34506_DANTZLER, H LEE_20030626

QPCAMA/ ODREDGE &FILL
GENERAL PERMIT
Previous permitil
11New EModification []Complete Reissue OPartial 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 07t I? r-
ZI Rules attached.
Applicant Name f I - I F f 0,0 ,1 L 1r`
Address 4, t 2
City State ZIP
Phone # lf 4;,ax, #
Authorized Agent '1?, 1 11 1"V 1.
Affected D Cw D EW 4PTA [I ES 0 PTS
AEC(s): 0 OEA EJ HHF [I 1H El UBA 0 N/A
0 PWS: 11 FC:
OIRW: yes /,no. PNA yes I no Crit. Hab. yes / no
Project Location: County (, C, V.,
Street Address/ State Road/ Lot #(s)
L -z i r! / i
Subdivision 1,4j/. I-VV/
I
City —A, �V-, ZIP
Phone# (—) River Basin AA
Adj. Wtr. Body A def w /man /unkn
Closest Maj. Wtr. Body—A4
Type of Project/ Activity 0 L
til-
r
at(ff-U
6i
37#
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w"t
2
(Scale:
Pier (dock) length t ;
Platform(s)—
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathousel 00adift V Kk
1+17
I
r I
IV,
T—
'Le
lh� -
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes 1��19
Sandbags: not sure yes 110
s
Moratorium: n/a Y. V.
Photos: yes
Waiver Attached: yes CO/
A building permit may be required by:
Notes/ Special Conditions 6
-4-
V,
L
F1 L
+Z
River Basin rules.
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El See note
11141"1-1
on back regarding
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Permit Officer's Signature
C
•
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
ILC 7—
Application Fee(s) Check #
3

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:
Z 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastaimanagement.net
Revised 10/05/01

PAY
TO THE
ORDER
drill
COASTAL MARINE CONTRACTORS INC 7CJ
PH. 252-638-6407
PO BOX 12729
NEW BERN, NC 28561-2729 DATE
c-=ti' Q _
i
_DOLLARS 8
2
6872
BB&T
BRANCH BANKING AND TRUST COMPANY
NEW BERN, NORTH CAROL) A
FOR 7
!Ju'006872i:053101120:511011269131"
--
66-112/531
01901

I hereby ce:-dfv that I nwn nrnnerty
,Ira. ,,VL :1.14 p11__—�rCt
(N2me of Property Owner)
Property locates at I-eY 1 q klq f ej wa ��!T
3
�e n elz Dr;dP
(Lot, Bloc , Ro
on Ad41V 1, (i'e in �ave I�cK Cr vg CPU
(Waterbodv)
(Town an or County)
He has descrfoed to me, as shown below, the development he is proposing ac tha: location,
and, I have no objections to his proposal. I unde,-S and that a pie:/mooring
Pilinzslboalif�/boathouse must be se: back a minimum dis=ce of fir"teea felt (15') from my area
of riparian access unless waived by me.
X I "Dwish to wa:%e the setback reauiremenc.
—�� I dQ wish to waive tr.at setback recuire7,&1t.
DESCRIMON AND/OR DRAWLVG OF PROPOSED DEvELOPNrE\T:
(To be filled in by individual proposing development)
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I hereby certify that I owe ptopot+y adjamm to 14, Lee 44d i AA J4 D4,11�.ter
(Name of Prvpwty Owned
per wmd at Lo q Jd ner 1) r: Ve Q+cramv E veWk
co
iW v) (Town sndl4 Can&q)
Se has deaea Pd to me, as .swwa below, the de+eppmmt be is pnVoanq at dw bcadm,
sad, [ hm o0 obiank is m his proposal_ I d that _9 pie1moming
west be = auk a winimum dux sm of T&a find (LS) from my any
of tkmim access Wes v►aived by or-
I da mat wish 1D. waivv the yetlatcic tagW==L
I do wit to waive that setbuk regWwe:It_
DES ON AMWOR DRAWWG OF PROPOSED DEVFWPNt%T:
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Print or Type Kama
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Te!cphom Number
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