41340_MAY, CINDY_20050419

f-1 CAMA / DREDGE & FILL
GENERAL PERMIT jDa-previous
permit#
❑New (]Modification L-Complete Reissue 'L(Partial Reissue 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
Rules attached.
Applicant Name_ ��ti= 1>y f 1�`,1 Project Location: County
Address a'v 7 Street Address/ State Road/ Lot #(s)
City State ZIP L T
Phone # (1I ) `�47 - -� rj `Z_ Fax # (^) Subdivision
Authorized Agent 1 /'' � ti'c �al � City �i F � � x1 �� ZIP 5!'-
L I CW 1 EW 21 PTA El ES ❑ PTS Phone # ( ) 7 � 9 �/' River Basin Al
Affected [I OEA Ci HHF ElIH ElUBA El N/A AEC(s): Adj. Wtr. Body (nat man unkn)
❑ 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 pier(s),_
Groin length
number
(Scale: )
i
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
-• j %a'4 1.4 ti `'
Basin, channel
- -
1 i
cubic yards
Boat ramp
Boathouse) Boatiift
-� -- - — - -
_
t
Beach Bulldozing-_
~�
Other_ - _
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
i �, VC --Re
Agent or Applicant Printed N, alne
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check#
— See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
L G-1/o l �.
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:
_I 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 (252-946-6481) 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.nccoastalmanagement.net
Revised 10/05/01

Ah► ) !gar' 19 05 04: 3 4 p MAR I E BARNETTE
252-726-8712 p.1
!i�' JA CENT R i_ :-i.�t-�icii IT ° . ; ' `� l x 0 VV ER, ' a"-' -�. �x..3�! _t�yr
(FOR A PIERIUNCOVERED BOAT IFI)
I hereby certify that I own property adiac:.nt to CjA
(N e of Pro rtv Owner) ,
propel located a[ L- & 1 �1-7� 7 zl Pi 1-1
/ (L-ot, Block, Road, etc.)
on 14ti('4 le- e,e-ek ul en N.C.
Waterbody) (Town andlor County)
He has described to me, as shown below, the developrjlent he is proposing at tl;at
location, and, I have no objeccdons to his propos4(.- .I understand Ghat a pier/uncovered boat liE:
must be set back a minimum distance of fifteen fc:.t (15') from myiarea of riparian -access unless
waived by me.
1 do not wish to waive the scEback requirement
I do wish to waive that setback requirement
t, �n
-----_—APRA-5.2oo5
DESCRIPTION :--N-D/OR DRA-W-2i G OF PROPOSED] DEti P-1
> OVMN .*
_ Kef (Ta be jWed in by individual proposing devel�pmeorehead
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Date:- al- IDS

MAR-15-05 TUE 11:24 AM CAPITAL PEST 919 676 7330 P.02
(FOR A P.IERI Ur'Y C OV RED BOAT I� II'� j
I hereby certify that I own propeny adiac-= to
j . iv�me of Pr rty O+�aer,
. /D1 fan /Y? propet�y 1�czted at (�.(� -- — - -
(Lot, Block, Road, etc.)
on AM Alole &ne-e
ate body) Uowu ax cdUcor County)
i
He has desc ibed to me, as shown below, the developt�eat he is proposing at &,a[
location, and, I have no obje-- ions to his proposal., .I understand 1p' at a pier/uncover�-j boat.l.it=_ .
must be set back a minLinum distance of ffteen feet (I5') from myjacea or riparian-acc.°ss unless
waived by me.
I odaot wish to waive the setback requirement_ l'
Y I do wish to waive that setback renur�ernept
APR p 5 2005 ti
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----- --------------------------------------- __-_-_- ----------- --------
-r DESCR=O A-N-D/OIL DRAfNTYG OF PROPOSEDiD @ I
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(7"o be filled in b, individual proposing devel�pmen!) ' Y CM
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Date:

�• oar. 19 05 04:34p MARIE BARNETTE
`V
O'' o
Air
IN
f, property located ar _�jl A) % ,�D 2t!/?13 / f�
/
/ j (Lat, Block, Road, etc.)
on _14'aa � /�i�le- el ee4 in • %� /)Cr � G E.YI N. C
FY-aterbody) (Tow-n and/'or County)
252-726-8712 p.2
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fil.,rAL . SDI Z' hJ_ `i is i h.i �i P1,11-) I-� IKR 0 WN i' - I'�:x -1-FEA�� 471 x
(FOR A PIERIUNCO'✓ERED BOAT 411M
I hereby cer',ify that I own proper , adiac-�!nt to C11n (a
(Y e of Pro r•ty 5tx er)
He has described to me., as shown below, the developr'pent he is proposing at tha,
Iocation, and, I have no objerdons to his proposal.- -I understand tihat a pier/uncovered boat. lif-
must be set back a minimum distant' of tiftetin fev: (15') from my ffea. of riparian-acc sss iun.Ies-,
waived by me.
, Cam -
APR 0 5 2005
DESCRY ,D-,`r A--N-D/OR DRAW�dG OF PROPOSED'iDEVELOP_
(To be felled in by fndividu.& proposing development) "rehea(� ���1`
r
t Do
V``� �r� 1 1.
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I do aot wish to waive [tie setback requiremen[.
I do wish to waive that setback requirement.
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THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK ru uwnl VywIn —n— . --- •.• -
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NOT VALID OVER $1,000. T t - I - .Er�cr,L: 61692489
ISSUING BRANCH
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ORDER OF —�—
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BB&T
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■ THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. ■