33984_MOORE, DAVID_20030509

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Previous permit #
❑New JModification ❑Complete Reissue —]Partial Reissue Date previous permit issued 3
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
City_. State ZIP
Phone # (i) Fax # (` )
Authorized Agent
`J Cw ❑ EW El PTA
Affected
AEC(s):
'I OEA ❑ HHF ❑ IH
L, PWS: ❑FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ USA ❑ N/A
Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City_i ZIP
Phone # () River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
s
Pier (dock) length
Platfo
Finge
Groin length
Bulkh ad/ Riprap length_
6119 distance offshore
ax distance offshore
Basin, channel
cubic yards
Boat lamp
Boat
Beac Bulldozing_
Othe
%law
NON
ON
a,
NO
N
"Son
0
IN
■■
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit* Issuing Date Expiration Date
Application Fee(s) Check # 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, certify that this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar - Pamlico River Basin Buffer Rules
❑ Neuse River Basin Buffer Rules
❑ Other:
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

THOMAS DAY BUILDERS, INC.
PH. 252-247-2028
128 ROGUE SOUND DR.
NEWPORT, NC 28570
Pay to the
Orderof 1-7
4229
Date _ —0 3 66-112/531
02302
�...
B&T Doars 8 o w
BRANCH BANKING AND TRUST COMPANY
OREHEAD CITY
NORTH CAROLINA c
' For ,c /Lj r rti YP� 33
':05_ 01L2L�05LL61005 3 5 u 4 2 2 9
- - = _-
GUARMAAOSAr TY-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to e I . ! Y l � C V,e- I I C's
'✓(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on --iLrLis in 1-". C.
(WaterboFy) (Town andJor County)
He has des ;rued to me as shown below, the development he is proposing at that location,
and, I have no objections to :his proposal.
DESCRI17HON A.ND R DRAWING OF PROPOSED DENTLO.PMENT
Cfio be flIled in by inditadual pmpasing development)
5 tC�XiS-T�..�c� ioCr
75 "10"�O'
3C�-wilc
V%C-A A
yJead cr vilely`
�oc�tis �" �roke•� �caracre�--P ��«I�i1C,�d
Cf>Q {e4 0p k.AV\ '�'A\
a i 1
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B\�0- " p r bvr
Print or Type Name
Telephone Number
fix;stl rg
AA
Dee- K
Tie rc,+
rp�e S

ADJACENT RIPARIAN PROPERTY O. � ER STATEMENT
11
I het reby certify that I own property adjacent toND ' j tl-�
(Name of Inperty Owner)
i �-
Pr-Opeerty located at 3
(Lot, Block, Road, etc.)
(Waterbody) (Town and/or C'oainty)
He has described to inee as shown below,. the developrr!ent he is proposing at that location,
and, I have no objections to his praptosal.
DESCRII -TON ANDAR DRANWN+G OF PROPOSED DEVELOPMENT
�- (To be fiffed in by in&vzdturl,pruWsing development)
�q
S�
pro pop e
g �
,s
N
bey3ej �1-k- *,A- ii4iACev]�
75 '1 oats
3t'�"bI-e.
Ott" W-
ya�ad ©r' 1fy
-29-
116 ' " IM.- �V+ .
1A" �..
S� ature
LL61L �
Print or Type Name
Telephone Nufnbes
Date., z3
SNb C- V-

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
-J:�PERMITTEE' S NAME: � uQ
LOCATION:
PERMIT #
FIELD REP.
,
PHONE: l gIO(K n DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION
1) ,the measured dimensions of the development differ from those indicated in the permit and workplat?
L�z /NO [circle one].
COMMENT:
C!
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [circle pne]
COMMENT: GV -
3) FUTUREmow6RING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? Y /NO ' ircle one].
COMMENT: