43191_CURRY, MARK_20051013

CAMA / —1 DREDGE & FILL
1j 4 3191
GENERAL PERMIT
A
Previous permit #
❑New iMoclification ❑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 '
Project Location: County —
Address `I 1 I J� ' "° `� ` r i' `� `"
Street Address/ State Road/ Lot #(s)
City l I i !- Stated !J ZIP .f i , !
1,177L
Phone # () 3tr Fax # O
Subdivision
Authorized Agent �l ���' 4 et.
City �� i° r� l ! . /V ZIP
=1 CW �atW ETA ❑ ES El�' PTS
Phone # (- _ - ) River Basin
Affected
OEA ElHHF ElElElIH USA N/A
AEC(s):
�,
Adj. Wtr. Body .yna /man /unkn)
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length' _
Platform(s) _
Finger pier(s)
Groin length
1 ,
number
Bulkhead/ Riprap length
avg distance o s ore
max distance offshore - J 4
Basin, channel - -- J --- `----- - —
cubic yards _
Boat ramp
Boathouse/ Boatlift Y ✓ r �- I
--1— -...... [ A
Beach Bulldozing
Other
i
Shoreline Length
SAM not sure
yes no
Sandbags: not sure
yes Ano.
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 N/
Signature "Please read compliance statement on back of permit **
Application Fee(s) Check #
(Scale:
See note on back regarding River Basin rules.
Permit Offic'er's Signature
Q,
Issuing Date Expiration Date
i J)30
Local PlanningJurisdiction Rover File Name
Pt .

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
Iandowner(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:
L,; Tar - Pamlico River Basin Buffer Rules ❑ Other:
L I 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
Washington District
Mailing Address:
1367 U.S. 17 South
943 Washington Square Mall
1638 Mail Service Center
Elizabeth City, NC 27909
Washington, NC 27889
Raleigh, NC 27699-1638
252-264-3901
252-946-6481
Location:
Fax: [phone]
Fax: [phone]
Parker -Lincoln Building
(Serves: Camden, Chowan, Currituck,
(Serves: Beaufort, Bertie, Hertford, Hyde,
2728 Capital Blvd.
Dare, Gates, Pasquotank and Perquimans
Tyrrell and Washington Counties)
Raleigh, NC 27604
Counties)
919-733-2293
Fax: [phone]
Morehead City District
Wilmington District
400 Commerce Ave
127 Cardinal Drive Ext.
Morehead City, NC 28557
Wilmington, NC 28405-3845
202-808-2808/ 1-888ARCOAST
910-796-7215
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
(Serves: Brunswick, New Hanover,
New River Inlet- and Pamlico Counties)
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

' ADJACENT RIPARIAN PROPERTY.' OiVNER STATEIVIENT
I hereby certify that I own property adjacent to
(Name of roperty O'ner)
roper-ty' laczted at _ pt � �-
P _ (Lot, Block, Road, etc.)
on _
(l , in /fit , , N.C'
(Waterbody) (To)vn and/or ounty)
He has described tom zs shown belo,>v, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIFTfON AT\rD/OR DRAWING OF PROPOSED DEULOPMENT
(To befilled ire by irrdii,idIL01 proposing dei'eloprzeRl)
tc-r5 �
0
Sig lure
/� X tl-1 0(4tl- A--
n
"),c— ILLXf2..
Print o: Type Name
Tele hT
pho-�e um er
Date:f'�
-29-

ADJACENT RIPARIAN PROPERTY' O�4 f �fi STATE�TE��T
3,/y
I hereby certify that I o��•n property 2djacent to
k�
(Name of Property 0wner)
properj'lacatzd Zt
(Lot, Block, Road, etc.)
,
on _
7� , in e , N.C.
(Waterbody) (Town end/ r ounty)
He has described to me 2s shown belo,,4', the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIMON A TD/OR DRAWING OF PROPOSED DENTLOPMENT
(To be filled in by individual proposing PL'o'( la' ._.-
SiCnatur - —7.
Ptint --ope Nzrne
Telep`�o Numb',
D ate:
—29—