42906_PRIDGEN, WAYNE_20050922

CAMA / ❑ D139DGE & FILL
GENE"L PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
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
Previous permit #
Date previous permit isAYed
❑ Rules
Applicant Name 1' ci Li Project Location: County
r'
Address Street Address/ State Road/ Lot #(s)
City
State
ZIP _^ l
Phone # (,)
Fax # O
Subdivision
Authorized Agent
City ZIP
Affected ❑ CW
❑ EW ❑ PTA ❑ ES
❑ PTS
Phone # ( ) River Basin
AEC s : ElOEA
❑ HHF ElIH ❑ UBA ElN/A
Adj. Wtr. Body-
1gnat /man /unkn)
ElPWS:
ElFC:
ORW: yes / no
PNA yes / no
Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) 1--k
Platform(s)
Finger piers
Groin lengt
numb
Bulkhead/ F
avg di
max c
Basin, chan
cubic
Boat ramp
Boathouse/
Beach Bulk
Other__
Shoreline L
SAM
Sandbags:
Moratoriun
Photos:
Waiver Atts
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
(Scale: N
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
Application Fee(s)
Issuing Date
Check# Local PlanningJurisdiction
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, 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:
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 (910-796-7215) for more information on how to comply with these buffer 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

I HIS MULTI -TONE AREA THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
......
---- - __
NOT VALID OVER $1,000.00 63229279
ISSUING BRANCH '';fi;. •- t4t_iF.F I iEa"+C1 t'1r+I t';
DATE __ IJI:::-r OFIE_R '2'4 , ?I`)f'I°i 93-541/920
PAY TO THE
ORDER OF1—
BB0 ( ( f o { Jr l 1 I • L DOLLARS 6V SIGNING ER AGREE N THE SERVICE CHARGE
(V1r �,A1 �4A' I I, � 'I y�I�r ' I,,I AND OTHER TERMS ON THE REVERSE SIDE.
DRAWER: TRAVELERS EXPRESS COMPANY, INC.
P BOX 9476, MINNEAPOLIS, MN 66481 i (� PIJ$4j� g. SIQt?QoVQSt i)RAWER
j1l�lAWEE: FIRST INTERS I ATE BANK, HELENA. M�i s j` /j / + C C �v`�. l �Tj�7
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■ THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINT HI) ON I I IIRA( A I I II I'It(�\ 1 (()' Tllli IX)(I It NO-I'NIN I Y(;NA I L NI I INI: AM t Il( tltDI'R All` J N( I' OF -I 111 SE FFATUli4ti 1V1).1- INDICATF. A COPY. ■

ADJACENI'k)-eABUAN .11"1119F KRU"Y 0 WNf-R STLATFZIENIC
.(FOR A PIERIUNCOVERED BOATIJIFY)
I hereby certify that f own property adjacent to
V e, 4,o
"L n i'e of Property �Oti
property located at Mooni;qU A-tye-
(Lot, Block, Road, etc.)
on
Waterbody) (TN. C.
own and./orl County)
He has described to me, as show,, below, the deve!oprliient he. is proposing at that
Ic(--ation, and, I have no obj,----tions to his proposal. I undersumd Ghat a C
pi � r/ancovercd boat lift
must be set back a minimum distance of fifteen fit (15') from my' 'area 0 riparian "parian access unless
waiv
ed ed by me.
r do wish to waive the setback requirement.
I do wish to waive that setback requirement.
--------------------------------------------------------------------------------- ---------------
DESCR=(DN A-N-D/OR DRAV-VEtNG OF PROPOSED DEVELOP-NLEN-T
(Fo be.Ped in by irzdij,idu-al de" -dill
PL
Print or Type N-11jile
I'll,
Telephone Numbi'�r
.Date: ;16
,11
I

