44502_FULCHER, JAMES_20060217

4-New
CAMA / DREDGE & FILL
ENERAL PERMIT �1
Previous permit #
EModification 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
❑ Rul s a ched.
Applicant NameProject Location: County__
Address Street Address/ State Road/ Lot #(s)
City 1. t { ,.,� �. a ' c <, �-� .1 State Ai—LZIP
Phone # (_ ) I ' ti �%,Fax # ( ) Subdivision
Authorized Agent City_ _ `��Y"� _ ZIP e -5 ' y�
'-i CW Li EW ❑ PTA --4VS— ❑ PTS Phone # (_ ) _�74-,4-2 ` _�:•River Basin' % r
Affected OEA ❑ HHF ❑ IH ❑ UBA ❑ 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
Agent or Applicant i'rinted Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit Issuing Date Expiration Date
Application Fee(s) Check # Local Planningjurisdiction Rover File Name

11
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 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 (910-796-7215) for more information on how to comply with these buffer 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
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/ 1-888-4RCOAST
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

rtE 1 0
DIVISION OF COASTAL MANAGEMENT n,.
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIO 1WR1*
FORM
Name of individual applying for the permit:o'M r— S M
Address of property: L, a
(Lot or street#, street of road)
(,CAc,( JACA-V� NJ —0
(City & County)
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimens ps, should be provided whit this letter.
I have no objections to this proposal
If §ou have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate blank below.)
l/ I do wish to waive the 15' setback requirement
I do not wish to waive the 15" setback requirements
Signature /J Date
Print Name
Telephone number with area code
i
2006

CD- AREA TO BE DISTURBED
STABLE VEGITAT101,1
TREE
?
iq will place rock bulkhead (Rip Rap)
approx 268 feet along waters edge
am&
10*
170'
high
mark
FEB 0 2
Morehead 1". 006
%.Altv DC/0
SOiL TYPE
SAND
M
Terrain slope
,Ipr/, - 12 aprx - 4
?bova f4HT above MH T
setback
16
LOCATION.- APPROX 1.5 miles down Lola rd. on the water. between church & cemetary
(Pin# 841603326691000)

JAMES M FULCHER 1143
Ph 252-225-7531
1073 N Seashore Dr 66-21/530
P O Box 85 / 7 O BRANCH 77647
Atlantic, NC 28511 Date
Pay to th��Al D/, I$ �OO
Order of
C, h (2 J
Dollars
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WA!CHOVIA
wachovia Bank, N.A.
wac o(�vi—a�jc�o Q
For
0:053000 2 VD: L05466 L L4 6 2L 143