33950_MCDANIEL, M K_20030422

�CAMA / F7 DREDGE & FILLi
GENERAL PERMIT
Previous permit #
❑New ❑Modification -!Complete Reissue rjPartial 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
❑ Rules attached.
Applicant Name Ai, I)ap: i _ Project Location: County l r., fir ,
Address—. I 0 74-c #;J -
City_ iJ,I Jck State ZIP
Phone # ( "Sc ) "It E5c1( Fax # ( )
Authorized Agent /{W, r
Affected El CW O EW h PTA L-1 ES ❑ PTS
AEC(s): ❑ OEA O HHF �] IH L UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes /& PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot i#(s)
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Subdivision L ' r /1 lr . , I. , A ,
City_T1 /" / //k ZIP
Phone # O River Basin �✓�' % a
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Closest Maj. Wtr. Body
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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 Planning)urisdiction 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
landowners).
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:
L] 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
151-13 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 MICHAEL K. MCDgN--- __
�EL --- _
247984
PH C(252) 29188504
WIL OINLS , IRE 2B8 3D. N 2743
Pay to the i4�Dal,
66-7704/2531
Oider Of
State EPA ogees' Cre
dit Union Dollars
26 W1[So w«
ZrLe 4Saa
For �9)—A h VA
': 2 5 3 1? 7 0 4
SG25265320n■ 2743

APR-15-2003 TUE 04:42 PM NC DIV OF COASTAL MGMNT FAX NO. 4 P. 05
ADJACEI 7 RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATUFTIBOATHOCSE)
T hereby ce-dfy that I own property adjacent to ,� , ���� 's
(Name of Property Owner)
proc4.-y local-d at --x; � A�
/ ( (Lot; Block, Road, etc.)
on _Ml1� 9)ffVz, in r i�%��� N.C.
(Waterbodv) (Town and/or County)
He has descrloed. to me, as s=own below, the deve?opmenz he is propo. - a: that location,
and, I have no objections to his propos?l. I unde-sz�--d tra: a pier/moorinT
puir,Cs,'boa!iiUboathous muse be se, back a minimum distance of Ff.e!n fee: (:5') f:am my arcs
of riCLIcn avc:�ss unless waived by me.
I do not wish to wa v1- the setbac'.t reouirement.
I n wisn to wive d-ar setback recuirzme �t.
DESCRnyrION AND/OR DRAWLN'G OF PROPOSED DEtiEI,Oi `tE\-T:
(To be filled it by irzdividucl pro posirz; d-velopmenr)
a o>
� AP s<7 WTL.Z'1 t;; F
Si?na:nure
W--'/Z- eisi
Print or Tvice Nine
52 � �? _GS 6 15
Tz!epnon` Num,,
APP-15-2003 17:24
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P.05

APR-15-2003 TUE 04:42 PM NC DIV OF COASTAL MGMNT FAX NO. 4 P. 04
A-DJACENT PJPARIAIv PROPERTY Ow-NT—R STATEN EN'T
(FOR A PIER/MOORING PIUVGSIBOATLIFT/BOATHOUSE)
I hereby ce7dfy that I own property adjacent to AA1U�L�� 's
(LName of Property O,wrier)
prod::ry lcca.td at /6 /-/ rl� /( _e
(Lot, Block, Road, etc-)
on _l�s�'r9 ���/� , in �� ��� , N.C.
(Waterbody) (Town andlor County)
He has dascr'loed to me, as s<<own belo,.v, Lhe developne-,r re is propo::;-.: a: t`at location,
end, I have no objections to his proposal. I unde.s:znd tra: a pier mooring
piii;,��'r�adiFJoo2rhous� muse be � back a minimum dismnce of Cr:et.i Fee: (:-5) ftom my area
of rip ;an access unless w2ived by me.
I dn r nt wish to wa:vc the setback re?uireman:.
I L wish to waive t .at secbac'.c recuireme^�t.
DE•SCR PTlOti A.ND/OR DRAWI'.NG OF PROPOSED DEVEL0?%M.N7:
(To he felled it 6v individucl propostrz; e :elopmerc)
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APR,-15-2003 17:24
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