42926_MITCHELL, GEORGE_20051017 (2)

-CAMA / ❑ DREDGE & FILLS N° 42926
NERAL PERMIT OCT 2 5 Z005 Previous permit# C-
'sw ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Enviror�t,�erggs ^�r . D
and the Coastal Resources
Commission in an ,area jof�e�nvironmental concern purs I �() M
Applicant Name V 0 rq e- V-t I TC e-l✓1
Address g l d q Cie- , nt _
City__ PP��i State /V G- ZIP 39
Phone # ()
Fax # (
Authorized Agent
Affected CWW PTA [I ES ElPTS // �L�
AEC(s): O OEA ElHHF ❑ IH ❑ UBA ❑ N/A' )
❑ PWS: ❑FC:
ORW: yes /� � PNA yes Crit. HabV
no
Rules attached.
Project Location: CountyLgRTErt- T
Street Address/ State Road/ Lot #(s)
Subdivision c4aC ' -SAQ
City Al Ji+k)t'c- ge" zip 17-
Phone # Qb River Basin IJi, -�
(/ di. Wtr. Body &—V4 P ae- �d ' (nmay_ /unkn) at
Closest Maj. Wtr. Body GPvUe-5at"ucL
Signature Please read compliance statement on back of permit * Issuing Date Expiration Date
Application Fee(s) Check # Lochl Planningjurisdiction Rover File Name

RCDENR
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, , r
Mark Hardeman ILSB
Coastal Management Representatives
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

KELLY G. MITCHELL
GEORGE M. MITCHELL
BEACH ACCOUNT
8104 RHODES RD. PH. 772-4215
APEX, NC 27502
PAY TO THE 4 vt/t
ORDER OF_ _ r' I
Fi&htyBank
AW.igh, NC 276W
MEMO \�
l:0531035851: 1 245 21 1683n- 105 2
66-358/531 1052
1245211683
DATE t%
4-3
DOLLARS 8 E=

CAMA
400 Commerce Avenue
Morehead City, NC 28557
ATTN: Mark Hardeman
Attached are the Property Owner Statements, signed by both of my
neighbors in the Channel Bay MHP at Atlantic Beach.
As you see from the illustration, I am wanting to replace the
current one piling lift with a 4 pole lift. Should you have any
questions, please contact me at 919-669-6009.
Thanks,
George Mitchell
Home Address: 8104 Rhodes Road
Apex, NC 27539
&Ova, �t L is a51gq
0-
:51

Adjacent Riparian Property Owner Statement
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to (7-e-67 r-
property located at 1 0 f-
Lot, block, road, etc.
of Property Owner
Page I of I
s
On MyLVY111'aht 3" in AJ[a"c,,3e4rh ,NC
terbody J 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.
I do not wish to waive the setback requirement.
✓ I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
pro'er5e.-J JPC/(-
NPr7ck
6A WA L,-t,
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Signature �
6 C (P ±iu - LT'c n C-s-
Print or type name
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Telephone number
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Date
'00 C X
http://vv-vNw.innerbanks.biz/upos.htm C1 5 10/6/2005

Adjacent Riparian Property Owner Statement Page 1 of 1
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Adjacent Riparian Property Owner StatementCD
o y s
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
%-�—m ay
I hereby certify that I own property adjacent to V �V r 1 ficli e, I 's
L'ZLV6 of Property Owner
property located at LVf 153 el h
Lot, block, road, etc.
onMVeNliaht , in A f I NC
terbody Town and/or county
1
f He has described to me, as shown below, the development he is proposing at that location and I have
�C no objections to his proposal.
I do not wish to waive the setback requirement.
V I do wish to waive the setback requirement.
Description and/or Drawing- of Proposed Development
(To be filled in by the individual proposing development)
O O
c
0,77
�53
6CAWA�L,
Signature
-r-Cn Cobb
Print or tye name
58•919-33d,9
Telephone number
I0- 9. a15
Date
'0ocX
http:Hv;ww.innerbanks.biz/arpos.htm Lpl I5� 10/6/2005