46058_JOHNSON, TERRY & GROVE_20060718

Z(G /'5
E CAMA DREDGE & FILL
7
GENERAL PERMIT
Previous permit #
DNew []Modification ElComplete Reissue EPartial Reissu
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and N
ural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Applicant Name
ED Rules attached.
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
Ci State ZIP,
Phone # Fax # O
Subdivision
Authorized Agent
City ZIP
Affected 0 Cw E31fW El PTA ❑ ES 11 PTS
Phone# River Basin
AEC(s): D OEA D HHF D lH Ll USA D N/A
Adj. Wtr. Body (fiat
t Yman /unkn)
El Pws: El FC:
ORW: yes f no. PNA yes / no Crit. Hab. yes no
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s) i J 1
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
T_ I
—
NIV4
TTT7
FJ
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no,
Sandbags: not sure yes
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes, no
A building permit may be required by:
Notes/ Special Conditions
'v
lG
v
J
y'0
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17
on back regarding
See note
River Basin
rules.
*6nt or Applican,tPrinted Name PermitOfficer's Signature
o
Signature Please read comp back of permit Expiration Date 41a mstatement on b Date
-Rau city DN'
Application Fee(s) Chik# 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
L T - amlico 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
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/ 1-888-4RCOAST
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

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 61-01�- 2iAeZ OU P 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on , in �( �/� , N.C.
(Waterbody) (Town 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)
I
,fie �-
Signature
Mk O-M k(S. ��R. Lj&ate
Print or Type Name
Telephone Number
Dater 4�'q

CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
64.11
Name of individual applying for the permit: rd
Address of property: U01'A/rUq 111e2 &/'d
(Lol or street#, street of road)
(City & County) T
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided whit this letter.
✓' I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the 15' setback requirement
I do not wish to waive the 15" setback requirements
Signature Date
�-(fge-C Az-cZ,-0"-) #n1*4aS fylGLc�d
Print Name
Telephone number with area code

r
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P O 80 MERRITT, NG 28556ON RD.
PAY
w TO THE !
ORDER OFF
4377
66-258/531
DATE
$ Al, ,
0511
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