44227_MILLER, DAVID_20060120

❑CAMA / D DREDGE & FILL
^' GENERAL PERMIT
�` Previous #
permit
❑New ❑Modification ❑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 1 SA NCAC
�/ ��
E] Rules attached.
Applicant Name J c'� ✓1 U! ! ,
Project Location: County_
Address
Street Address/ State Road/ Lot #(s)
City L� State Nr ZIP
Phone # Fax # (_)
Subdivision
Authorized Agent Pi oV a r1 v i
City % ZIP 5 �y
Affected J cw DEW : _E}PTA DES ❑ PTS
1 !
Phone # ( ) River Basin
1-1 OEA f 1 HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
n !
Adj. Wtr. Body gnat /man /unkn)
CI PWS: ❑ FC:
'
ORW: yes / no PNA yes / no) Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s) ____ —
Finger
Groin length _
number
Bulkhead/ Riprap length _
avg distance offshore___
max distance offshore
Basin, channel
cubic yards__ —__
Boat ramp
Boathousef'Boatlift X /
Beach Bulldozing
Other_
Shoreline Length
SAM not sure yes � �Zl�) b 2
Sandbags: not sure yes o
Moratorium: n/a yes no
Photos: yes
Waiver Attached: yes o
A building permit may be required by:
Notes/ Special Conditions
s
(Scale:
��o f.n:✓ � U�.a Y9 I
"k
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
See note on back regarding River Basin rules.
PermitOficer'sSi natu
l I 1gv�re._,-
C. c
Issuing Dat I ll�xpiratidn Date
Local PlanningJurisdiction Rover File Name
i

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:
L] Tar - Pamlico River Basin Buffer Rules F-1 Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmemal 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

ADJACEN-'TJRIr.R�AL�L..P�� ' �..s' • SENT
I herby Certify that ( own property ec�ecent to
property located tit
(Name of Property Owner)
Q-ot, Block, Rood, etc.)
N.C.
on
(W at y) Town and/or County
The applicant has desm''bsd to me, as shown below, the devslopment proposed at the abov a
location. I understand that avy aonstruation,,exaluding bulkheads, must be set back a minimum
distance of $Rest fcvt (IS) hom my area of riparian se" unless waived by me.
I ho" no objwdon to the project to proposed but do not wish to waive the (15) setback
requirement.
I have no ohjecdon to the project as proposed and do with to waive the (I5') setback
radu[remerrt.
I object to the project as proposed.
Dp5CR1pTJO7J AN"R DRAWING OF PROPOSED DEVELOPMENT:
(To be iifled it by Individud proposing development)
exp f F,
13 m3 /
Print or typi Name 1
Telephone Number
/b
f wtcr4c%
fx/-51"iVv S''X /2-
1
Date

0
13 )(13
Plfo�oS��
r r
u merald isleXIarn r.�rn<ina 23594
Telephono Number
DalACL;LL7��1-��LC�1Utl1l�JIQ�iIL]'1Llil7,. 11L
I hereby certify that I own property N(URcent to
's property located at
(Name of Prop"ty Owner)
(I_ot, Block, Road, etc.)
on �C?��=.ln-�1 _Z' (l 1_ =���'_ .N.C.
(Wgfuo)dy) Town and/or County
TM appUcant has described to me, as shown below, the development proposed at the above
location. I understand that any construction,-exeludlnll bulkheads, must be set back a m(nlnn M
diet rive of fifteen feet (1!) ft ?n my area of rlpuim access unless waived by me.
I haw+ no objection to the prof ed as proposed but do not with to waive the (151) setback
requirement.
I have no objection to tho project as proposed and do wish to waive the (15) Setback
requirement.
I object to the project as proposed.
DnCRIPTION AND/OR DRAWING OF PROPOSED DRVBLOPMENT:
(To be filled In by Individual proposing development) ,
/Z X ib .
CC1 /ILZ
Date

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BOYD R SPROUSE SR NCDL 3288923 ,�'I�' ;!'�'!� �� , 2186
570 DUCK RD PH 252-923 0045 `. � � � �\ Date/— �7— p �' 66-30/531
PO BOX 93 F.� / / , >� /440
BATH, NC 27808 / p'��fi\�,
Pay to the �f / %% �� /t /�' �� %,�. G p a
Order of `" l
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�f FIRST CITIZENS—. • '
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For
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