44166_KELLY, KAREN & JOHN_20060208

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❑CAMA/ DREDGE & FILL
GENERAL PERMIT
- _New ]Modification -Complete Reissue El Partial 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
Applicant Name ./ r j i ' )' i lA! ��L : ' '., Project Location: County
Address i I'/ /1, 3".�
n ; 'j : 1 ' <i , r_
City_ t : , is < r F
r,
State Vi' ZIP i R
Phone #
Authorized Agent
Affected ❑ CW -1 EW
❑ PTA DES ❑ PTS
AEC(s): ❑ OEA ] HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no PNA
yes / no Crit. Hab. yes / no
Type of Project/ Activity
Street Address/ State Road/ Lot #(s)
Subdivision
City
Phone #
Adj. Wtr. Body_
Closest Mal. Wtr. Body -
Pier (dock) length__
Platform(s).
Finger piers)
Groin length _
number
Bulkhead/ Riprap length
avg distance offshore___
max distance offshore
Basin, channel
cubic yards
Boat ramp
O
r
Boathouse/ Boatlift
Jr
Beach Bulldozing
Other --- -` � J� t11 1Ii ti C
Shoreline Length
7-1
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
Je, c��i Sri
Agent or Applicant Printed Nam
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
C� 7 Rules attached.
ZIP_
River Basin
natlman /unkn)
(Scale: )
f
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules E1 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Morehead City District
Wilmington District
400 Commerce Ave
127 Cardinal Drive Ext.
Morehead City, NC 28557
Wilmington, NC 28405-3845
202-808-2808/ 1-888ARCOAST
910-796-7215
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
(Serves: Brunswick, New Hanover,
New River Inlet- and Pamlico Counties)
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/OS