33995_MORRIS, JERRY_20030519

[_-: CAMA / L I DREDGE & FILL
GENERAL PERMIT DNew :] Modification E Complete Reissue I :]Partial Reissue
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
Applicant Name
Address
City -X State Z I P�
Phone # -7 Fax #(_)
Authorized Agent i I
Affected 0 Cw 1] EW DWA El ES FJ PTS
AEC(s): 0 OEA L-J HHF [I lH D UBA ] N/A
El PWS: F1 FO
ORW: yes / no PNA yes / no Crit. Hab. yes no
Previous permit #
Date previous permit issued
Project Location: County_____
Street Address/ State Road/ Lot #(s)
Subdivision
ZIP
Phone# River Basin
Adj. Wtr. Body__ V("
natman /unkn)
Closest Maj. Wtr. Body
•
trm(s)
r pier(s) —!VIEN
length
number
-iead/ Nprap fength_
avg distance offshore_,
max distance offshore—
channel
cubic yards
ramp
house/ Boatlift 3
��mon�
mom
MEN
4
—
•h b Bulldozing
,r—
eline Length
notsure yes no
ags: not sure yes no
.torium: n/a yes no
os: yes no
er Attached: es no
NONE
EMON
MEMMMME
ME
0
MEMENINEE
0
EMEM
MMIE
EMM
N
ME
NOME
EMEME
NEW
-also
ENNO
M
44or
low
"W'Ow
'W
7
Q
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit•
�- /n. '2� C� *.)u 6 Z
Application Fee(s) Check #
Issuing Date/ Expiration0ate
C, 1.'�o i1i q-1 1,41
Local
Rover File Name
Planning Jurisdiction
L-1 Rules attached.

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 [)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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
E TT;tr - Pamlico River Basin Buffer Rules �_, Other:
[7-�! 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 howto complywith 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 / I-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

PAY
TO THE
ORDER OF-
FOR
S o d -do cum en
PRESCOTT BROTHERS INC
141 TARA TRL
ARAPAHOE, NC 28510
HRs-r CITIZENS47,
ayboro. N.C. 20515 -33 (r�q
,ir K
WNK F st-Citizens Bank & Trust C mpany C
S e c 1, .n-r k f v r it r I o_i I
2062 I.
66-30/531
DATE 471
DOLLARS
00 20G 2
5
j 100 300,:004 7 &'iO
2 54 2 9111
n

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J-g 2 2 y M o ,e k t* S is
(Name of Property Owner)
property located at 19 S- fi9 Y C rLF- U-1 cc r� 4 ic( � �/ Q o 20
(Lot, Block, Road, etc.)
on -t� ,4 V iety�/'�` , in % e""Ii Z- e o , N. C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWV;G OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
ZY �'�c -;e'r L I r- l
�V V
Signat re
Print or Type Name
Telephone Number
Date:
F-4 ► S r, ,V

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