40025_OGG, RICHARD_20041006

•
_1 I
CAMA / DREDGE &FILL
1�3' fi 10
� � �, 25
GENERAL PERMIT
Previous permit #
El New LJModification ]Complete Reissue
❑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 15A NCAC
4-d h.'
I❑ Rules attached.
Applicant Name_ i'j
Project Location:
County J •-
l ,�t
Address
Street Address/ State
Road/ Lot #(s)
City State ' ZIP
-
Phone # ( ) '�.J `J I " I Fax # ( )
Subdivision_
Authorized Agent fl "/ u
City_
_ZIP
CW JEW ❑PTA El ES ❑PTS
Phone # (_ )_
River Basin
Affected
J OEA ❑ HHF ElIH ElUBA ❑ N/A
AEC(s :
Adj. Wtr. Body--
a man unkn
(Iv )
PWS: -! FC:
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr.
Body -- -- -
I Type of Project/ Activity
Pier (dock) length
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
Beach Bulldozing_
Other
e
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
(Scale: - )
See note on back regarding River Basin rules.
Agent or Applicant Printed flame � Permit Officer's Signature
Signature Please read compliance statement on back off permit Issuing Date
f r.sue,
ApplicationFee(s) Check# Local Plan ningJurisdiction
Expiration Date
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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules i Other:
,I 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 / 1-888-4RCOAST
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

PRESCOTT BROTHERS INC
141 TARA TRL
GRANTSBORO, NC 28529
PAY
TO THE
ORDER OF
D
2720
66-30/531
DATE U Z�;/o 472
rFIRST CITIZENS412
n ANK ,j,--itizone BaMc 6 T-1 Company
Dru +� CrieMal,N.C. 2W,
C .firstci iz com
FOR yy..�� -- ----- ----..--- -
n■0 2 0112 � 0 5 3'60 300i:001, 7 L 10 2 S t, 2 9ii'
DOLLARS 8 ��

Sep 23 04 01:47p Johnson CPR 4348364498 p.1
• ._. + qr.1" VM PRESCOTT RROiHERS INC. 252 249 o937 P.02
ADJACENT RIPARIAN PROPERTY OMrTR STATEMENT
?/7, 3 i-gj
I hereby certify that I own property adjacent to & 2d ora s
(\'ame of Property 0►4'ner)
property located at 16 fPU i(.0 VY76
{Lot
(1Yaterbody)
i4106;, Road) etc.)
Z' r, '41
(Town a/or County)
, N.C.
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal,
DE.SCRIMON AND/OR DRAWING OF PROPOSED DEYELOPJMEN'
(To be filled in by ind('►,idual proposing development)
-�, 1� pl,�cx—�►�N k-5 tv� hS
-29-
Print or Type Name
Telepho.-e
Date: �G

ADJACENT RIPARIAN PROPERTY OWNTR STATEMENT
I hereby certify that I own property adjacent to /AjC'!�iff?�h ���:� Is
(:\'ame of Property Owner)
property located at Z
(Lot, Block, Road, etc.)
on �j'`?� , in .'�,'I.C'� r�i-•i , N.C.
(Waterbody) (Town am /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.
DESCRI ON ANT/OR DRAWfNG OF PROPOSED DEULOPIMENT
To be filled in by individual proposing development)
® R �,�
)k- II57 -k�- u ;T 4 A4 4 � s
C�GII W u N�4-
�LSSS drvJ-
'�-kf- Z-)� 4v
4L .,
rint or T)'pe Name
Telephone Number
Date:
-29-