45785_GLOVEDS CK DEV LLC_20060616

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(� CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑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
Address
City State ZIP
Phone # () Fax # (Y}
Authorized Agent .
Affected ❑ Cw ❑EW gPTA ❑Es Ci PTS
AEC(s): El OEA HHF ❑ IH ❑ USA ❑ N/A
❑ PWs: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision i--\------
i
City _ 1'
Phone # River Basin
Adj. Wtr. Body (gnat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s) l i I f
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length ')i'
avg distance offshore
max distance offshore—T-IT
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
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1 1
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Beach Bulldozing
Other j
r
Shoreline Length t,
SAM not sure yes no
Sandbags: not sure yes no -
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no .I
A building permit may be required by:
Notes/ Special Conditions
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Ilet
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-
rules.
I
❑ See note
on back
regarding
River
Basin
IV
Agent or Applicant Printed Name I 1 4dQ6
/Ir�IY
Signature Please read compliance statement on back of permit Issuing Date
{VI�►rerleyi y [)CM
Permit Officer's Signature
Expiration Date
Application Fee(s) Check# Local Planningjurisdiction Rover File Name

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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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
Other:
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
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

■ 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.
Article Addressed to:
C�7 (3(iR�o
CR. ice.
6;27��-3
A. Signature
r 7Dje ❑ Agent
X `�� ❑ Addressee
B. Received by ( Printed Name) C. Date of Delivery
D. Is
If
3.
JUN - 7 2006
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7006 0 810 0006 7300 8732
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-0835

UNITED STAT@e. &AI S� St C '`'Mw4a
Gx . ees
sPs ,""""�"
Nc. d� Per I i i No. G-10
• Sender: Please print your name, address, and ZI this box • "`` '
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;'•. f-Y % 1111 i i ii Ii I I t I i I I i i I Iiiliii iiiti ii i liiii Fl::i iti:3 it iI i:ii?ii

■ 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:
.2-cl-�F � �Evt�sttnQt� cr-
Ili F3�J� % .-I/✓G��l, / v ��' ,.
A. Si ature
//
B. R c ived by ( ' ted Name)
3.
JUN - i 2006
❑ Agent
Delivery
Certified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(!ranter from service labe 7006 0 810 0006 7300 8 718
PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-0935

UNITED STATES POSTAL SERVICE
•Firat-Class Mail
Postage & Fees Paid
LISPS .
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
II?��!2I!�(?3!(?(f?!?(?i�

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ADJACENT RIPARIAN PROPERTX OWNER STATEMENT
I hereby certify that I own property adjacent to �T 14 n/ Is
(Name of Property Owner) �—
property located at a� ) �;), . (� -rtJ,0r,j, ( <
(Lot, Block, Road, etc)
on ���� St�r1A in ,S6:A L-,�V�Z-- , N.C.
(Waterbody) (Town and/or County)
,3ie 7�as descxx'bed to me as shown below, the development"he is
pr os<ng that ocahon,
and, I have no objections to his proposal. .
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT_
(To be,illed in by individual proposing development)
SoU+v�k-�
FL)L-c�4f�
MAY 2 ZnnF
Morehead City QCM
Signature
Print or Type Name
COA/-ST)

1170
GLOVERS CREEK DEVELOPMENT, LLC
gg-1246/531
NCDL 1116631 PH. 252-723-8778�`
809 MOREOHEAD LLE DRIVE
GRD AIN �NC 28557 Date
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Pay to t�e
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Morehead CdYr NC 28557
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