47357_JONES, CLARICE_20060725

., r'Z
❑CAMA / ElDREDGE & FILLGENERAL PERMIT Preit #
❑New ❑Modification El Complete 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 15A NCAC
❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone # O Fax # ( )
Authorized Agent
❑ Cw ❑ Ew ❑ PTA
Affected
AEC(s):
OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
Type of Project/ Activity
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
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin«
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale:
j
i
Shoreline Length
Shoreline Length
SAM 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
See note on back regarding River Basin rules.
I
Agent or Applicant Printed, Na 2 6 �Hb— Permit Officer'sSignatbre "
Signature Please read compliance st ` Issuing Date Expiration Date ! DCM
Application Fee(s) Check # 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:
❑ Tar- Pamlico River Basin Buffer Rules E_i 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

07/17/2006 15:48 2528275513 R B OWENS PAGE 02
8 {'1T12R!86 11; 4T 262247Io9 6 LRRE r "WIN ".
1+►DJAC_',k.N I .R), �'AW.!'l.N prl!")FFmu
-
}; ,fi`f 1 rt�rrk�y err f} that ! UWT) Prt perry adinew, to i L +! G►t1C.s '�
Y ...
+�► j r f (4 c,rt,rJ ��( 'rfa(�Er'(• 0 io "T )
vi,cA . �-.?j ��1, 1 il.Il
o Mock, is etc.)
He I'U desc,-ibcd to mc,, &I shove betow, the dcva:oplltent he. i# ixQ���
icx f1s3n artd, i ttltva no ahjrruoas to hit proposal =t t l�tt. I understud + 4t a pi elurtcvveeed bgjt ;lft
must'bc sc609ctc x Minilt uln distance of n tftn feet (Ij-) froarr+ my' nP �� #e7�ext urdb. s
j waived by me.
z wish to wadvt the swback regtciftmem.
,i � „ � z .dst wish tv wative that SaCi�ark r�ctuir�crtant. ,
DmcRj7TIc3N',A_NV/0R URAWZ4r, QF' Pptp.P05Eb
,�r'ttd En by ��dfivi�fu�t pr�porin� dtrtt��p�itnr) � •
. t
C�
ZI�
�L�
JUL
Morehead City DCM!
P _ L
'
-y-�S'�' B Owens '
''gins or Trx N,a,rnt ---�'X

07/17/061- 12:26 WISE MID -STATE 3 12527260221
'0.'k7/2006 11:49 2522476936 LRRE
NO.05e D01
PAGE 02
10.
rr:: ✓r��vr." VF'X& t 130/j I" 1,111"n
hrrob C^r..tC c?i7t I own frrcy?.=thy adja,c;:w
s propc l ..y fCK.-atcri ar J
Raarf, etc.)
on AN �.7 h1 tL air 0 kh
(Totvt at7 r1f;nut t
fie i�as ctesc�6c th _n•rc-, as shown bclo,4, the devtiloprient fre.
1cx3Uori, 1rid, triage no obj�_,.crjOns to his ropos3 p pos;•rtg at G':ac
j , 1. [ unrlrrcc,?-rlci Ghat a i`!'lanCov rl;r( hole :ir
. �raised SC;;�7ack a tr7inlrTlUrr7 CiistanCc pi �12 �R (ter { xS�) from tYfy�3iL.3, a Cf�7gia3t �erw?,,a (Jtl'IC:`is
waived by rr�e.
i
i do P_ t wish to waive the sciback re�u�rement. 1
i / I �o u:ish to wave that Setback reclui.remertr.
----------------------•----------------------- '
DLSCR-r TIfD AND/OR D �'t CwG OF
--._____-- --•.. _ �_----�•----
(To be fl-aea itz o L rnd4yVun! r PRO
'U F 17) DE �, z
� .,pa.n'rtg ctrs�!iyl-'�y,�iztj
r
tire-
U p
.�. mor'ehead city D&VF
,,
Pnot or Typ-21 vile
�T�lep(t�rre. N�.rrriF�.�;r
� t

ma&40a CJAW"$O, 4
R C
.2 `7Q15
3 4 -7 --7 3 S�,)

w
___ --� n 2RINT A'v10UNT BOX AND THefcmw,.
S A
-1-t16 FRONT OF THE DOCP
IssUla
Gram=®
oney orders
INTERNATIONAL MONEY ORDER
co
PAY TO THE
ORDER OF:f
LA
�c
PAGAR A
ORDEN DE: R
IM70RTANi -SEE BAC BE
`
�.
t
®
C,
DOR, FIRMA DEL LIBRADOR
THE REVERSE SID
COMPRASIDE
t
I
�—y
l.—J
��` ��ryyyggqR AND OTHER TERMS ON
S GNER FOR DRAWER /
G THE VIC}�
EGNIcQl
I _ `
PURCHASER. BY G
_
RECIPIENT .
pRgi ADDRESS / GIFT CERTIFICATE:
'ISSUER/DRAWERd
{eYIIFOO$K. SYSTEMS, INC.,
TO AUTHENTICATE RVfl�LE
AR EL GIRGULO
PARA :AUTENTIGAP
Bank MONEY PAYMENT ,
—
-
.Wat�oria'1
:SiSUYt4 Central . ' __ _--
f�tt1i�YLiz,
00L t, 26 2011, q0
y:0q g00533