41735_PETERS, MARGERET_20050519

C;CAMA / E DREDGE & FILL / 3 +:f ' 5
,GENERAL PERMIT Previous permit#
ONew ❑Modification 2Complete 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
If Rules attached.
Applicant Name -C r'"-4 e- Project Location: County !-%IZC.�: —
Address I V (' Street Address/ State Road/ Lot #(s)
City State :t ZIP
Phone # ()y "' .Lll Fax # ( ) Subdivision
Authorized Agent
w
- CW Lki . AkA ❑ ES El PTS
Affected
OEA El HHF ElIH i- UBA ❑ N/A
AEC(s):
PWS: ❑ FC:
ORW: yes / no. ' PNA yes /%n0 Crit. Hab. yes / no
Type of Project/ Activity
City- 4A,t 0Gk�-
Phone # ( )� Z3�^ River Basin
Adj. Wtr. Body _ -Lnat /man /unkn)
Closest Maj. Wtr. Body
I j /
Pier (dock) length_
Platforms) _--
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore r
Basin, channel i -}
cubic yards_
-
Boat ramp —
Boathouse/ Boatlift
Beach Bulldozing
Other
of)
Shoreline Length
SAV: not sure
yes
ifio,
Sandbags: not sure
yes
no
Moratorium: n/a
yes
Photos:
yes
n�
Waiver Attached:
yes
no
r
A building permit may be required by: �1
� i !
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
0
(Scale: /U f : )
See note on back regarding River Basin rules.
-71*4 41,"krt�
Permit Officer's Signature
15-
Issuing Date Expiration Date
A& " L 0 `4131 y A
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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
--
Tar - Pamlico River Basin Buffer Rules r_� 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

UNITED STATES POSTAL SERVIC ' j' L L F i; KK ®""" ItSt�t'IjL-�"
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
I
A. Signature
X ❑ Agent
Addressee
B. Received by ( Printed Name) C. Date f Delivepv
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1. Article Addressed to:
D. Is delivery address different from item 1? ❑ Yes
JY) S If YES, enter delivery address below: ❑ No
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3. Service Type
119 Certified Mail ❑ Express Mail
fV ul ? • C ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail 13 C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transter from service tabeo 7004 2890 0002 0881 5073
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-7540

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Z .411, . (s. "s7.E,e s
(name of property owner)
property located at (ZOT 2Z% /26 Do.e f, &JVW7-
r/ (Lot, Blg'c�� Road, etc.)
on S"E , in NC
(Waterbody) (Town and/or County)
He/She has described to me as shown below, the development he/she is proposing
at that location, and I have no objections to his/her proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
_-(To be filled in by individual proposing development)
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Print or Type Name
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Telephone Number
Date

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7282
68-7497/2560
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DATE
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NAVY
FEDERAL
CREDIT UNION /
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FOR
1: 2560?I,9?4i:? 28 2-0?0604 2? Ila 1
PAY TO THE
OQnER OF
DANIEL G. PETERS
MARGARET M.PETERS
PFL(253) 444 Mo
126 DORY CT.
HAVELOCK, NC 28532-9460