34553_LOVE, MARTIN_20030729

s
EQ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT `�
Previous p�rmit #
LINew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources i
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC t- / I 1' til
[]Rules attached.
Applicant Name PC , � V L C t; c
Address I C S" �-) , . , ID,, , t
City I `n P 1 c t << State Nr ZIP 5.3
Phone # ("; 2) t) - 7 ` )'J Fax # ( )
Authorized Agent 01'r. I
Affected ❑ CW ❑ EW Z PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA �ye / no Crit. Hab. yes / no
Project Location: County '
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin d'Ur
Adj. Wtr. Body C is < ri * r i< at° man unkn
Closest Maj. Wtr. Body " `'i� I {
Type of Project/ Activity
Tiff, VCJ + J
L' �,< ,
r <
'byo rc n•
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
a
number
Bulkhead/ Riprap length
avg distance offshoret
max distance offshore
Basin, channel
cubic yards
Boat ramp
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-
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Boathouse//Boatlift I /`Y I �
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Beach Bulldozing
I
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Other
i
4
Shoreline Length
SAM not sure yes
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
no
'no _ --�{ I
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no -
no
no
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A building permit may be required
Notes/ Special Conditions
by: ! r
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n twry �C .
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(�a� w tj W+ ��!
17 See note on back regarding River Basin rules.
O S1 /fi l 41,, r
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Agent oriApplicant Printed Name
Signature Pie read compliance statement on back of permit a
rd Vi
Application Fee(s) Check #
Permit Officer's Signature
I. ,S 11? r
Issuing Date —� Expiration Date
iuv{h �� T•`�� 1 ! lv�
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
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 / 1-888ARCOAST
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.nccoastalmanagement.net
Revised 10/05/01

07.2803 MON 19:35 PAS: 25244-10157
07/28/2003 02'27 FAX
Ch1N Itahl
FRX NO. :1-252-223-6775
aun
Jul_ 28 20M 10:23RM P2
ADJACENT RIPAARJAN PROPERYY OWNER s'rA7TLMENT
(FOR A P11RI NC VERED BOAT LIFT)
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mixd 1 bow* war abi�f{trlr !� tlsq ��ROeai, 1 ;1'trEd�ad that • �iiwhr�,.K.vrs+�re3 tiubi ii?? �+13 bt rs,
bath et a wtwtwiuis o�lfttsea (lt4°} riparlo- aiccWS waly" by too,"
t.itl3 wises ea w+tiova gAv nTemi[ "qui#WWAML
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(FOR A PIER/UNCOVERED BOAT LaFY)
t hereby certify that 1 awn property adjacent to
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