47205_BRABBLE, DWAYNE_20060817

❑LAMA / I❑ 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
Rules attached.
i�.,� 1 .P �; /. /!
Applicant Name
Project Location: County
Address o� i �" 7 r
Street Address/ State Road/ Lot #(s)
City State/L
Phone # ( ) ' ? '� � 'Fax # ( )
Subdivision
Authorized Agent �� r 1t "' �< -.�" r ci
City "�'r ` 'L2.. ` �`� ZIP
❑ CW Dtw E*TTA ❑ ES ❑ PTS
Phone # (�) River Basin
Affected [IOEA ElHHF ElIH [IUBA El N/A AEC(s):
Adj. Wtr. Body K-at )m� an /unkn)
❑ PWS: ❑ FC:
ORW: yes / no,. PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
`
``
-7
r/
(Scale:
A/j., c- )
Pier (dock) length X
Platform(s)
Groi
Bulk
Basin
Boat
Othe
SAM
Sand
Phot
Waiver Attached. yes no
A building permit may be required by:
Notes/ Special Conditions-Miii
I ' (.�
'
ow,
❑ See note
on back regarding
River Basin rules.
'
n
head/
r pier(s)
length
number
ftiprap length
avg distance offshore
max distance offshore
channel
cubic yards -
ramp � U
� �/.
^
I
Agent or Applicant Printed Name '
Signature Please read compliance statement on back of permit
Morehead
�0 00 )�fr
Application Fee(s) Check #
i
(ty ficer'sSignature
Issuing Date / Expiration Date
Local Planning Jurisdiction
Rover File Name

A
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, certifythat 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
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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

OLLIE CHARLES POWELL, JR. o3-o6
252-639-9962
3007 OLD CHERRY POINT RD. _ j �_ D
NEW BERN, NC 2&%"963 Date_
Pay to the N (�� I $
Orderof— N E
/w 'i 1 1 /i 1 A! I '-' 0
1237
66-19/530 NC
3100
/Oo Ala G
r
k
Dollars e
BankofAmerica
ACH RIT 053000196
For �Z V rY► t r7 fi �r C' tLLv�iv1 r
1:0530001961: 002372962 9111,1237
Ivp

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 1� /u�QI1�12(� 's
(Name of Property Owner)
property located at �� C'm d c !�_ a F- CJ Ilo. {
J (Lot, Block, Road, etc.)
on iy%%uwk YxCl I_Ir' CL�_ , in fit% &, N.C.
(Waterbody) (Town and/or County) �.+��'' �` r�;Z,v
He has desefibed to me as s o n below, the development ie is proposing at hat location,
and, I have no o f s o is oposal. I understandt a p r/mooring
pilings/boatlift/boat o sit et back a minimum distance of i eff�et - ') f m my area
of riparian access u less waive by m .
// I do not wish to waive the setback requirement.
vN jva' e that setback requirement. IN/A
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
(See the attached drawing)
Signature
�d fq
Print or Type Name
�o j -- 4�
Telephone Number
Date: 2%/

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Dw nv m I.'s
(Name of Property Owner)
properly located at I r1 3gcA
I I j (Lot, Block, Road, etc.)
on klitau `t�7cVl car �I( �i��l in 7 �ouolo , N.C.
(Waterbody) (Town and/or County) Ck 1A I(VIL Co LnCtl-f
He has desci -ibed to me as s o n below, the development e is proposing at 1 hat location,
and, I have no o i s o is oposal. I understandt a p' r/tnooring
pilings/boatlift/boat ot�s� ► st et ack a minimum distance of of f/et - ') f m my area
of riparian access u less waive by m .
I do not wish to waive the setback requirement.
VNhtXhf setback requirement. IN/A
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
(See the attached drawing)
A/Zz-
Signature
ff"42�22 z�-4 5kt)
Print or Type Name
Rio / Zf'1Y/
Telephone Number
Date: �� 5�- /4�14L

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