45238_CAHOON, E GARLAND_20060502

❑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
❑ Rules attached.
Applicant Name .r Project Location: County
Address
City
State ZIP
Phone # O
t Fax # (_)
Authorized Agent
Affected ❑ CW
❑ EW D PTA ❑ ES ❑ PTS
AEC(s): [I OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
O PWS:
❑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/ Rip
avg dista
max dist
Basin, channe
cubic ya
Boat ramp _
Boathouse/ Bi
Beach Bulldoi
Other
Shoreline Len
SAM rn
Sandbags: n4
Moratorium:
Photos:
Waiver Attact.
A building permit may be required by:
Notes/ Special Conditions
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP_
Phone # (,)_ River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
'J
i F Iv
MAY
Agent or Ap licant Printed Name ?
0 PC
mh
Signature- ' Please read compliance statement on back of permit
Application Fee(s) Check #
_ See note on back regarding River Basin rules.
Permit Officer's Signature
City a Expiration Date
Local Planning jurisdiction RoverFile 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:
E Tar - Pamlico River Basin Buffer Rules Other:
j 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 06/29/05

APR-10-20t6 MON 0.2!40 PM NO DIV OF COASTAL MGMNT FAX NO, 4 P. 01
PROPERTY' CItiY]' ER S`1`A'I'L+'MT:NT
i ttcrr lby ccctify that 1 own pruperty a(lj;,(:ojtt to _
(Cv'�yitic of Property Owner)
Ii�'i,poty hx`at.;'<1 wt-
(i.4,t, Wock, 10"I 1, etc.)
i
?n r �;ac N.C.
�(I'owir andlor County)
11e lt,as c3 ^r)I cl to me as Qlowi) tdow, the doveltpnio»t he is'proposing'at that location,
r �141, havi', oo 01,100ions to {lis proposal,
RY110,y ANDIOR DRAWING OF PROPO-qrY) DEVr1,0111N1EYT
(70 be filled in bj, iadiVr&10l proposing dercloplizel )
r
Sionaturc
Print or Type Name
Telephone Number
Date:

„, n 1 v c-uvv I,VJ'! vG'.`LV J JJ IYV 1l1 V Vr vVr10 mL i ritim r m JYV. 4 r. u l
�' a '•3.st�J!'t' . �t7 �. PROPERTY' f)WNER S`1`A'Y'IsI ENT
I tEwr�.lay cc:rtiiy ttJa} I DWI) j,tUperty arJjacJ:itt to �,�� AAtr. C-ANDZl� y_'s
(Name of I'Toperty Owner)
(Lut, Y00d, Ho"Id, etc.)
Oil N.C.
(F'd,Btca�,t�cjy) (Towij andlor County),
I•Cc i2JS �c'•y,^i�(��:Cl tC? iltt'. �$ 51tOWi7 ,. �
tk ir„ f, the •develr,Palc,tjt fie is proposing `at that location,
"ill, 111avo no objOctions to {1ts proposal,
VVION ANUIOR DRAWING OF PROPOSED DEVE1,QP1NIENT
(710 IMPled in 1iY il(dWelfrat proposfug dvvcloprraenl)
Signature ���” w
Print or Type Name:
2-2f 5�
Telephone Number _ _ -
Date:�/

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