43434_BROCK, DAMIEN_20051110

UCAMA / ❑ DREDGE & FILL
GPENERAL PERMIT
s —New I 'Modification (Complete Reissue ❑Partial Reissue
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
Applicant Name_
I
Address
City f ��,� �/"i fl��- - --
State J'r ZIPS
Phone # ()
Fax # (`)
Authorized Agent
Affected " CW ❑ EW
F— PTA DES ❑ PTS
AEC(s): 1- OEA ; HHF
IH ❑ UBA ❑ N/A
PWS:
I I 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 no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agen or pplicant Printed Name---
:"
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
/v
Previous permit #
Date previous permit issued
❑ Rules attached.
Project Location: CountyA/ i
Street Address/ State Road/ Lot #(s)
Subdivision
City n- / ZIP
Phone # ( ) River Basin ­��l
Adj. Wtr. Body /i �'r ` ✓�t t i6'. unkn
Closest Maj. Mr. Body
(Scale: �; )
t
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date. Upiration Date
Local PlanningJurisdiction Roe ile-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, 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 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 06/29/05

40
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to the property of Steven E. Rollins
located at 206 Goose Creek Loop Rd on the intracoastal waterway, in Newport, N.C.
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
Signed: ` `�/�,�v�yt L����!"e9—
Address: �/���—j/� . 2 7—i4-R- 12Q
City, State, Zip A/,r-- L./ t9O V r— j-/ C'
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by, individual proposing development or his agent)
See attached documents.
ti
1
0
Q
C

I -
Nov. 9, 2005 12;;5PY t AE^ORP W' 427? F. 1
pu,
0
T Eby certify that. I Own propa* aci*cnt to the property of Stevm E. Rollins
wed at 206 Goose k Loop Rd t���.rn��c�►��a w��y iu i�I���� N��
He W dui to my as awn below, the &velopmmt be is propow-9 at that locelon,
and, Y have no options to his pro sal,
City, Maze, ;zP Mg-"' n-f,,kcF.. -
DESCRiP'TI( AND/CAR DRAIWTNG OF PROPOSED DEVELOP wNT
(To be Med in hyrrindlividual proposing de'velopmewtor his ate)
1D)P.i
TO 39vi 00 1SN00 Z1JVMHOS 39 syss9zC0T6 651,01
560�/80;'tt

- 3150
66-7489/2531 t
0900023437008
B.E. SCHWARTZ CONTS. CO.
D_
P.O. BOX 976 PH. 326-5545 DATE
SWANSBORO, NC 28584-0976
PAY TO THE FRS
W ORDER OF
Marine Federal M'
credit (Ir1 ron
h Jacksonville. NC 28541-1551so
Vr J
MEMO
1.09000 2 34 3 700811'
l