43491_LOCK, SIMON_20051028

CiCAMA DREDGE & FILL 0�
GENIERAL PERMIT
Previous per it #
L_ New FiModification [--Complete Reissue ❑Partial Reissue Date previou per it 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.
A licant Name h t% A-J Lp� k Project Location: County
PP —_
Address
City_ State✓C
ZIP�lo !J
Phone # (41W7G " Fax # (_)
Authorized Agent
Affected -_ CW I- l EW i�TA ❑ ES
❑ PTS
AEC(s): i OEA -' HHF ❑ IH ❑ UBA
❑ N/A
-' PWS: ❑ FC:
ORW: yes / no PNA yes / no.,' Crit.
Hab. 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 I
/ 1 e i.
Other ,5y4C t 1 �J� .
Street Address/ State Road/ Lot #(s)
Subdivision
ZIP
Phone # (_) Basin,, Q ,
Adj. Wtr. Bod (nat man unkn
Closest Maj. Wtr. Body__ l
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
or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
i
41t
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
7
Issuing Date
t
Expiration Date 34
/ �1
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar -Pamlico River Basin Buffer Rules L_J Other:
_I 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)
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

OCT 17 '05 12:29 FR ISSC OPERATIONS919 1 800 894 0435 TO 912526371595
P.02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1140tJ. WG([_ 's
(Name of Property Owner)
Property located at (f101 L4 �i71 N AL.- - C)vI Ve�-
(Lot, Block, Road, /�etc.) r /►
in U1QEN WUtJN
(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.
A I- W Any+ _ ���
S�L.��-T '7a ,�a.r 7i e A //. ,f f a4.d &,,-k
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
�u)RP-0 FIvEP-
(oO(Z CAW irJ/kt, ()(II vs
Nt-w P2t2l.f r�1C 285ta2
06-b"
t awre /
P1i.n1 or -Type Name
�77�g75'-6 ya 7
Tek 4:),tu caber?
** TOTAL PAGE.02 **

•
Simon Lock
6014 Cardinal Drive., Fairfield Harbour
Proposed new dock design (September 2005)
Special Note: Poles Indicated in red should be
suf iclently long that even under maximum
wind tide (?15 ft) they will still be visible
above the water.
I
e P' I klu el ba, W(u. O?e i5' + OF+F
cp<A+ t4Elatfop-
f
I
ert
40 ft
r 5 ft
Zo tt

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �I a6)I j I,UG(- is
(Name of Property Owner)
property located at (0()IL4 k-A \ r% I N /� L 012-1
(Lot, Block, Road, etc.) ^
on �i/�� r2C�1L , in 012 VEr N W U1,J 1-1 , 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)
------------------------------------------------------------------------------------------------------------------
,��
ow��'�-� ignature
I ( (�WOr'� 0 01 jC # P ��
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gquq
(«rq—
Print or Type Name
,591
Telephone Number
Date:

JASON HILL
MIRANDA HILL
499 CRUMP FARM ROAD
NEW BERN NC 28562
Pay to the
Order of
t4j'F Fligh
FEDERAL CREDIT UNION New
3 IU
New Bern,LI 28660
www.firstilighticu.org
F
or
1:253175384o:
OOarkr AmMmn
L080L372L
'Date