41175_MCGEE, MIKE_20050404

i-^CAMA / [ DREDGE & FILL
GENERAL PERMIT
Previous permit #
f �_iNew !-,Modification ❑Complete Reissue L- Tartial 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
Applicant Name / V, 6't / ,'/ 7 .� �,, 6 Project Location. County
❑ Rules attached.
Address
tr 1 r 06 >
C �%� : -
Street Address/ State Road/ Lot #(s)
City
State
ZIP
l/1i ./. �h
Phone # (a-51)
7,2 I q I Fax # (
)
Sub divi 'on �;>, ' !i:" '-' %� rt- 4
Authorized Agent
City ZIP
Affected 0 CW
Li EW J PU Li ES
-i PTS
Phone Basin
1,
AEC(s): L-1 OEA
D HHF IH Cl UBA L', N/A
Adj. Wtr. Body ' s� J
(hat) /man /unkn)
PWS:
FC:
ORW: yes / no
PNA yes / no
Crit. Hab. yes / no
Closest Maj. Wtr. Body - T t d
Type of Project/ Activity
(Scale: A/ - )
Pier (dock) length
7,-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
SAM not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
not
Photos: yes
F.
Waiver Attached: yes
'no
A building permit may be required by,
Notes/ Special Conditions
e -
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Agent or Applicant Printed Name
Sign ture Please read compliance statement on back of permit
See-tokon back regarding River Basin rules.
--VIA,X/
Permit Officer's Signature
Issuing Date Expiration Date
V ,.< A
Application Fee(s)
Check # Local Plan ningjurisdiction
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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules r_J 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]S
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

NOV-16-2004 TUE 04:18 PM NO DIV OF COASTAL MGMNT FAX NO. 4 P. 02
J
ADJACENT R111ARTAN PROPERTY OWNER STA7'MEN','
I hereby certify that I own property adjacent to �� [�c� JVP\ec1,7 ► CA f Gaa eis
(Ni'mne of Property 0�6cr)
profx:rty located at �_(� D n 'af 0 Lay.er )4OL r% rid
(Lot, Block:, Road, etc.)
on 6a L; tp. e� .. �+ in M(7 a L e- e, f N.C.
(Waterbody) (ToWn an.d/or County)
Ile has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESC R'llyfION AND/OIt DRAWING OF PROPOSED DEVELOPMrNT
(!o be Aled in by individual proposing development)
a�
A
afore
'Ielehhone Number

NOV-16-2004 TUE 04:18 PM NC DIV OF COASTAL MGMNT FAX NO, 4 P. 01
Aid Acrl`v r RoARTAN PROPERTY OWNER SI ATEMENr
Re�(CA p-
I hereby certify that I own property adjacent to �' �=� e"G� 's
��
(Name of Property Owner)
prolx.rty locatcd at 0 o k r. � � o � P S . �,,c ,n —
(Lot, Block, Road, etc.)
on, O—OLck_S� in � r ?-cam ,N.C.
(Watertiody) (To'Avn and/or County)
He has described to me m shown below, the dc: ,elopmont he is proposing at that location,
and, I have no objections to his proposal.
DE,SCIZIPTION ANIPOR DIZANVIN'G 01" PROPOSED DEVELOPMENT
('To be filled in by indis-idual Proposing devclopment) I
���� spa
oe� �
'Si nat�,r�
Print Wr Type Namel
Telephone NUMbOF
as
f� orS
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MICHAEI p-�'-----
111I0 JOHN 2054938
Ro KS ER NCD M 4 8EE PH 2s2-�2a-
HARKERSIS 2211
LAND, C 28531
PAY TO THE
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State 'mYees'
Credit Union
62
Mo��d City, N
2377
66177041531
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