43421_MILLER, GARY_20051014

DCAMA / DREDGE &FILL
GENERAL PERMIT Previous permit #
]NEm 7-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 15A NCAC
,q ❑ Rules attached.
Applicant Name 115.%j d' % + (� <�l� Project Location: County
Address_ (%, ;� r'f +► r�r� $ Street Address/ State Road/ Lot #(s)
City StatA'Y ZIP �+ ► , / i' f: y� . �#
Phone # ( ) ; 4 / 5 5F�x # (_) Subdivision
Authorized Agent f = t :• < City - ZIP : k Affected /�
❑ EW ❑ PTA j�S ❑ PTS Phone # ( ) River Basin �P - / .."f
OEA ElHHF El IN ❑ UBA ❑ NIA
AEC(s): Adj. Wtr. Body � gnat /man Junkn
is !! PWS: ❑FC: ('
ORW: yes / no PNA yes /o y Crit. Hab. yes 1 no Closest Mal. Wtr. Body 1'• ':
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
64
Groin length
number
- -— _
Bulkhead/ Riprap length_-
avg distance offshore_
F
max distance offshore
Basin, channel
cubic yards_ -
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozingti,l
Other
� . � arA+- ..� .,...-. „r.. ...,.- , ,ter .Y-1 •ar•+ r• �,..� �,,
Shoreline Length
f�
SAM not sure yes no
"
Sandbags: not sure yes no
° Pr
%
Moratorium: n/a yes no
i r_'
Photos: yes no
Waiver Attached: yes . no,:
- -- - -- — -- - -- . - ---- - — -
A building permit may be required by:
,
`' _ ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
a
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Issuing Date I ElpiratifnDate
ZE Joi) l C
Local Planning Jurisdiction Rover File Name
Application Fee(s) Check #

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 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

�r
AS J#
U L I 1 0 2005
Morehead pity ----
Dcm

37 FAX Ql 001
Landowner Authorizati®n for Actions Desciibed
In CAMnor pevelopment Permit
1, Cwrttiss R. Devereux, as the owner of record of real property located at 5504 Fredeen
Court, Emerald Js1e, NC have been fully apprised of the CAMA. permit submitted by Ron
Johnson for construction of a bulkhead extending from the east side of 5502 Fredeen
CourtOM/Johnson property) and continuing through my property to the west side of
property owned by Gary Miller. J hereby give my permission for construction of the
bulkhead described in this permit and authorize Ron Johnson to serve as my agent in said
C4nStt'1xCtipn.
so�wl `Did oo
(Dafe)
Curtiss R Devereux
OCT r 0 200
5
MOre17QP-d Cj.43
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C�'�i M- ((,per 's
(Name of Vroperty Owner)
property located at � � P I o can i(Y12 1� 11 g le,
(Lot, Block, Road, etc.)
on _ �'► , in _&Vxea-c,�A % s� �l�at2 , N.C.
aterbody) (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'i)
(To be filled in by individual proposing development)
rVio 6%ead C'Y I)CM
Cal
Signature
s TO I ca—
Print or Type Name
Ss(l
Telephone Number
Date:

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MONEY ORDER: ADDRESS / GIFT CERTIFICATE: RECIPIENT
Payable Thru ISSUER/DRAWER:
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