55356_FULCHER, CHRIS_20100507

❑CAl1�A / ❑DREDGE & FILL
GE'IE�r AL 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 I SA NCAC
❑ Rules attached.
Applicant Name' ; €b : (� Project Location: County
Address '` Street Address/ State Road/ Lot #(s)
city%t �t� �a� State ZIP.!
Phone # O•rL���-/ �, Fax # ( -)` Subdivision --
Authorized Agent City. t 'a ZIP �J
Affected ❑ Cw ❑ EW _PTA ❑ ES ❑ PTS Phone # (`) River Basin
AEC s : 1-1OEA ElHHF ElIH El USA ❑ N/A Ad'. Wtr. Body- '�-
O ❑ PWS: ❑pC: 1 y f� (nat /man /unkn)
Body Wtr. '
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. / • / i`j l T
Type of Project/ Activity 6"") , piact,
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards G j
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other_
NMI=►
/ �iNWAIME
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
WaiverAttached: yes no
'
A building permit may be required by
Notes/ Special Conditions
Agent or Applicant Printed Name %
I
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale:
•.
D See note on back regarding River Basin rules.
^ rF
PermitOfficer's Signature /
f f�
Issuing Date i Expiration ate
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 [)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
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth Citv District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimaris
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

APR-27-2010 10:34 From:DCM MHDCTY To:92492337 Page:2"3
0
I hereby cenify that I own property adjacent to
`/p (1 ame of Property Owner)
nroporty located sit /0 3 60 K ,h /�l%� J�D,�D%5 Z� D ���r Y/ M1
(Lot, Block, Road, etc.) zg57
On
(Walerbody) (Town and/or County)
Applicant's phone #: Mailing Address:___
He has described to me, as shown bciow, the development he is proposing at that location, ai d, I
have no objections to his proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSLD DEVELOPMENT:
(To he filled in by property oivner proposing rlevelopmenl)
tp
(information for Property Owner Applying
for Permit)
Maaiiilling Address
City/State/Zip
Telephone Number
7k a-- - J
Signature Datc
--------------------------------------------------------
(Ripari 'r per er nforcnation)
\ Si nature
Print or'Vpe Name
Telephone Dumber
2 2c�0
Date

APR l7-?230 10:34 From:DCM MHDCTY To:92492337 Paoe:3,3
4W,
,�DJACFKNT FTPAIRTAIN PROPERTY OWNER STA.TEN.TENT
r ,
I hereby certify that I otivn property adjacent toI1 Iit I Y t
(i'ar11L of Pa upea w Owner)
prnhorty located ar,
e _
T (Lot, Block, Road, etc.)
on C in i"�i-i fc�1 _...> N.C.
(Waterbody) (Town an /or County) 1`
Applicant's phone 9: e1n->I;rg Address:__. .
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 Or PROPOSED DTWU,OPME;NT:
(lo be filled in Gv properly o caner propo.sirtg Clevelupr+2ent.)
�j�o�oSED �jr� ✓�- f-i oN
---------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Property
for Permit)"'Po rt�v asv
Mailing Address
A16 zb'S7/
City/Stale/Zip
M
/ner Information).,,
Signature GIC
Print or Type Name
Telephone Number
L/4?(J ' to
Date

NC Division,of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Chris Fulcher
Date: May 7, 2010
General Permit t 55356C
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
nt)
temp impacts)
amount
OW
Dredge ❑x Fill ❑ Both ❑ Other ❑
71995
7,995
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised: 02/03/10

_ FULCHER'S 10803
POINT PRIDE SEAFOOD, INC.
P.O. BOX 250 252-249-0123 66-30/531
ORIENTAL, NC 28571 472
Date
Pay to the r�� E y�
Order of 1 V ' 1/
First Citizens l
Bank
firstcitizens.com
For ,
1:0 5 3 100 3001:00 4 7 L 200 3 4
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