43515_HARRIS, WORTH_20060221

❑CJ%MA /DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New `Modification ❑Complete Reissue LIPartial 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.
t''� Applicant Name �/'' ' G �I `' �'; 11 _ Project Location: County_-- 1
ounty-1
Address ! ?�J�%' / �/t/ Street Address/ State Road/ Lot #(s)
City ►'i/r4 r�� / State/-/(�- ZIP r t ✓; l _..i_ �?r J
Phone # ( ) Fax # O Subdivision
Authorized Agent City /, "'' (17 ZIP
)CW EW ❑"A QES ❑PTS
Affected AEC(s): i , OEA %1 ❑ HHF IH ❑ UBA ElN/A
01 PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)_
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ram Y /( %
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
t: r'
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
Agent or Applicant Printed Name
Signat�f a Please read mpliance statement on back of permit
i fi,U
Application Fee(s) Check #
Phone # () _ /River Basin
Adj. Wtr. Body '' 'ly'i % C ✓'' �' �� _ (rat /man /unkn)
Closest Maj. Wtr. Body _—
❑ See note on back regarding River Basin rules.
Pe tmr ii Officer's Signature
Issuing ate I
6pirati6n Date
-
TO;2 i!"
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 l) 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 lJ 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
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

ADJACEW RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATf IFTIBOATIIOUSE)
I hereby certify that I own property adjacent to Lca U _'s
n (N-une of Property Owner)
pr«i-.rty locat<-d at
(Lot, Block, Road��k
etc.)
on in _
,
(Waterbody) (Town :end/or County)
Fie. Has &scribed to me, as shown below, the development he is proposing at that location,
and, I have 110 objections to his proposal. I understand that a pier/mooring
pilin,,;s/lioltlift/bo<ltliouse must be set hack a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
_ 1 JQj—nII wish to waive the setback requirement.
! _ i sl!2 wish to waive that setback requirement.
------------------------------------------------------------------------------------------------------------------
D iCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT,
(To he filled in by individual proposing development)
j p 6 GJA r J \pl./
0b IV ..a�
Nb Lo
�� K�C''qf
rat ?Cvj�
Signature
Print or Type Name
Telephone Number
D"Ite: a - i //- .- o, ,/'

ADJACXXT R PARIAN PROPERTY 0VV *W STATEMENT
IFOR A PIER/MODR NG PIUNGS/BOATUP"BOAMOUSE)
I hereby acrtify that l own pwpe:ay adjacent to �iqmxg'�s
��P4-�(Names• eC Properly Owner)��?sty locoed a1�
t.
_ (Uk, block, Roapt!5
, et-
c
'SCaft tR kO°ti— T.G.
Wnierbodyi Crow" and/or County)
its has dc= b to me as shazan below, dw deMopment he is propozing at ftt foraticm,
an¢. I have no objew ms to his proposal. I aMdcmw)d tm . pied g
Pi3kW b VA9fl/bQaMoum must W sCt tWk a minimum distance of film feet (15') frvtn my am
of riparian ,coat antes waived by me_
I L10.1A wish to vraWc the se bajk n quirtent.
T list Wish w Qiive &W setback mquiremenc_
u1-SCRIPtTQN ANDIOR YMtAWYNG UV MOPCS D T)F.M PM1gC:
(7'o be frlled in by fordiaital pruposing devdopuaeut)
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FIRST CITIZENS BANK
MOREHEAD CITY, N.C. 28557
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
PAY TO THE
ORDER OF
2115/2006
$**300.00
1907
66-30/531
137
-ThrPP Hundred and DOLLARS
D.E.N.R.
MEMO_ 4��� 5
w
11200 190 ?11' 1:0 5 3 100 3001:00 13 1 2 18 2 1 2 7`110