44299_JOHNSON, JAMES_20060301

LaCAMA / DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ilModification ❑Complete Reissue -'Partial Reissue Date previous permit issue,'
As authorized by the State of North Carolina, Department of Environment and Natural Resources y/
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / t
O Rules attached'.
Applicant Name_ Project Location: County /
Address _ _ Street Address/ State Road/ Lot #(s)
City---- State ZIP
Phone # ( ) Fax # ( ) Subdivision__
Authorized Agent City El ZIP___
Affected CW _I EW PTA ES PTS Phone # _ _ River Basin t, I /,, L4
( )
AEC(s): ❑ OEA n HHF 'I IH UBA L N/A Adj. Wtr. Body _ _(nat /man /unkn)
ElPWS: `l FC:
ORW: yes / no PNA yes / no Crit. Hab, yes / no Closest Maj. Wtr. Body ----
I
Type of Project/ Activity
Pier (dock) length
Platform(s) 1
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore ?
Basin, channel
cubic yards
Boat ramp _- -
Boathouse/ Boatlift I 1
Beach Bulldozing
Other
Shoreline Length
SAV: not sure 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 **
Application Fee(s) Check #
(Scale: ) I
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Da a xpiration Date
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
landowners).
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 Environmemal 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 (252-946-648 [)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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Col. James D. ,Johnson ss-30/531 3979
hiz Beth M. johnson
237 Pearson Circle
Neruport, NC 28570 DATE _� _!e'� -�
Ph; 393-8467
PAY TO THE ID E
t ORDER OF --`—, — — — -
8 .awn
DOLLARS
Iook for Micro Print signature fine gray type and firrawori- iru Gitizrns Rank logo on back. 1(ncri present, do not cash.
11 RS CfnZENS 131 ChatkrQ
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PHONE CALL.
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RETURNED
FAX
❑ MOBILE `
YO CALL
PHONE
AREA CODE NUMBER EXTENSION
PLEASE CALL
M ESSAG E
WILL CALL
AGAIN
CAMETO
SEE YOU
WANTS TO
SEE YOU
�� 70PS. FORM 4003

ADJACENT RIFA' ;IAN PROPERTY OWNER STATEN EM'
I hcreby certify that I own property acdacent to � �__.Z 1�- H ors 's
(Name of Property Owner)
t r� s cat � �.t. It � �.� n•
property located at .23 ,� � �
7 - - -_ �
(Lot, Block, Road, etc.) DCe'&*J
KN/rr ��=
___.. (Waterbody) (Town and/or County)
He has described to me as shown below, the development he is propes ` 1 cation,
and, I have no objections .o his .. proposal.
_-___--_-----------_------_.__-----1VED
.................. --------- ------------------ --F-1-R-4-7-4806
DESCRIPTION A? - /OR DRAWING QP PROPOSED DEVEW"ad City DCM
(To be filled in by individual proposing development)
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rd.
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Signature
Frint or Ty-v Name
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i`e:Cnore i ::.;.- bar

ADJACENT RIP'AR LAN PROPERTY OWL ER STATENI U ;NTT
I hereby certify that I own property adjacent to s -D TIfIl"Is 00 's
(Name of Property Owner)
property located at _.2 S 7 P,E/WS C*4 C ! n4r—!-e
on
(Lot, Block, Road, etc.)
3 a-o4&N ct.ppew- , in year/fie' (1-20) G+ vr--^cOr- t,"wN.C.
(Waterbody) (Town and/or County)
He has described to nie as shown below, the de,elopnr WISSIVEM
ation,
and, I have; no objections to his proposal.
FEB 2 7 2006
Morehead City DCM
DESCRIPTION Ali-D/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing deveiopment)
(SSb s I �)
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o f i N 4 a e s-s Af
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-----------------------------------------------------------------------------:-----------------------
Signature
WASH
Print or Typ: Name
Telephone Number f-
Date: &2 - z 2 - C