34600_MURRAY, PAUL_20030718

'7.CAMA / 1:1 DREDGE & FILL
GENERAL PERMIT Previous permit #
F]New —iModification Complete Reissue DPartial 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 15A NCAC
Q Rules attached.
Applicant Name ac
Address L i -I I c-0 f
Q t) State_ZIP
Phone # Fax #
Authorized Agent
Affected
AEC(s):
Ll CW nEW
[I 0EA El HHF
str TA El ES El PTS
El 1H El UBA El N/A
1-1 PWS: El FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Project Location: County_ (1�\
Street Address/ State Road/ Lot #(s)
Subdivision M1 1 T'; C
City
ZIP
Phone# River Basin t'-k - ( I,(—.
Adj. Wtr. Body i-.4 dnat ft an /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: i
Pier (dock) length i
Platform(s)
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift i 14 1
Beach Bulldozing
Other
.... .. .. ...
. .
V
--ILL
I
—4+
Is
i
T
IE
\-k
Shoreline Length
SAM not sure yes
Sandbags: not sure yes ho
Moratorium: n/a yes no11
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
IL
�-
on back regarding River Basin rules.
-r•
See note
/Aw L, Mui—k—A\/
Agent orApplicant Printed Name
Signature "Please read compliance statement o6 back of permit"
Application Fee(s) Check#
Permit Officer's Signature
a
Issuing Dat Expiration Date
L
Local PlanningJurisdiction lt&eFile Name
­1 I

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:
❑ 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

Pam/,A r/vL[[rray 66-30/4; 1293
PO Nox 4549
PMerRld Jsle, M28594
DATE .7 I-ZG C23 --
PAY TO THE CrL
ORDERER OF
Q r c�d1 lolr,� �backlf
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Lrk+k for: Micro Pdnt signature line, gray type and linew, f first Cilirens banklogo present. do nut cash.
R,ILn l.rMLil'rNS 241
Fi.stL7G:ens Bank a Trust Company _J
N.C. 28584
FORCa_
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FAX Nn. .2sms4zigo Jul. IS 2003 10:45M P2
ADjAcENT PIPARI.A N PROPERTY OWNER STATEMENT
I hereby certify that i own property adjacent
(Nameof PropertyOwner)
property la . 7 g�a l i "w: F.
(Lot, Stock, Abati, etc.)
Vatteerbody) * (Town and/or County)
He has described to me, as shown below, the dtvelopmcnt he i s proposing at that location,
and, I havo n4 objections to his proposal. I understand that a pier/mooning piiings/boatti#tbaathouse
must be set buck a minimum distar= ogfifteen Feet (151 from trty area of ripgrian access uniess
waived by me.
I do trot wish to waives the setbauk requirement.
,! I gg wish to waive that aetback requirement.
DF,SCRJPT10N1 AND/OR DRAFVING OF PROPOSED )DEVELOPMENT:
(To be filled in by individual proposing dnvelopnren1)
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Signature
Print or Type Name
T41ephone Number
nata. Lz�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to fAOlL �6401-&A KUU�'s
r
(Name of Property Owner)
property located at �7:r t41 /0i
(Lot, Block, Road, etc.)
on fNY4afi �DrjtAA in 64 II Co.AC.
(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. I understand that a pier/mooring pilings/boatliftiboathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Print or Type Name
� S 'S
Telephone Number
Date: (:�)- d