46090_HARRISON, JAMES_20060718

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❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial R ssue 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 NameProject Location: County
Address / % Street Address/ State Road/ Lot #(s)
City State' ZIP
Phone # ( ) ' V ;Fax # ( ) Subdivision
Authorized Agent .j $'` City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ 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 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
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
r,
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent rApplicant Printed Name Permit Offirdr'sSignature
P 7 {4 a .0 C. a l
Signature Please read compliance3tatement on back of pe�miit Issuing Date Expiration Date'
Application Fee(s) Check # Local Planningf urisdiction 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, 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
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

';'ISLAND MARINE CONSTRUCTION, LLC***.
CUSTOM DOCKS & DECKS
SEAWALLS, BOATLIFTS, ROCK GROINS,
WOOD, VINYL & COMPOSITES
FREE ESTIMATES
THOMAS LAWRENCE OFFICE {252} 728-3419
1286ISLAND ROAD CELL {252} 725-0132
MARKERS ISLAND N.C.2853i CELL f252i 241-i394

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CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DB ISION OF COASTAI MANAGENEENT
ADJACENT RIPARIA-N PROPERTY- O�N:�ER �OTIFICATIO--NAVAI-�"LR
FORM
game of individual applying ; for permit:Jp1� e
Address of property: .3( 0 01
(!ot or street .4, ;[feet or road) '
1'&' A&G L
(City & County)
I hereby certify that I own property adjacent to the above reference cert The
individual applying for this permit has described to me (as shown ottc:
drawing) the development they are proposing. A description or dra` ,
dimensions, should be provided with this letter.
JI, it � z znQ6 .
V/ I have no objections to this proposal.
MQrQhQ.ad clt
If you have objections to what is being proposed, please write the Division of Coastar
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (25?) 808-2808
within 10 days of receipt of this notice. No response is considered the serrne 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.)
I do wish to waive the 15' setback requirement. 507(?/7
I do not wish to waive the 15' setback requirement.
4 a"'i /��
/
Signature Date 07
Print Name
Telephone Number with Area Code

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent togiv% S #.4rr•a-,+ Is
(Name of Property Owner)
property located at
?I C. o [C'I 0
(Lot, Block, Road, etc.)
on , in g , , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND!OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Ns1,4// �'-NI I ��.1-Xe�,1 ex� �d x��%~�
wma41 'At 14 eae
1 200E
Morehead City CCM
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SIB ature
Print or Type Name
�-6c) — 77-v a-0
Telephone Number
Date: V 2-1U 6

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ISLAND MARINE CONSTRUCTION LLC
1286ISLAND RD .
HARKERS ISLAND, NC 28531
PHONE: [phone]
PAY TO THE
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66-21/530
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VVLLARS S vx6
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Wachovia Bank, N.A.
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