43526_MALONY, DORRIS_20051121

LJCAMA / F DREDGE & FILL
GEN9-:RAL PERMIT
C,New I I Modification _- Complete Reissue ❑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 I SA NCAC
Previous permit #
Date previous permit issued
it
❑ Rules attached
Applicant Name r'" t ) t Project Location: County
Address Street Address/ State Road/ Lot #(s)
City __' State sV'�- ZIP2 -<-
Phone # '*ax # ( ) Subdivision
Authorized Agent ► T / t` ' ` City ,f ZIP _
Affected ElCW ElEW ElPTA ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC: s
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit. Hab. yes / no �r
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_ _ y
Other -
- r
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
1-4 /- /- Y '4 / t /V
Agent or Applicant Printed Name
J
Signature P base read compliance statement on back of permit
Application Fee(s) Check #
(Scale: )
__ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing D e Expiration 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
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 ❑ 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/ 1-888ARCOAST
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,
Ons(ow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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"'X � 31V
ADJACENT RIPARIAN PRO PERTY MN" ER STATEMENT
I thereby certify that I own property adjacent to -Z� t,--L - I
( Name of Property Owner
property located at —Z ((
( Lot. Block, Road, etc.)
ore • /
in NA
(V1'aterlwdyy (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.
fh
DESCRIPTION AND/OR DRAIWINC: OF PROPOSED DFVE[.OP.l. NT NOV 2 1 2005
fro be felled in by individual proposing development)
Morehead ity DCM
N�;� utir NSA J
l
I �
t
Signature
Priest or Cype Name
ITelephone Number
Date: I

Nov 21 05 11:28a Frank Grogan, Jr. 434-7938497
Nov-21-2005 ,10:29 From-BBANDT Z522403M T-021 P.002/00Z F-155
P.1
ADJACENT RIPARIAN PROPERTY OWtiER STATEMENT
1 hereby certify that t own property adjacent to .,L:- 5
(Name of Property Ow o
r
property located at zf d 14_le i�x�
(Lot, Block. Road, etc.)
( erhody) (Town and/or County
He has dmcribed to ate as shown below. the development he is proposing at that
location and I have no objections to bis proposal.
DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT
(To br. filled is by individual proposing development) pill
,4 e-'� I=r' NOV 211 2005
)moo ?0 �� A/c- P� �,4 A & Iv,-
S�natttre
�u
-4 J �
Print or Type Name
4�- 3 -t- - J `i 3 - � Lk ci 7
TNcphone Number
Date:
ity ®CM

LARRY G ARNOLD
P O Box 2277
Morehead Ci
tj', NC 28557
1532
Order {e
66-21/530
BRANCH 77615
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