33194_LEE, JAMES RICHARD_20030304

!❑CAMA / [-]DREDGE & FILL J�,r 3,3194 " e-
iiGENERAL PERMIT Previous permit#
ONew ❑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
21 Rules attached.
Applicant Name -'oj to 1,r• FtG Project Location: County %,. 4"
Address ihC. S t' "10• it 0 Street Address/ State Road/ Lot #(s)
City D, If State ZIP ? 7 E 3 /; , t
Phone # qM) 3 0 • I W 4) Fax # ( )
Authorized Agent V)' i 4
Affected El CW ® EW .2 PTA ❑ ES ❑ PTS
AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
Agent or Applicant Printed Name
2.
Signature Please read compliance statement on back of permit
#Icr . i c•
Application Fee(s) Check #
Subdivision
City �4Ia, Fe", ZIP .'f �"/L
Phone # ( ) River Basin i4 i c�-
Adj. Wtr. Bodyj (nat /man;/unkn)
r1ricect Mni Wtr 11 r1v + e U f iLe , a,
r
Permit Officer's Signature
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, certifythat 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
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.nccoastalmanagement.net
Revised 10/05/01

I n10 MULL I -I UNt AHtA Ut- I Ht UUCUMtN I CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
PAY TO THE
ORDER OF
NOT VALID OVER $1,000.00
-
ISSUING BRANCH.
DATE -.
616::92042
93-54 U920
4.✓ :.I ---- - _- - -- --___ DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
B�3&IT AND OTHER TERMS ON THE REVERSE SIDE.
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■ THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. I IIE FRONT OF THE DOCUMENT HAS A MICRO-11RINT SIGNATLKE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. ■

A.[.IJ 1`'3. C:E- �1 �1
(FOR A PIER;'rliV- 4VrR
I hereby certiFy that T own prope,tY adjac,,_rtt to f l�r•. ti'�f-'c "t„�', cCz`?
of Property (�,�i��x•j..__
propery locatsd ac a)�j ��� 1 �!'C d. ��✓/�✓ a
etc.)
(Toz711 an.drot C nurq)-
He has des,;:ibed to me, as si ow;t bc,:asv, tht dc�v4ioprizent hr is prc�posi.r� at t�;at
location, and, I rtav�� no obi tic7ns to his prOP0s_.I. I u t
r7ust be se: back a minimum distance or i'i:8a �t ,n� ersu:n� �i c a pier/uricovet'e�� ��c�at l.ir
waived by me_ (5) from my IlIr..a or ,-ID2:iZ� .�Gc�ss unless
_ I do apt wish to waive the S,--baok
'/ 112 �ViSh to wive [hat Setl%jc_C-CCULrement,
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Signature i
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Print or Type Nat e
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Date:--
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A.0 llI y
(FOR .
X 1�rreby �. a
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ProPGT7' located at Ci 15 /`1)Ll
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and/orjcounty)
He has desczmibed to me, as si:ow,n bdic,,v, the dcvcllopr�lnent he. is proposinu at location, and, I have no objr�ctions to his proucsal. I unde:stanei ha: a piGrl�trtcr�v<�r,d boat
nusc be se; back a minimum distarict or" rii'tee:� !`��t (i�') xrom rciy�,�e:� qZ r�p�riart ar_:.4ss urz.i�.s5
waived by me.
� � I d, -Q ,riot wish cc Wv Live tf�e sztback re uiremc ac.
I do Wish to waive that 5c[bac? r,.vuiremerxc.
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Signature
Print
or a ypt- Nrne
Tzleph>>t�e Number
-
Date:
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