42926_MITCHELL, GEORGE_20051017

❑CA11)4M / ❑ DREDGE & FILL �/ OI � X�,
GENERAL PERMIT ' -
Previous permit t #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous per t 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 V
tt r ❑ Rules attached.
Applicant Name. O ° -j �'. ! �.; tC-�' �l Project Location: County
Address 1 L Street Address/ State Road/ Lot #(s)
City it u. State i;, Zip
7, AA
Phone # ( ) Fax # O Subdivision
Authorized Agent
❑ CW
Affected
❑ OEA
AEC(s):
❑ PWS:
ORW:
yes / no
❑ EW PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit. Hab. yes / no
City ! ZIP
Phone # O iver jC
Adj. Wtr. Bod(nat man unkn
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s) -
Finger pier(s) !
❑--1I
Groin length
number
Bulkhead/ Riprap length
avg distance offshore j (_ _T" I ;—' �
max distance offshore
Basin, channel / I
cubic yards
Boat ramp
Of
Boathouse/ Boatlift
1 I f1i �1 I
Beach Bulldozing i 7 - ! --
i
Other — I --- --- - -
Shoreline Length
- = -- =}— - ---- -i
SAV: not sure yes no
- --
Sandbags: not sure yes no
Moratorium: n/a yes no ! .—� --II I i ' I I -
J
Photos: yes no
Waiver Attached: yes , no -
A building permit may be required by: / I ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on backof permit"
Permit Officer's Signature
Issuing Date Expiration Date
� 1/45f'J
Application Fee(s)
Check #
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 El 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:
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/ 1-888ARCOAST
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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/OS

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
October 13, 2005
George Mitchell
8104 Rhodes Rd
Apex, NC 27539
Attached is General Permit #42926C, to install a 4 pole boatlift adjacent to an existing dock, at
lot 153 Channel Bay MHP, Atlantic Beach, NC.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white
copy for your files and return the signed yellow and pink copies to us in the enclosed, self-
addressed envelope. If the signed permit copies are not returned to this office before the initiation
of development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Mark Hardeman /LSB
Coastal Management Representatives
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper