34012_MCKAY, JOHN_20030527

L.I CAMA / CJ DREDGE &FILL
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GENERAL PERMIT
CNew Modification FJComplete Reissue
Previous permit#
❑Partial 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 I SA NCAC
❑ Rules attached.
Applicant Name J 6 1� 41 a
Project Location: County -r• /I• i /
Address j :C . i3,L .r 7 F
Street Address/ State Road/ Lot #(s)
City State tit ZIP s
Sl L 1 ti n•� ! �.
Phone # O i S�i'i Fax # O
Subdivision
Authorized Agent l� �,;
City u ;t r r ZIP /F S'%6
CW I1 EW 2 PTA ❑ ES ❑ PTS
Affected
Phone # ( ) River Basin
i- OEA ElHHF ❑ IH ❑ UBA ❑NIA
AEC(s):
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Adj. Wtr. Body Akwpex Cat,,/man /unkn) j
PWS: ❑FC:
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ORW: yes / no PNA yes / tn9 Crit. Hab.
Wtr. Body /
yes / no Closest Maj. T f't%
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Agent or Applicant Printed Name /!
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
)cs'i 2-?c fi
Local Planning Jurisdiction 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 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 / 1-888-4RCOAST
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

MR OR MRS JOHN B MCKAY 10142
NCDL 433398 PH 728-3947 , �� , 3
p O BOX 938 Date -� 66-30/531
206 LYNN CT. 131
BEAUFORT, NC 28516
Pay to the $
Order of
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f/ F'[RbK CITIZENSsI Company
r BANK Morohoad City. N C 20557
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ADJACENT RIPARL-k-N PROPERTY OV�NER STATEMEN-f
(FOR A PIER/MOORING PILINGSIBOATLIFTIEOATHOUSE) i'1 '0 2003
I hereby certify that I own property adjacent to �,t'( :R . /1-/c <-4T_'s
(Name of Property Omer)
rope located at _ w
property
(Lot; Block, Road, etc.)
on fir ' vzr- T\7% v e rz , in �� cL re�" , N.C.
(Waterbody) (Town and/or Countv)
He has desc:1oed to me, as shown be'.ow, the deve'.opment he is procos:'-- at that location,
and, I have no objections to his proposal.. I unde:Stand t:_. a pie:; mooring
,boadiidboathouse must be s.=: back a minimum distance cf f-iL-ee7 fee: (5) from my area
of rnoa-�an access unless waived by -me.
I dn nnt wish to ware the setback reauiremenc.
I d., wish to wa`.;*V--_ « s...oa_, re.._irem,..at.
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVELOP`fEN-T:
(To be filled i : by individual proposing deve!oprnent)
Ne *0 -ro 'I"?e Q io ex, '5; ,'Al O/V/0
-rO 6o ve 6 14, 147' tf -'V A&JAel�o 5',,t7 k)J,0
------------------------ --- - ----- - ---- ---------
Si��ature
Print or Tyu- I to
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Tel --phon
e \uTbe:

ADJACENT RIPARL�N PROPERTY OWNER STATEMENT 2003
(FOR A PIER/MOORING PtLINGSIEOATLIFT/BOATHOUSE) L
I hereby ceriiry that I own property adjacent to �© k"'C F- )�- 's
(Flame of Property Owner)
prone..�y located at, © 4 Z / v;A,,r- % rzs C)j,
(Lot, Block, Road; etc.)
on Weu PbRZ- in �_' 4r�icRer , N.C.
(Waterbody) (Town and/or Countv)
He has described to me, ac sh:own below, the deve!opme :the is prop os:-7 a_ location;,
and, I have no objections to his proposal. I uncerstand a pie./mooring
pdin srmat1lifL�170athouS� must be S:: ()aCt a minlmLTM dls=Ce on fee: fro my a:ea
of ro2
-`a.'1 access unless waived by me.
I dn nnt wish to ware the setback reouire,Tient.
I do wish to waive t..at se.back recuire-ment.
DESCRIPTIOti A.N-D/OR DRAWr G OF PROPOSED DEVELOP%fE\T:
(To be filled ir. by individual proposing dEvelopmenr)
W e tom' 7-6) �'� ��.� C � C= x -'s � ��6' olv�o -
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Print or Tvoe tianie
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