45201_HARRETT, CHRIS_20060425

❑ CAWA / ❑ DREDGE & FILL /
GENERAL PERMIT 4/
Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued,
r
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 all<
Applicant Name_ Project Location: County
Address
City
Phone # O
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
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 no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions (�
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
�I See note on back regarding River Basin rules.
h --
Agent or Applicant Printed,Name 1VI uAreheadC l Ly icer's Signature
Signature Please read compliance statement on back of permit ** Issuing Date Expiration Date
Application Fee(s) Check # 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 (910-796-7215) 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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

04/12/2006 10:36 9199380538 KERAHS DEVELOPMENT PAGE 02/03
08/01/2CI3 01:44 FAB Q000
ADJACENT WARL4N PMPERTY OWNER STATEMENT
1 hereby certify that .I Own property adjacent to Cr 4ov't 064 r•�� //
(Name of Property Owner)
PrOPeTty located at 114 / WC eW-,Iwr,-r
on . A wit
(Watmtody) (Town and/or County)
Gs
He has described to me as shown below, the development he is proposing at that location,
and, r have no objections to leis proposal.
DESCR>(MON AND/OR DRAWING OF PROPOSED DEVELOPMUNT
(To be fdkd in by bW paual,proposbW dmwMpmeW)
Rcplacement of bulkhead damaged, in the Hurricane Ophelia
Sign
Print or Type Name
qa
Telepho��nyye,, Number
Date_L to

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to '°"S X�a-le / is
(Name of Property Owner)
property located at i/G rh e, �; ®,� b o /x -
(Lot, Block, Road, etc.)
on lY+ �z a �v ►+tf�v� UQ,�y�,n�L�o'' ��®�� N.C.
(Waterbody) (Town and/or County)
x
di, ` idt?as describo me. as shownbelow, the development he is proposing at tha(,locatlon, .
and, I have no objections to his proposal
------------------------------------------
-------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Replacement of bulkhead damaged during Hurricane Ophelia
. I
901�m/a �2 -
Signature
Print or Type Name
9)g-IF(/-&aa6
Telephone Number
Date: `2 — /,�' 4)� o. ff �

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EMERALD ISLE, NC 28594 66-85/531
[phone] CHECK NO. CHECK DATE VENDOR NO.
002489 04/17/06 NCDENR
PAY ONE THOUSAND ONE HUNDRED AND 00/100 DOLLARS********************************
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