34008_KDJJ ENTERPRISES_20030529 (3)

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❑CAMA / ❑ DREDGE & FILL o(
GENERAL PERMIT �' revious permit #
New ❑Modification ❑Com lete Reissue ❑Partial Reissue
P 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 I! P j t dry i t r1 V L,F r a i
PP r
Address < s S ;-Cl- nJc , r? 1 f.%. 1, F
City H ,tr A F6 I'm State ZIP Z
Phone # (� tki ) 7 Z Z. - V S 71 Fax # ( )
Authorized Agent Or cif
Affected ❑ CW ❑ EW EJ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County '„ , ) r .
Street Address/ State Road/ Lot #(s)_
/- l -,1/
Subdivision 1 c / • J (, r
City
Phone # (`)
t .rg 1 ZIP :? St(
River Basin AI/uwrr
Adj. Wtr. Body %c., n., r/ A r /, rP I< Cat /� man /unkn)
Closest Maj. Wtr. Body N A v' ` 10 ,"f -
Type of Project/ Activity t 1rc ^J c) n,r, If,�i x S t (G o vF/ MAY j ��( t� ► r r ;,(rr Nu 1r,) N 'it A `l;: } l"
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Scale: i✓u"'_
Pier (dock) length /Ij, S
Platform(s)
Fing
Groi
Basi
Other
A.
Shor
SAV:
Sand
Mo
Waiver( no
A building permit may be required by: �a , c r
Notes/ Special Conditions
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El See note
n a -- -4o J,
on back regarding River Basin rules.
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pier(s)
n length
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number
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Agent or Applicant Printed Name
Signature* Please read compliance statement on back of permit
Application Fee(s) Check #
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Permit Officer's Signature
72 CZ
Issuing Date Expiration Date
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, certifythatthis project is consistentwith 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
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)
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

THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
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ISSUING BRANCH `-` "' Moreh ad C.
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DATE MA"i, , ' i 1 1.7 93-541/920
PAY TO THE " j� C
ORDER OF ,(�
BB&T
DRAWER: TRAVELERS EXPRESS COMPANY, INC.
P.O. BOX 9476, MINNEAPOLIS, MN 55460
DRAWEE: FIRST INTERSTATE BANK, HELENA, MT
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DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
-^ ^AN_D OT R TERMS ON THE REVERSE SIDE.
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CITY &
■ THIS DOCUMENT I IAS AN ARTIFICIAL WATERMARK PRINTED ON TI JE BACK. TI IE FRONT OF THE DOCUMENT HAS A MICRO -PRIM SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. ■

&DjACEN'I'Rj-AFAj1PET)NVSq ATEI--N-CW
(FOR A PIERIUMCO VEPED BOAT 41FI)
I hereby ct,-&y chat I own property adjacent to %� -c- -kh
(Nme of Property Owner)
properTy located ac
(Lot, Block, Road, etc.)
3
A N.C.
(Waterbody) T
(To and/ot! County)
He has described to me, as shown below, the deve!oprhenc he is proposing at that
location, and, [ have no obje�ctions to his proj>os.-J. I understand Oat a pier/uncovered 0 boat lift
must be so-, back a minimum distant:, or fifteen f=t (15') from my 'area OC riparian access unless
waived by me.
I do not wish to waive
the scllack reaulremefi[.
I —do wish to waive that setback -requirement.
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DF-SCR=j:)N A-N-D/OR DRA1,YDiG OF PRO S-D'DE'tiELOP_'12E, T:
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L-(' 6, bei'LUediribyindividual joropo deve Mt)
pen
2 1 2003
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- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Signature
Print or Type Name
Telephone Numb r
Date:

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fiDJfiC�1r _ir11�C.ii� i -EI,-\T O'� R S�� j i ��LF.i�i i ,
(FOR A PIERIUNCOVERED BOAT LjIM
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1 hereby ce;rify that I own property adjaccn[ to
e of Property Owner)
proper y looted ac
(Lot, Block, Road, etc.)
on K , illl�
(Waterbody) (Town andl r County)
He has desc-ibed to ,me, as shown below, the development he. is proposinIg at that
location, and, I have no objzrtions to his proposal. I understand Ijhat a pier/uncovered boat lift
must be set back a minimum distance or rim--n feet (1.5') from myjarea of riparian access uriless
waived by me. II
I do not wish to waive the setback reouirement.
I do wish to waive that setback requirement.
i
I
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DESC,PIPTION A.ti-D/OR DR�w G OF PROPOSED'DEVELOP' ti :
i (To be fUed in by ; ua.l Proposing devel'Cmen!)
---------- ----------------------' ---------------------
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Sig a re
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Print or Type N=Ie
%'�j{—�GU�
Telephone Number
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Date:

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