45717_ATKINSON, J R_20060530 (2)

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❑ CAMA / ❑ 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 15A NCAC
D Rules attached.
Applicant Name
Address /
City s:� /,�./' State ZIP t
Phone #7� Ftax'1# ( )
Authorized Agent
Affected ❑ CW ❑ EW o'i rA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (�) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Fing
er piers)
n length
number
head/ Riprap length
avg distance offshore_
max distance offshore
channel
cubic yards
ramp
house/ Boatlift
eline Length
not sure yes no
bags: not sure yes no
es no
-I -
� I
_ I
I i
� I
I
h Bulldozing
i
{ ' �
I
ratorium: n/a yes no
os: yes no
!
I i _- -_ i t a.• r -
Agent or Applicant Printed Name ! Permit Officer's Signature
Signature Please read compliance statement on back of permit IssuingDat Expiration Date
Application Fee(s) Check # Local Planningf urisdiction Rover File Name
Agent or Applicant Printed Name ! Permit Officer's Signature
Signature Please read compliance statement on back of permit IssuingDat Expiration Date
Application Fee(s) Check # Local Planningf urisdiction Rover File Name

I
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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 1 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 (252-946-648 I) 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

Apr 19 06 11:3ja Atkinson Truck Sales 434 432 4484 p.1
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I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIERIMOORINGPILINGSBOATLI'FT/BOATHOUSE)
I hereby certify that I own property adjacent to �. j�. -�-�j Is
(Name of Property Owner)
property located at _ Z & 80 Lt�r4 N0AAL-LE ,
(Street Address, Lot, Block, Road, etc.)
on i'A�-J ! G iZS_� Y1G in �A IJ 1�i3-`, N.C.
(Waterbody) (Town and/or County)
He/she has described to me, as shown below, Lhe development hefshe is.proposing at that
location and I have no objections to this proposal. I u.*1derstand that a pier/mooring
pilings/boattiMoathouse must be set back a minimum distance of fifteen feet (151) from my area of
riparian accesszaless-ronaived-by-Aae: Dave i}icattd rray-iSxtentians by-enli»g-balay�: — -
I do not agree to waive the 15' setback requirement.
(Witia )
I do agree to waive the I5' setback requirement. Fp f Ram ov,Qc v,&
(u►rtials) O L,D C e/3-+ en a r'fy'o
------------------------------------_--..------
DESCRIPTION ANC-DIOR DRAWING OF PROPOSED DEVELOP'. MNT:
(To beffidted in by individual prppndijsg-devz1opMent)
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P,PoPER r y
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Print or Type Name
1,elephone;Nuxnber. ;
Date..

Apr 19 06 11:38a Atkinson Truck Sales 434 432 4484 p,1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINCSIWOATLIFTBOATHOUSE) .
I hereby certify that Ti own property adjacent to J C. �by-64� I$
(Name of Property Owner)
property located at Z&80 L9)rIr400,4 _.L_e LOAD
(Street Address, Lot, Block, Road, etc.)
on i AN Lo as i ayt74 , in 60siS T' Chi 0 t4'rN( , N.C.
(Wat6rbody) (Yawn and/or County)
He/she has described td met as shown below, the development he/she is.proposirg at that
location and I have no objections to this proposal. I understand that a pier/mooring
pilings/boatlif Jboathouse must be set back a minirnumAistance of fifteen feet (15) from my area of
riparian access unless waived by me. I have iridicated my intentions by initialing below:
I do not agree to waive the 15' setback requirement.
(initials)
I do agree to waive the 15' setback requirement.
(initi
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
F rlfed in h. i r ndual po i?,eloFrnent)
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GO-At1-+ pit- Fo n $ m b
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Print or Type Name
V .?U "/5 3 /o ll d) q3y boy fIor)
Telephone Number
SCle Woe Y11 Date:
D V 4'4 44

WILLIAM J. GENTRY, JR., SA 02-06
P O BOX 10309 434-793-0677
DANVILLE, VA 24543
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THE
IDEIR OF
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�J Peoples National Bank vvvvvv �I�JI
DANVILLE. VA 24541 j 64�
FOR '-10* 51 I�
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