32556_HOLMES, WILLIAM_20021212

17 CAMA / E]DREDGE & FILL
GENERAL PERMIT Previous permit #
ENew :-]Modification --IComplete Reissue iPartial 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
Applicant Name
Address 3 I- b Y-\ 'J
City �s —Statel,,)�� Zw*—IJ,4e�-
Phone # Fax #(
Authorized Agent V-t-r1 A k't i-
Affected Q Cw IIJ EW A PTA DES
El OEA F11-11-111' EIH El UBA
AEC(s): 0 PWS: Ll FC:
ORW: yes /,-, n� PNA ryes / no
Ll Rules attached.
Project Location: County f 0
Street Address/ State Road/ Lot #(s)
ZI 0--V �' -- r\ - � ;,')
ft An r" . —1. . ItrBody- -
Crit. Hab. yes / no Closest Maj. Wtr. Body
ZIP
325 36 -D
River Basin t.
A- -\ '.gnat Vman /unLen
Type of Project/ Activity
(Scale: NU 7�
Pier (dock) length
Platform(s) X r; 4— +1
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/, Boatlift )l 'K 011
Beach Bulldozing_
Other
. . ...
. .....
V
-
'
V1
J—
V
AS
—1
1&
()
Shoreline Length 10 —.A
SAM 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
V
j
V
6
on back regarding River Basin
rules.
E See note
4 1,,
Agen"r Applicant Printea Name
41
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
PermitOfficer's Signature
Issuing Date I Expiration Date
12 12 19
Local PlanningJuriscliction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attac d 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 a horized 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 ben obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuin this permit under the best available
information and belief, certify that this project is consistent with the North Carolina oastal 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 Manage
River Basin checked above due to its location within that River Basin. These buffer
Water Quality. Contact the Division of Water Quality at the Washington Regional C
Regional Office (910-395-3900) for more information on how to comply with theseb
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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-8884RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 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)
ent Commission's Buffer Rules for the
les are enforced by the NC Division of
ice (252-946-6481) or the Wilmington
fer rules.
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.nccoastalmanagement.net
Revised 10/05/01