33999_HUDSON, RICHARD_20030528

1-1'CAMA / 11 DREDGE & FILL
GENERAL PERMIT
DNew EModification LIComplete Reissue [-]Partial Reissue
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
Applicant Name
Address
City lr,\(- 4-i State ZIP
Phone # Fax#(_)
Authorized Agent
Affected E] CW EIEW E] PTA E31ES D PTS
AEC(s): Ll OEA 0 HHF El lH 0 UBA El N/A
El PWS: E FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platto
Finge
Groin
Bulk
Basin
Boat
Boat
Beac
Othe
Shor
SAM
Sand
Mor
Phot
Wain
x
Previol permit
Date previous permit issued_
El Rules
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
(Scale: Q,
rm(s)
head/
-------
r pier(s)
length
number
-T-
7-
Riprap length
avg distance offshore —
max distance offshore
--
I
---41-F;yr,
--
7)
i
il-L�i
r
T
,channel
'4
cubic yards
ramp
house/ Boatlift
h Bulldozing
r
f
dine Length
not sure 'nol
�T
yes
)ags: not sure yes no
torium: n/a yes no
as: yes no
r-r Attnrhacl- vPq
4
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
on -N C� (� j 6 ('CAA'�
Coo. A-o)ls a4p / -11
7-
Agent or Applicant Printed Name --- — 177
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
n5 7
Local PlanningJuriscliction 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 thest*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 consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Ll Tar- Pamlico River Basin Buffer Rules F � Other:
El 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 / 1-888ARCOAST
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)
to
www.nccoastalmanagement.net
Revised 10/05/01

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Set u_r i f e n h a n c e d d u c u_ m e n f_ S r e !rack J o r d e f a i Is.
2076
66-30/531
471
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ADJACENT RIPARIAN PROPERTY OW-NrER STATEMENT
I hereby certify that I own property adjacent to s
(\ame of Property Owner)
property located at
(Lot, Block, Road, etc.)
on
in fCounty)
(tiilaterbody) (Town an o
He has described to me 2s shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DENTLOPIMENT
(To be filled ire by individual proposing development)
Signature
_G N ��-W M t, W �
Print or Type Name
367`)
Telephone Number
Date: `5 3 ' ,) 3
—29—

ADJACENT RIPARIAN PROPERTY OWINER STATEMENT
I herebycertif • that I own property adjacent to � �'� ar �"''� s
5
(Fame of Property Owner)
property located at 1<'ea A� ,
(Lot, Block, Road, etc.)
,I�,Ton 121 �,in Pq'�'n 1"ed � .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.
DESCRIPTION AND/OR DRAWING OF PROPOSED M'ELOPl7ENT
(To be filled in by individual proposing deti'elopmenl)
o
z h-
b
M
Signature U
Print or Type Name
a'sa -aaq - Ili
Telephone Number
Date: 5/ � 3 /g-3
—29—