43509_HOELL, ROD_20051117

CAMA /1 DREDGE & FILL
GENERAL PERMIT Previous permit #
-1 f\few F-I Modification [—JComplete Reissue El 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
E❑-1 Rules attac
Applicant Name c V1 C f V Project Location: County j,
Address A '-4xl A P Street Address/ State Road/ Lot #(s)
City— L,., iStateA) ZIP '4
Phone #(—)— C C;F6 # O Subdivision
Authorized Agent City ZIP J
Affected Cw 1-J Ew ,[� A EES E PTS
AEC(s): OEA LJ HHF El 1H [I UBA [I N/A
-1 PWS: 0 FC:
ORW: yes '/ no PNA yes / noli Crit. Hab. yes / no
Phorre, # River Basin
Adj. Wtr. i;at man unkn
Y—
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
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
L
Other
ill
Shoreline Length i
SAM not sure yes no
Ll
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
lssuingDat6 Expirition Date
Local Planningjurisdiction Rover File Name

a
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:
[_J 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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

COMPLETE•
1`11
■ Complete items 1, 2, and 3. Also complete
item 4 if Re>I+ricted 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-
d 1 q-`1`f
\�— -Agent
❑Addressee
B. Received by (printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service labe 7005 1,820 0002 6827 6527
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

UNITED STATES POSTAL SERVICE
First -Class Mail
'Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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NOV 0 9 2005
Morehead City DOM

9 2005
-�d City ®CM
ADJACENT R�A�u o �['Y owrM STAB
(FOR A PI,FJRlUNCOVM D ROAT LIM
I hereby ornify lthat i own property adjacent to 1\ d 17_ �0 � L L--- `s
(Name of Property over)
pmpe ty k"wd;u 4o "A,
on G _L, - r L)4JeL u , N.C.
(Wateirbady) (l'owto and er Couotr)
lie has demcslbed to me, as Shomm bdow, the &welopateet he i$ pmpotWt at that
location, and, I have no objecdoes to his propoaa). I understand that a pier/ucovsrd beat lift
muss be sot back a muimum disunce of fifteen feet (15") from my area of Ovis s aocaess uelest
wa iw d by mo.
I Ai *iah to waive the suck roquiremeac,
i dQ wish to waive flat x tbach reguktment.
ly$SC jmON AND/OR DRAWING OF PROPOSED DEVE'LOPNt M;
(To be filled in by "&mdeal,ropos nv de"I*pmeAt)
NOV o 9 2005
Morehead City DCM
s�
Print or Type None
? 2IL -�
Telaphoee Number
Date.
Z6091 DrH3 4L46 QZL Z99 TVJ 80:OZ 8009/05 iZ

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ERIC B. ELLIS 3144
JASA M. ELLIS PH (252) 72"775
205 NOTTINGHAM DR, % MOREHEAD CITY, NC 28557 66-30/531
33
Pay to the r-
Order of
Dollars
FiRsT CITIZENS ,xt
A 1�TV Firsti.m..iBea Bank . Tr st Company
Atlantic Boach.
N.C. 28512
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www.firstcitiz ns.com
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