41981_MURPHREY, TINA_20050207

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C'CAMA / CJ DREDGE & FILL
GENERAL PERMIT Previous permit #
*New L1Modification [--]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 15A NCAC
Rules attached.
Applicant Name ; X-; U f 11(\ 4-C Project Location: County r
Address �) l /C-k woo , �V e
City 1C ✓4 ✓ ! y % State- YC ZIP -, 760/
Phone # (lI `�) t S l y% `j Fax # ( )
Authorized Agent
Affected ❑ CW ,2TtW -&fTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
iS j
Subdivision
City�1�r,t�jP ZIP
Phone # (f�9) s311' L�/i % River Basin ��►
Adj. Wtr. Body at /man /unkn)
Closest Maj. Wtr. Body -
Type of Project/ Activity
`
k
-1`16— L&A
J ; (Scale: to I )
Pier (dock) length 5, '_-..
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length-
f r i
avg distance offshore ---
max distance offshore
Basin, channel t
cubic yardsiV
5
Boat ram'/
Boathouse/ Boatlift
Beach Bulldozing
Other aOLK�s/�;
{- t-`����� TC
,�t'
CJ
Shoreline Length
SAV: not sure yes - 3 ��
— ---—
-----' j
Sandbags: not sure yes
� I LGf
�' �
Moratorium: n/a yes no
� ! :J � r i
Photos: yes
w
Waiver Attached: ,yes. -' no
A building permit may be required by:
_ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signatu�re
Issuing Date
Expiration Date
Local Planningjurisdiction
Rover File Name

r1a
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 (252-946-6481) 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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

ADJACENT RIPARIAN PROPERTY O`N'NER STATEMENT
(FOR A PIERIA100RING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to T>9 is
(Name of Prop rt- O ner)
property located at
(Lot, Block, Road, etc.)
on 6 , in , N.C.
(Waterbody) (Town and/or County) .
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/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 not wish to waive the setback requirement.
I d4 wish to waiv �� setback requirement.
f ~
-----------------5----------------------------------�-
p�E�'CR 'G OF PROPOSED DEVELOP�ti1 NT:
`(To be filled in by indivi ual proposing development)
1 � '
t`u`r-S
------------------------------------------------------------------------ --- ---- - ------------------ -----
Signature `.1
DU J- k %.. /Y
Print or Type Name
d I-� 1 70c-I
Telephone Number
Date: � 0 5

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to (1,rd _ Ua 's
(Name of Property Owner)
property located at 3g 3 (1( } N,,''4 ,
(Lot, Block, Road, etc.)
r
on A
, in , N.C.
aterbody) (Town and/or County)
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/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 not wish to waive the setback requirement.
✓ I d-4 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
I&31
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Print or Type Name
Telephone Number
Date:

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LOUISE M."I+AURPHREY _ 2690
8-3
NCDL 1773321 PH. 252-44861
PO BOX 192
TRENTON, NC 28585-0192 776'
66-112/631
01601
T 6 r $ /C�=
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BRANCH BANKING AND TRUST COMPANY IIIII LC/�.
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