33638_JUNER, PETER_20030306

!1,0tCAMA / El DREDGE &FILL
GENERAL PERMIT
Previous permit #
]New Modification -I 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 15A NCAC
❑ Rules attached.
Applicant Name
Address r
City_ State N y ZIP
Phone # Fax # ( )
Authorized Agent
Affected CW ElEW E PTA ❑ ES ❑ PTS
AEC(s): -' OEA i HHF ❑ IH ❑ UBA ❑ N/A
PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City — -- - ZIP
Phone # (- —) _ River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length_
i
Platform(s) — — i-
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
-=
j
I
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
ell
Shoreline Length —
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
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on back regarding
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River Basin rules.
See note
Agent or Appllica" n Name
Signature Please read compliance statement on back of permit
/ ,"/ r �(� � I �'(
IJ
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date
Expiration Date
j
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 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:
Vr=Pamlico River Basin Buffer Rules ❑Other:
euse 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax:[phone]
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead Citv 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)
Ira c-eirl 3/ 11
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

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UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
LISPS
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• Sender: Please print your name, address, and ZIP+4 in this box •

a; •DCOMPLETE THIS SECTION
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
a, Pa
I
X ❑ Agent
❑ Addressee
B. Received y ( 5
nted Name) C. Date of Delivery
D, Is delivery add different from item 19 ❑ Yes
If YES, enter delive address below: ❑ No
3. Service Type '3',- '
ac.rtified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise y
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
it 2. Article i :.. - :-. T t•^�r 1 �1=� rt
(Transfer 37
PS Form 3811, August 2001 Domestic Return Receipt
102595-02-M-1035�'

UNITED STATES POSTAL SERVIr
AFirs lass Mail
PFQsj§ge & Fees Paid'usps
PemM No..G-10
CI FEB
• Sender: Please print yb--bw-+�at�e, address, arrd-ZM+4 inin tTi-is-5ox •
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T, itt�lil! 1! 1J1 I I Ij{ j il iI I. 1 1 11 1 1 H l ii

s Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Artii Cle Addressed to:
1-0
ignature
❑ Agent
x
❑ Addressee
B. Received by ( printed Name)
C.
ate of Delivery
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3 L L0
D. Is delivery address different from item 1?
O Ye
No
If YES, enter delivery address below:
3. SServiic�ceType
4-6-rtified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
M Insured Mail ❑
4. Restricted Delivery? (Extra Fee)
❑ Yes
S 2.
f%1 Q 3V 6 102595-02-M-1035