45203_MEYERS, NORMER_20060625

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ❑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 15A NCAC
Applicant Name
Address
City
- State ZIP
Phone # ()
Fax # ( )
Authorized Agent
❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
ElOEA
AEC(s):
ElHHF ElIH ElUBA ElN/A
❑ PWS:
❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Previous permit #_
Date previous permit
Project Location: County
Street Address/ State Road/ Lot #(s)
45 2
Subdivision
City ZIP
Phone # ( )_ River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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
Shoreline Length
i
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
L I AV
Agent or Applicant Printed -Name. Permit Officer's Signature
---....� Morehead City 1 U-M ' 1
Signature Please read compliance statement on back of permit Issuing Date
ApplicationFee(s) Check# Local Planning Jurisdiction
(Scale:
Expiration Date
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:
[_J 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/ 1-888-4RCOAST
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/OS

a6Ap,r; 11. 20063.12PM No, 2323 P. 3
►e002
ADJACENT WARTTAN PROPERTY OWNER STATEMENT
T hereby certify that I Q" property adjacent to -" A•-• 0" VcW 's
(Name of Property Owner)
property lcocated at —Ll L e �" • �s is ,f7r.'/�
on -AAA- &MC-49/ Lew.,
(Waterbody)
Tf�hd 11 s hof<& N.C.
(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)
Replacement of bulkhead damaged in the Hurricane Ophelia
Y. f.
Sifnature
Print or Type Name
�5 _;2-c?63-l37
Telephone Num ber
Date: V " // — 6

04/12/2006 10:36 9199380538 KERAHS DEVELOPMEHT PAGE 03/03
0/01/2015 01:44 FAX 002
ADJACENT RIPARTAN PROPERTY OWNER STATEMENT
I heroby cer ify that I owzM property adjacent to %i��'wne'rr)
Proper
property located at
oom a G. %,1
is
on vFAe�'.v &as40rv" 'Ch
(Waterbody) , N.C.
(Town and/or County)
He has described to me as sbown below, the development be is proposing at that location,
and, I have no objections to has proposal.
D + SCRIPTION AND/OR DRAVaNG OF PROPOSED DEvELOPM NT
(To beamed in by individual propasvrg de► lopawnt)
Replacement of bulkhesd damaged in the Hurricane Ophelia
0
Signature
_lam / ►/V , cal i`' J �1 �'�
Print or Type Name
"Telephone Number
Date. _. Q 4-—/ / — �D

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