uS�s
"F. k
He has desc ibed to me, as shown below, the dev2!oprient he is proposing, at that
location, and, I have no obj.ec: ons to his proposal. I underst,,.nd chat a pier/uncovered boat V.
must be set back a minimum distance or fifteen fit (I5') from my area of riparian access unless
f waived by me.
I j
' I do not wish to wa.ivc the setback requirement.
I
I do wish to waive that setback requirement.
---------------------------------------------- --------------- ------------ ---
DESCR=(DN A-N-D/OR DRAWING OF PROPOSED DEVELOP-NLF-1,;T:
(To be JUlea in by indii,idu -d yr;y^o�.n� uerel�wment)
O � �
i
vrT
i
---------------------------------------- ------------------------------------ E------------------- ------------
Si0,r, re -.r.
Print or 1yp--, N-lille /
IjDA C.F.NI ` Ri_
(FOR A N,E`R/UNCO VER.E'D BOf17' IJIM
I hereby c-ruy that I ownproperty adjacent
rt to _����� � s
lirire of Pro' rtv Oti
pe - )
property located at__ r; v C
(Lot, Block-' R--/Joad, etc.)
on'�!'� Lib ��� in �%l�r� J7C. _ _!c%�
(Waterbody) (Town andlorl County)
T�flephone Numb,--F
Date: (o % ��+
A
5

� '7 g� S la f��r9�, �.
`�ac�� YY� �l a��3

I
......................
Y ADJACEM* Rj-eAF-dAiv P 'r-E 'I x 0VVNji;.R T-j�;�x r
y +
E -.k
(FOR A PIER/UNCO VE RED B 0AT LIIIT)
I hereby ceitify that I own property adjacent to �4s ::Irn i e o f Pro ' rt v O tip( r j rope e )
property Located at ,<©0C�ls��'1�-��.
(Lot, Block, Road, etc.) —
on ut % /7' /ec 1
N.C.
(Waterb(.7dy), (Town and, orl County)
He has desc-tberl to me, as shown below, the developh nt he, is proposut at that
IoG3tion, and, I nave no obj bons to his propos.-I. I understand t;hac a ptcr/uncovered boat Lift
must be set back a minimum distance of fifte-en feet (ILLY) from iny'area of riparian acctiss m ess
iwaived by me.
I
I do not wish to wa.iv---the seiback requirement.
i
/'
j A/" IV do wish to waive that setback reauireme'`
--------------------------- -_----------------------------------------- - - _-----_---------------
DESCRIP"ITON AND/OR DR.A VV NG OF PROPOSED DEti FLOP-11YM 'T:
(To be . ea in by indh4du4,-J pr;F oi;i �- sda.• !
� � a e rFfient)'
44
C-�15�0
ill
f � I
i
i
I
:
.---------------------------------- ' ------ ;:-----------------------------------=►----------=---------=----------
Sign re r
_,�A
Print or T yP,2 Ti I.Jne
t2� 0
Telephone Numb 1 r
Date:
Ot
__ J

Type of Project/ Activity C 0-1^54ryc-4 a- bi oN- Q 1J eK' clock
(Scale: "ts )
Pier (dock) length
Platforms) L A
I --- 7
Finger pier(s)LJ
Groin length
length —
number
Bulkhead/ Riprap length
I �
avg distance offshore j 3
- - - - - - -__- - . �� i
max distance offshore ._ - ...___
_
Basin, channel ;
cubic yards
Boat ramp s -i-- - - -- - - -
Boathous Boatli '
AJ
Beach Bulldozing -
Other r
J
�-
Shoreline Length
SAV. not sure
yes
r�yci
Sandbags: not sure
yes
�q` --
Moratorium: n/a
yes
(p0
Photos:
yes
r�
tJ� ` try Q ---'.
- I - 75
i
v
A building permit may be required by: 10o-, e-
Notes/ Special Conditions ) �Jo
rr� �4
Agent orAppl ant�Printecdfl ame
Signature Please read compliance state men back of pp FM it's
Application Fee(s) Check #
---
❑ See note on back regarding River Basin rules.
g1,61 Ized by 44 , -S
Permit Officer's Signature
9 -.���� / 2 - --7 z
Issuing Date Expiration Date
4//�,v�� 1°� L. L.ogD9/5=
Local Planning Jurisdiction
Rover File Name

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a
Image* 2011 Digital
C 2011 Google
Date Dec 9. 2006 34'42'30 64' N 76'44'20 23' W elev 31t ?'Eye alt

RECEWED
AUG 0 4 Zoll
DCN4-MRD CITY