43656_BUCKLEY, DEBRA_20060104

E'CAMA / - DREDGE & FILL _ II —V 6
GENERAL PERMIT / �J r�CQC iirevViidus#
permit
❑New Modification JComplete Reissue ❑ artial 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.
Applicant Name Project Location: County
Address t Street Address/ State Road/ Lot #(s}
CityState ZIP,
Phone # (� M VK A-3 Fax # ( )
Authorized Agent
Affected ❑ CW El EW G PTA [pES ❑ PTS
AEC(s): ❑ OEA HHF I iH Cl UBA ❑ N/A
ElPWS. �� -- i 1 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
SAV: 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
Agent or Applicant Printed Name
Subdivision
City---- _ -- _ ZIP
Phone # (_ ) _ River Basin
Adj. Wtr. Body _ _gnat man /unkn)
Closest Maj. Wtr. Body
4.. nf► � .ter '^'� a� �. +n r
i
s
I
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: )
ry }
- i t
_ ! t
❑ See note on back regarding River Basin rules.
t
Permit Officer's Signature �
IssuingDafe If Yxpirlikn Date
Local nningJ'urisdiction Rover File 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
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, Bertle, 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
Pander Counties)
Revised 06/29/05

0
Ii1mm;t!-1�"s.
I hereby certify that I own property adjacent to
is property located at
(Name of Property owner)
Lot, Block, Road, etc.
an U(vvE SGvcsZ:3 , in r-'MeeaL-D S L'-tf- 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
c�Ec �lrtl�c�-1L� Sv2-�E`� Fo2
Sicinature
acrij-,
PRIM % T'�Aff,( Print or Type Name
asa - 39-- - 33 3 O ( - -7q 6 :� .,
Prkc01 'Pelephone Number

Debbie Buckle
6D9 324 9252 p.2
ADJACENT RIPAR-TAN pRopERTI� OWNER STATE
I hereby Certify that I own property adjacant to
f3��UCK1 's property located at
( Name 7o7f property Owner)
(7f„ot, Bloc, Road, etc_) '
on in F-:5 ME,-� 'C> SSE N.C.
(Watezbodx) (..own 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.
DESCRIPTION AND/OR DRAWING OF PROPOS
(To be filled in by i nAi v; A l
Piz %N
.SEC-_
�—
ature
Print or Type N=c
Telephone Number -�

55-2-212 1185 i
DEBRA J. BUCKLEY
[phone] / ► �/ _20111�[
45 BORDENTOWN-CROSSWICKS RD.
CROSSWICKS,' NJ 08515
WACHOViA BANK, N.A.
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