43599_HOLCOMB, CECIL_20051128

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'ICAMA / _J DREDGE & FILL
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GENERAL PERMIT
f]New LIModification ElComplete Reissue ElPartial Reissue
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
I
Previous permit #
Date previous permit issued—'
Q Rules attachej.�
Applicant Name . C e- I 11--DA% 19 Project Location: County
o rC-1-N
Address Street Address/ State Road/ Lot #(s)_
City I- Ak-g State NC- ZIP
/-,J/- ,
6Fax#( Phone # 0T1) 7--1, Subdivision
Authorized Agent City ZIP
Affected E Cw -.1 EW �TA ❑ ES ❑ PTS Phone #
11 IF :7�
L1 1H El UBA El N/A E OEA H H
AEC(s): ❑Adj. Wtr. Body— (naman nkn)
0. P W S: El FQ - Closest Maj. Wtr. Body
ORW: yes / no PNA yes np1 Crit. Hab. yes no
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
_3
Boathouse/ Boatlift 5
-J
Beach Bulldozing
C,
J
Other-
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes ef-9-1
Moratorium: n/a
yes
Photos: yes 6
Waiver Attached:no
,Yes
A building permit may be required by:
wk
/,C Ze
See note on back regarding
River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printe e
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
IA —
Permit Officer's Signature
Issuing Date Expiration Date
17, J
Local PlanningJurisdiction 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 ❑ 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

.' 3ACLNT Ki_�'rii�tt�iv ; T's)pF xj_,_ t)ti�N��� S rA3'J�A'iEN r
(- ;FOR A PIFJUNLOVEFw+°D BOi17'IJII7)
I hereby certify that I own properly adjacent to 6,s
(�i)inre of Property OtiVuer)i
property located at 0 A�
(Lot, Black, Road, etc.)
'
on �
g 1
(W'aterbody) --' N.C.
(Town and.�'orl -a)
He has described to me, as Shawn below, the deve!oprient he, Is proposin at that
location, and, I have no objections to his. proposal. I undersund chat a pier/uncovered boat lin
must be set back a minimum distance of r! een fetit ( I5') from my area or riparian access unless
waived b e.
I do not wish to waive the seiback reauirerne [
I
I do wish to waive that setback requirement.
------------------------------------------I--------------- --------
DESCRIPITO A-N-D/OR DR W-P G OF PROPOSED DE VELOP_'YM'tiZ';
(To be) led in by indiv&u;;I yn:Fasring c.�are!r,p enrj
I
I
----------.- ---
Signature — - —
o� s
Print or 1 2 Pv.1 n yp� a e
Telephone Nurnh•li'r
� gg
Date:
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ADJAC'.E.NT R-i'. r-iA r' pp, '.:,+ ",I, x 0 w*"R ST'�,:i`�TI4�T�1`� x
(FOR A PIF-RILWCOVERE,O BOAT IJIF )
I hereby certify that I own property adjacent to ,s
• (N-Ame of Property Oti'Vuer)
property located at
(Lot, Block, Road, etc.)
on in n-�--- C.
(��aterbodv) (Tower aad.iorlC nty) He has described to me, as shown below-, the deve!opitient he, is prop sin; at that
location, and, I nave no obje~dons to his. proposal. I undersL nd rhat a pier/uncovered boat lir
must be set Sack a minimum distance of rift
cen fe~t ( I5') from my area or riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
--------------------------------- —----------
---------------------------- -------- ------- -----------
DESCRIP" (:)N �iDJOIt DRAW -p G OF PROPOSED DEVELOP�YIF—N- ':
VbRC (To be frllea in by indiyzr�ual ;,pot,-n� �ae,•�ient
rF� )
a
13
Lo
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Signature
Print or Typ_ Ti.�rne
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Ttlephane Nurr b'I'r
Date:
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ISSUING BRANCH
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