33945_KITTRELL, MARK_20030417

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CAMA / L] DREDGE & FILL
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GENERAL PERMIT
Previous permit #
- jNew-Modification --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 I SA NCAC
ZI Rules attached.
Applicant Name
Project Location:
County
Address
Street Address/ State
Road/ Lot #(s)
City_ ^. I 1 a tn'Ke er-of I State J ZIP
' r i '.----
Phone # (•'1-Z) 7 Z li 7 fly Fax # ( )
Subdivision
Authorized Agent
City
_ ZIP_ _
Affected El CW O EW 91 PTA ❑ ES ® PTS
Phone # ( )
River Basin
AEC(s): OEA ❑ HHF ❑ IN ❑ UBA ❑ N/A
Adj. Wtr. Body
4:.rm : gnat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no • PNA yes /{fi/ Crit. Hab.
yes / no Closest Maj. Wtr.
Body
Type of Project/ Activity a
•
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(Scale:�JGNE )
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Pier(
Platform(s)
Finge
Groin
�um
Bulkh
ax distance offshore
Basin, channel
'ubic yards
Boat famp
Boat
Beac j: Bulldozing
Othe
Shor ifine Length,
SAW. not sure yes
Sandbags: not sure yes
Mora
Phot s: yes no
Waiv :
A building permit may be required by:
Notes/ Special Conditions �✓ ✓�
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❑ See note
L 1 S 0 ,
on back regarding River Basin rules.
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Agent or Applies Printed N e
Signature Please read compliance statement on back of permit
�S
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction 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
landowners).
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:
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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
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.nccoastalmanagement.net
Revised 10/05/01

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OUTER BANKS MARINE CONSTRUCTION
1501 FIRST AVE
MOREHEAD CITY. C N
(252) 240-252528557
PAY TO THE
ORDER OF
BRANCH BANKIN AND TRUST COMPANY
MOREHEAD CITY NC 28557
66-112/531
5945
4100.00
DOLLARS 8
MEMO 6
1 -
II° 3:35
59451I° �:053 101 i 211: 1 23 1015295n •

ADJACENT RIPARL-�N PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSF)
I hereby certify that I own property adjacent to a k _��; 4+re
(NjName of Property Owner)
prope.-y located at L GIT 0", to
(Lot, Block, Road, etc.)
on , in �Ia-t' Cc --c'r� , N.C.
(Waterbody) (Town and/or County)
He has desc:Ibed to me, as sit hown below, the development he is proposi-= a_ that location,
and, I have no objections to his proposal. I understand tha: a pier; mooring
piiings,boadifUboathouse must be se: back a minimum distance of Preen fer: (-5') tom my area
of riparian access unless waived by me.
I do not wish to wai,.-e the setback requirement.
I S�2 wish to waive rrat setback requirement.
DESCRIPTION AN-D/OR DRY YVr G OF PROPOSED DEVP,LOP f—h.ti i s
(To be filled in by individual proposing development)
APR 1 6 2003
Wq 1 6) 0\[k --5L
Print or Type Name
Vf?- �� - 6 / &7 6
Telephone Num' er
Dater

04/09/2003 10:20 9196881292 KING BROTHERS ELEC
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