43520_HIGGINS, JOHN_20051116

❑ CAM.A / ❑ DREDGE & FILL
GENERAL PERMIT
Previous permit #
L::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
t, �Jy i
❑Rules attached.
Applicant Name _ '� ! �` , F r'I Jr
Project Location:
County_
Address__ '` /'
Street Address/ State Road/ Lot #(s)
City -- State ,! , ZIP 4
Phone # O Fax # O
Subdivision
Authorized Agent ! riA ' {
City
- CW C' EW Ci PTA r' ES ElPTS
Affected
Phone # ( )
_ River Basin
I— OEA L HHF D IH 1 UBA ❑ N/A
AEC(s): -
Adj. Wtr. Body
_ _ nat Jmwn /unkn
PWS: FC:
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr.
Body
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 i
cubic yards
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length s
SAM notsure 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
Signature ** Please read compliance statement on back of permit
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
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, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules L_ Other:
i { 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

Nov 15 Q5 M57a
P.1
FAX COVER SHEET
CULDERA GRAPHICS
8201 EMERALD DR
PO BOX 4301
EMERALD ISLE, NC 28594
USA
PHONE AND FAX: [phone]
SEND TO
company mme
From
Aft
Date
/,/
Of e? k4Yation
office b--abol
Fax number
phone number
zsL- 2 -�
Urgent 11 Reply ASAP E Please comment Please review :1 For your Information
Total pages, incktckng cover. 4-1
cohWENTS
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Nov 15 05 08:57a p.2
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3161
/14

Nov 15 .Q5 08;57a
p.3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Vote/IVY' 's
(Name of Property Owner)
property located at
-71,9
on 60 >✓A L in
(Waterbody)
5-Ti
(Lot, B&k, Road, etc,)
agRJK- OAAt -'nice , N.C.
(To 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
(7o be filled in by individual proposing development)
e%r44T44 atM t-
o2e Sa T
b;:"o AM-t,7-Q1 4--
e—oNw6crev C k?tw-- 3,71"
l�
r U
Signature
Print or Type Name
Telephone Number
Date: 7 ��

Nov 15,05 08:58a
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I a 2005
I hereby certify that I own property adjacent to Vow l i/NS' IS DOM
(Name of Property Owner)
property located at 3l d
(Lot, Bl&cic, Road, etc.)
on 60 �-'A L , in 6BLC-- C;4 AI -6� _ , N.C.
(Waterbody) (To 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)
1
1
e-/hA7+—A /IbF watM L
&F' A?q -1UW Z-
0--W Iry t )CAW-- .3 a f'
Signature
L= &1JA �3e e,bavJ
Print or ;Type Name
c-rcg- Sa-7 -k e)
Telephone Number
Date: 1 C2! I /Q

SALTWATER MARINE CONSTRUCTION CO., INC.
PH. 252-939-5204
3340 CHARLES BRAXTON RD.
GRIFTON, NC 28530
3151
/ 66-7404/531
DATE
,q
DOLLARS
L the littl bank
tttstj v 15� FOR
000 3 L 5 Ium 1:0 5 3 Z 740481: 20 L00060 SOII'
t.
PAY
TO THE
ORDER OF---,
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