43688_HOLLOWELL, BEN_20060117

J CAMA / I-' DREDGE & FILL
GENE_ RAL PERMIT
`
Previous permit #
❑New L1Modification lComplete 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 I SA NCAC
} I (a �.1/ 4
h Rules attached
Applicant Name Project Location:
County_
Address �' `'� `�� +/� Y Street Address/ State Road/ Lot #(s)
City_ ,1 ! Stated �- ZIP 7 l _
i : - ; , . t ;,: �.. �; V'
Phone # (�' ) '� " ' Fax #�(^) Subdivision
jL
Authorized Agent �f ✓ City % 1 `" N �` ZIP
^�_i3��
N
CW 1-tt EfitfA ses�El Phone # ( )
River Basin
Affected
OEA 1-1ElElElHHF IH UBA N/A
AEC(s): Adj. Wtr. Body
tE }` ,. L
� (�i�/man /unkn)
_I PWS: ❑ FC:
Closest Maj. Wtr.
Body
ORW: yes / no PNA yes, -, no Crit. Hab. yes / no
Type of Project/ Activity
(Scale:;/ J )
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
f/ _. t
�F---
Shoreline Length
SAM not sure yes
Sandbags: not sure yes fdo
Moratorium: n/a yes
Photos: yes f.
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 ** Ple a read compliancestatement on back of permit"
Application Fee(s) Check #
rermit Utficers Sgnature
/- /--�-J 6 �l- J I a�
IssuingD to Expiration Date
/ I,")i��,�7/`ie
Local Planning) urisdiction 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, 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 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/ 1-888ARCOAST
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

ADJACENT RIPARIAN PROPERTY OWNTER STATEMENT '
I hereby certify that I own property adjacent to
(dame of Property Owner)
property located at 0 Z\ MIKPA r \ ►A 6" f)
(Lot, Block, Road, etc.)
PA on 1, �T'rA �'u Glt��tC , in' �-c r_
N. C
(Waterbody) (Town and/or County)
He has described to me as shown below, the development be. is proposing at that location
and,"I have no objections to his.proposal.
DESCRIPTION ANrD/OR DRAWING OF PROPOSED DENTLOPI TENT
(To be filled in by individual proposing development)
4J0,`('r&t'--aC f%o-tT
P& Po- c V 1 NLe Oouc !gip
Y
io fc
-0 L/_Ow&C_ Fib PEf�`f
$isnatur
Pilo a5le `'
—
Print or Type Name
-166�
Telephone Number
Date: i -1 �� -Ci
-29-

ADJACENT RIPARIAN PROPERTY 0117sER STATEMENT
I hereby certify that I own property adjacent to
(.Fame of Property- Owner)
propel-ty located at
(Lot) Bloch, Road, etc.)
on WR TtPr r _f��� t� , in' ©�lc;r� c �`t L QN rent , I�'.0
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing 2t that location
and, I have no objections to his.proposal.
DESCRII'TIOMANTDWOR DRANVING OF PROPOSED DENTLOPMEW
(To be filled in by individual proposicg development)
4J RiTT-& KOL Qo„,4T
W l-t rt"TH KC--4 CRLCf--
('koP,,60 VVNL
7io t�
-29-
Signature
Gt-ttJGf�— C�aR�
Print o: Type Name
Telepio,+e Number
Date: .

YARD BARBER MOWING
MILES C SHOREY IV 2522492549
NCLIC: 2986772
P O BOX 118
ORIENTAL, NC 28571
Date—�
`'order o
FRST BANK CITIZENS= 72
OrioMal, N.C. 28571 tcomp"y
/,tcitizens.com �(\7
For
1616
66-30/531
472
Dollars n �
r
':O 5 3 L00 300�:004 7 L 2D 21, 2 u• - --- ----
7 °P
n ,.,, f, ,K,,,, O 16 L 5 --