47358_FINE, ALLEN_20060725

x
OCAMA / ❑ DREDGE & FILL
1
GENERAL
PERMIT
❑New ❑Modification
❑Complete Reissue
❑Partial Reissue
Previous permit #
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
�. �',
Street Address/ State Road/ Lot #(s)
City �
State . ZIP
# 3
1
Phone # (_
Fax # (`)
Subdivision
Authorized Agent
City
ZIP_
Affected ❑ CW ❑ EW D PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ 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/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift L t
Beach Bulldozing
Other t
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
r- (2 1-
Phone # O River Basin ,
Adj. Wtr. Body (nnt lman /unkn)
Closest Maj. Wtr. Body
(Scale: )
' r
❑ See note on back regarding River Basin rules.
n -
OCT - 4 2006
Agent or Applicant Printed Name, / r
--&rQnoad city DCM
Signature Please read compliance statement on back of permit
' X --
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date `=r E�piration Date
Local PlanningJurisdiction 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 L-J 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/ 1-888ARCOAST
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

041,X
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AD3ACENI' Ki-eAx-dA,?Y P A t,}x E P, 'I� x 0 YVN�I--R YLA.11` AlEN
(FOR A PIEF✓UNCO VEF FD ROft Z' 11IFy)
I hereby certfy that I own property adjacent to Is
(N.Inie or Property Oti�uer)
property located at _ �� + 7
(Lat, Block, Road, etc.)
on 4�6 6 V1E SaQ�N- in
(�i�'aterbody) �Ll,_ r� 1`i.C.
(Town andJorl Cam)
He has desc ibed to me, as shown below, the deve!opiiient he, is proposing at that
location, and, I have no objections to his proposal. I understand chat a pier/uncovered boat lir
must be setback a minimum distance of riftetn feet (IS') tram myarea ai ri Arian acmes; unless
lug
waived by me. �
I do not wish to waive the setback requirement.
I do wish to ;waive that setback requirement.
JUL' 1 1 2006
' ---------
---
----�-+�-T----------orehead -;
i DESCRiM0N.AN-D/OR DRAWPiG OF PROPOSED�
:
(To be ftllea in by tndiyiduc;l yr;F�o�6�
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V02/18/2006 11:13 FAX [phone]
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