56336_JOHNSTON, FLETCHER_20100820

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❑rAMA/ QDREDGE &FILL -
GENERAL PERMIT �/ Previous permit #
❑New ❑Modification OComplete Reissue 0Partial 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
.� � Pr A licant Name ElRules attached.
� o'ect Location• Coun
pp
Address_
CityState ZIP
Phone # () Fax # ( )
Authorized Agent
Affected O CW
AEC(s): I] OEA
❑ PWS:
ORW: yes / no
❑EW ❑PTA
D HHF C IH
❑ FC:
PNA yes / no
L] ES ElPTS
[IUBA ❑ N/A
Crit.Hab. yes / no
1 ty
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP... 0 —� /�_
Phone # () River Basin 1 f t
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Permit Officer's Signature i {
Issuing Date Expiration Date
Local Planningf urisdiction Rover File Name �-
Application Fee(s) Check #

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s
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 ❑ 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/ 1-888-4RCOAST
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 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

Cate:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
'ound in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tern p impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
`
Dredge ill ❑ Both ❑ Other ❑
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Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
... .!i! - �.;.i •. 1. ...

RECEIVED
x ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 'AUG 18 ZWO
(FOR A PIERiMOORING PILINGSIBOATLIFT/BOATHOUSE) Morehead City DCM
I hereby certify that I own property adjacent to LAI
(Name of PropertyOwner)
property located at Q, of ['_ �,n n n g j View c t
(Lot, Block, Road, etc.)
on .l0 in N.C.
�' ny .Q _ a �+ E'1�P_ ,
'J(Waterbody) (Town and/or County) .
He has described to me, as shown below, the development he is proposing at that location,
and, I have no. objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
--------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Print or Type Name
Telephone Number
Date: bo

ADJACENT RIPARIAN PROPERTY ONVNER STATEMENT
(FOR A PIERAVOORING PILINGS/BOATLIFT/BOATHOUSE) RECEIVED
I hereby certify that I own property adjacent to FLC_7CHEg
•. oo�
(Name of Property Owner)
property located at 1 C 1 w r n e.l V i e w G-'
(Lot, Block, Road, etc.)
on sou n la'"r-6461, in Carr Cn r -� e r , N.C.
Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no. objections to his proposal. I understand that a pier/mooring
pilings/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing developmen,
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Sian ture
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Print or Type Name
5 � 3 �'r 3 c 7,3
Telephone umber
Date: -1 /-), 1 /,;16 1

MRS E. GRAINGER 4523
E. GRAINGER PH. 910-297-3412 66-112/531
217 CHANNELVIEW CT
SWANSBORO, NC 28584 f�
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BRANCH BANKING AND TRUST COMPANY
1 -800-BANK BBT BBT.com
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