �' ` .2995
GENERAL PERMIT P ''sous per it # f
i_ INew Modification [Complete Reissue ❑Partial Reissue Dtte previ us permit issued 14
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
CJ Rules attached.
Applicant Name'-' Project Location: County_
_y
Address t' �t t _ , %"� '' Street Address/ State Road/ Lot #(s)
City / t State'U ZIP
T
Phone # (�r a) `� 6 - v b�/ Fax # (^) Subdivision`'
Authorized Agent i City ZIP
Affected ❑ Cw Lo4f* O`PTA ❑ ES ❑ PTS Phone # ( ) River Basin
1 OEA Li HHF ❑ IH ElUBA [I N/A q %�, y/ r
AEC(s): Adj. Wtr. Body j'�..'�-- (riat.Lman /unkn)
i PWS: ❑ FC:
ORW: yes / no PNA yes / no 1 Crit. Hab. yes / no Closest Maj. Wtr. Body i� at 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
r L
cubic yards
Boat ramp
Boathouse/ Boatlift
I
Beach Bulldozing i—_ —
i
Other
_­-.
i
Shoreline Length
$AM not sure yes
no
Sandbags: not sure yes
ho,
Moratorium: n/a yes
no
w
Photos: yes
Ao.
Waiver Attached: yes
(no
A building permit may be required by:
Notes/ Special Conditions
r'
Agent or Applicant ri a a•�n�
v JJ// _--
Signature �/ please read compliance statement on back of permit
Application Fee(s) Check #
i
T (S��y�•�
(Scale: A/1''' )
T See note on back regarding River Basin rules.
ry(r,e
Permit Officer's Signature
Issuing Date Expiration Date
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, 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 (252-946-648 I) 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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is,desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
P,AgO01 n L) SCWLL
C PC, o.I
CV4PG min I f Y-)
A. Signature
X (},.-44
B. Received by (Ffrinte(1 Name)
❑ Agent
D. Is delivery address differem0from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
b1cC< -
ertified Mail ❑ Express Mail
❑ Registered ❑ Return Reee104 for Merchandise
❑ Insured Mail ❑ C.O.D.
YY1P'Ov'1y'!> Un . 14. Restricted Delivery? (Extra Fee) ❑ Yes
i 2. Article Number
" (Transfer from service label) 7004 13 5 0 0001 6536 6 7 4 8
PS Form 3811, February 2004 Domestic Return Receipt
_ 102595-02-M-1540!

UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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tw inXAMLI i icirAtc! A �y rimy a IC U WAXK ,. A1'IKMkN r
(FOR A PZMWOORNG i KWWOUSE)
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I hemby certify that I owns pWm y a(gacent to 6:�-1 l YYI i,; n o ,,,c n is
(Name of Property Owner)
pmperiy laca#ed a>~ n C� LA A ; � G- i n% a," D i
aAetc-)
(Waiutw I (Town andlor Cowd))
Ere has descuIed to me, as shown below, the deoelopmeat he is p wposing at that
h=dim, a* I leave no abjecdm to his pmpoeaL I umbistmd that a paeda>�ring
mtaibe setbackammm x offsfh=fi:d (m fir my area
of >iman access unte.4s waived by me.
I o not wish to waive gie setback r��rem�L
I go wish to waive that setback *per
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DESCRIPMN AMIOR =&WING OF PROPOSED DEVFIAPAENT: I
(T'o be filed in by &&vi&dPvpadxg de ►erolmrent} I
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signature
Print or Tie Name
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INNERBANKS MARINE CONSTRUCTION, INC.�"\� X1< i , !��! , \
P.O BOX 190 PH. 252-249-1429 �,� ,* ,j `.` ' ' , i J ` �l �' 66-30/531
ORIENTAL, NC 28571 ���� f� r'� �,\ ��� a Z /, O�i,f ` ,` 472
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fjRS-r CITIZENS 472 4Aq
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Or em.1 N.0 28571
www.firstcitizens.con
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