46731_BRATTICH, LISA JO_20060928

ElCAMA / []DREDGE & FILL
GENERAL PERMIT
Previous permit #
[]New ❑Modification El 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
E) Rules attached.
i
Applicant Name
-okc
Address i
City
State ZIP
Phone # ()
Fax # ( )
Authorized Agent
] CW ElEW
❑ PTA [I ES Q PTS
Affected
OEA ElHHF
❑ IH ElUBA ❑ N/A
AEC(s):
❑ PWS:
D. FC:
ORW: yes / no PNA
yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s) %
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes fno
Moratorium: n/a yes
Photos: yes n
Waiver Attached: yes o
A building permit may be required by:
Notes/ Special Conditions
Project Location: County ( f
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (_) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
191
�.J %•j '1
Agent or Applicant Printed Name
MArehpnd City nnm
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Expiration Date
��- � •`�1/sue
Local Planning Jurisdiction Rover Fife 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 [] 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 06/29J05

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May 20 06 06:42p Carol Green 919-967-9132 p.l
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORiMG PYLIIVGS/BOATLUTIROATSOIISE)
I hereby certify that I own property adjacent to • -0 I S
(Name of Property Owner)
property located at SOstsU t�{ZI J C
(Street Address, Lot, Block, Road, etc.)
on Em VA L.D LS 1 C , in Erneg u> \-&- :_ , N.C.
(Waterbody) (Town and/or County)
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections to this proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15) from my area of
riparian access unless waived by me.1 have indicated my intentions by initialing below:
I do not agree to waive the IS' setback requirement.
('initials)
I do agree to waive the 15' setback requirement
(initials)
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMV ENT:
(To be felled in by individual Proposmg development)
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Signature
r
Print or Type Name
7/7-�� °O
Telephone Number
Date: L -�

May 07 06 02:09p Carol Green 919-967-9132 p.l
APR-12-2006 WED 01:39 PM NC DIV OF COASTAL. MGMNT FAX NO. 4 P. 01
A 0--PAC'i?i"�''t' RI1'ikRIAN F110PJ,R'.1'Y OWNER 8'I'Al'EME+',Nt'
tt'u �.t f'./�.lt/n!t'fyl)��INt:IyIF,lNG,i'I13(11[%�fF? if(�ATIIDCIsjs)
i Il�;rti.t,y t:%: i1y ilt'it I aw It J1tvl;(Irly acljac�rt tiz �+SAJo q� � J H4.1-hlacodi Il-S
(�Yamc of Property Owner)
1401),=11Y Iis:.str{I a; 1030 A.4 070010$ SOwladdlr,
(Street nlddivsr" b.t)i`,/I31yU�1,'ls,,yltn:L(l, etc.)
oil— Sou^ -A N.C;-
{'tti's f l z D�ttcl}) _.... w-- —.... — ..._ _...._ _ _ --- •: .
(Towit alidAil- County)
1l+;'�,«•.: hT-3 &'A'ribCd to 111," as shown GclLIw, the &Ytz,opment 110'611e is proposing at (]lilt
Icn':olicls] ; ts•:� 1 I1avo 1,0 c,t,jcciions to INS proposal. I ttncictstand that is picFlttlAcsllltj;
t itiss„sll�rs.ltli ll/[�:.rst.iiau ,�. t]llsst lac seal back ri mi.nii-atmi d'Iamc.- of fifteen fact (1 S') ftoltxsny.7re;r of
ril1l.14i/<,l1 :1fTr:1,14, 11s11c•;<s N-vai'ved byitlz. (hut! ifidic awd my intentions by ie:ifin ing below:
Y<lt l roo to Nv;l c tt�i 15' scthar. k z�gilirc,ncnt.
to Waive' tl'lC l5' Stt�1z1C%L'CcZlIILCi71CIlt.
[*: ;(;i:,11'1',(ON AND/Olt DRAWING t Ff,iZ(. rosjsll I?-'-- L1'•--------------------
T:L�4PvfLlti'i:
0`0 be fiClr:l in Gy individual p-opnving rievelopmetil)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING, PILINGSIBOA TLIFTIBOA MOUSE)
U NU Yd�i , Gh rPe:�e co
I hereby certify that I own property adjacent toJlc
(Name of Property Owner)
property located at
(Lot, Blocl:, Road, etc.()
on 1 �,.�-UIy� , in 1YIPQI I�lP , N.C.
(Waterbody) (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 understand that a pier/mooring
pilings/boatliNboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I si nn wish to waive the setback"require-ment.
I �h? wish to waive that setback requirement.
------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVE OP�-1ENT:
(To beflferl in 6y indi►icltcal proposi�t; de►clopment)�
16
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Signature
Print or Type Name
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Telephone Numher
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1177
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[phone] r'`,�>� ,' . J �� / r ,� : 66-3o/53t
7306 CANAL DR �','/,`l�>. '/,`�� 342
EMERALD ISLE, NC `28594-3007
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