40746_MYERS, HARRY_20050111

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JCAMA/ DREDGE & FILL f ►.`��:;6
GENERAL PERMIT Previous permit#
F.New I -Modification Complete Reissue C'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 I SA NCAC
Applicant Name 1 ��' r J 1 Project Location: County
Address ^,/, ` �' Street Address/ State Road/ Lot #(s)
City` - " i ?� State ZIP
❑ Rules attached.
Phone # Fax # (^) Subdivision
Authorized Agent ! ''' " L� �i`"' City_ - ZIP
❑ CW [3.EW ©-PTA ❑ ES ❑ PTS Phone # ( ) River Basin
Affected —
❑ OEA ❑ HHF ❑ IH I UBA ❑ N/A
AEC(s): - Adj. Wtr. Body_ -
PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body-
nat man /unkn)
Type of Project/ Activity
dnc1 y X/y J7e,�(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length -
number
Bulkhead/ Riprap length•
avg distance offshore
max distance offshore I
I
Basin, channel - - —
cubic yards _
; ' t
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing-__.e.—��
Other �\
sIT
Shoreline Length .. _ =
f
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no . . .
Waiver Attached: yes no --
� r
A building permit may be required by: �ee note on back regarding River Basin rules.
Notes/ Special Conditions
A;��t-;M`Ir,7 5
�-
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
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 (252-946-6481) or the Wilmington
Regional Office (910-395-3900) for more information on howto complywith 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 / 1-888-4RCOAST
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 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

i.v r "I d or rr rn r n I S
INNERBANKS MARINE CONSTRUCTION INC- 1791
P.O. BOX igo
ORIENTAL, NC 28571
252-249-1429 66-30/531
DATE —( J11 6 5 472
PAY
TO THE
ORDER OF—/VL D
s loo. od
0_i�xe__l �v fol)— -DOLLARS 61
F)Rs—r CITIZENS472
Fist-Citi. ——­­
� 5k & TA C.
BANK O;iontal.NC 28571
www.firstcitizens.com
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■ 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.
it ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
P.c).r5:->n tat
COtLXW113�
A. Signature
�y ElAgent
X Lkl � 1 ❑ Addressee
B. Received by ( Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
u! &reified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7004 0550 0000 3921 9348
(Transfer from service label)
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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Lmjiti%,r L'N 1 1<trwx, A it r.MVYrKl Y UM4. f;K SfAJU ME NT
(FOR A PIERIMOOMNG PILINGSBOATiUTBOATBOUSE)
I hereby certify that I own property adjacent to C1 \r r j IV �r 5 is
(Name of Property Owner)
property located at
(Lot, BIock, Road, etc.)
on �51rowv�S Creek . in _ ii a^� �� � Pnw�`,�� , 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/boafflMoathouse 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 moo, wish to waive that setback requirement.
DESCRIMON AND/OR DRAPING OF PROPOSED DEVELOPMENT:
(To be , fled in by individual nmposing development)
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Print or Type Name
Telephone Number
Date:

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■ 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:
C. v u Wice iLa&-M► qn S Q -
p, a. 6t,ic (9')
(0VL 4-V1t `310 o v'o i VIC .
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
A. Signature
❑ Agent
X�` n (
❑ Addressee
B. Received by ( Printed Name)
C. Date/ of Delivery
D. Is delivery address different from item 1?
❑ Yes
If YES, enter delivery address below:
❑ No
3. Service Type
0�,Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7004 1350 0001 6536 6878
Domestic Return Receipt
102595-02-M-1540i

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 •
P. T,r��, x
U . �vK 1 1U

Jan 27 05 08:39p
p.2
.Ian 27 05 07:04a Harry Myers [phone] p.1
�surM►�r c� i x%uruufjA rxvrzxA Y V rilXER , lAi"r1V1r1 T
(FOR A PMWMOOZINri /BOArROUSE)
I hem c crffy that I own p mp" to A.%v r y A V 5 6 's
amine of Pr4puty owmeo
PRTMty bcabedat �.L-1 7 6 boo w A s (v ce
OLat, Rba Rom, atr-)
m �raNv�S_ i� c f_V_ , m Merv: , N.C.
(wat mbo ft) • Crmm woo dltt Cmft)
$e'bu dcKzbod tia me, u abown bdow, the devdopmeazt he is pgvpomatg at OW
kczfim 34 1 hm mo ab cdms W his ptapo=L I m dcmmmd that a pied=mdng
must be set ba ck a mb ilammas drstence Of -a fi=t (IS') fi= my area
aft moh= wrrived by Me.
I do wish to waive Oc ugoic+�.
I At wish tO Wive tlot setb�k maaat.
DESCBII'I1+pN AMWM MAWING OF
(To bye, tj` W is by mart pmp�omiaP
l
rum c r type
Telelpbooe Number