54372_FINLEY, THOMAS_20090916

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CICAMA / El DREDGE &FILL
ENERAL PERMIT Previous permit#
❑New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural sources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name
Address
City". State ZIP
Phone # ( ) '..` f r. Fax #
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ElHHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s) ;
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
r pier(s)-
-in length
number
avg distance offshore
max distance offshore- -
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Agent o
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Signature ** Please read compliance statement on back of p
Application Fee(s) Check
#
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction 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
landowners).
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
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06

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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
�0460.y a Perdue, Goomtar Jarm H. Gregwn, 01wtor oee rrgeman. secrswy
Date
Name of Property Owner A pplying for Permit-
Maiilog Addrm.
C1<1
f-"-io T rci�ISRi
1 certify that I have authorized (agent) 7 to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (ley property located at)
This certification is valid thru (date) 2
Property Owner Sig
400 Commerce Avenue, Morehead City, North Cardin 28557
Phone: 252-SM2808 t FAX: [phone] ! Internet: www.ncooastalr►oWe.,nW.net
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent to _ * &5 L:kl�� / ._ s
(Name of Propertyer) —'
property located at
(Lot, Block, Road, aft.)
Oil in r L
(Waterhody) �/ (Town and/or Coua )
Applicant's phone ft: �i rJ x 4` -2.511 Mailing Address:S'�
He has described to me, as shovm below, the development not is proposing at that Ideation, and, I
have no objections to his proposal.
DENCRIPTICI►N ]OR DRAWING OF'PROPOSED DEVE'LOPMENF
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t'4v ~f ,
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ICE
tTnforaraation for rogerty i0 r AppFying (Rp'rixn_Propertw r Information)
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Print ar Type Name
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Date

T0: Q14!0465 5eq P. 3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby Certify that I own property adjacent to Zj.,kk5 _'s
(Name of Property U ner)
property located at -(� -.� i�t.tljlE�°�r�
(Los, Block, Road, etc.)
on F es_[ 1 in _PAOA 1_ I Co ®i�.1 ! N,CL
(Waterbody) - — (Town and/or Cnu*4)
Applicant's phone #: 'off/ rMailing Address: /0// l X b
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He has described to me, as shoran �Oow, the &velopmcrt be ii proposing at that location, and, I
ha%c no objections to his proposal.
----�.-....DESCRIPTION }-- /OR, DRAWING C3f-l'iE O POOSEA DEVELOPMENT:
(To be fPlied property owner proposing development]
`Ir
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(information for raperry -. �+ r Applying-' (Ri4ti*v Property Owner Information} -
for Permit) �_1 �.� - -r . _.—
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Mailing Address
City/Stawzlp
p -. - zs
Telephone Number
1-75
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Sigts9ture
Print or Type Marne
Telephone NLml`er
Date

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Miriam S. Prescott 66-30/531 6401
471
NCDL 808544 Ph 252-745-7135
545 Alligator Loop Rd / / r D
Merritt, NC 28556 / (I
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PAY TO THE
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