42451_RAINS, FLOYD_20050719

L CAMA / DREDGE &FILL
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4 f, 51
bENERAL PERMIT
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Previ us permit #
L-]New ❑Modification Complete Reissue
LiPartial Reissue
Dat 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
�)
Y%<%
D Rules attached.
Applicant Name V
Project Location:
County
Address , ") /d r `f-/o/,pGr,'/ti 11
t/ / Street Address/ State Road/ Lot #(s)
City ! ; ,_iA t c T��,_ < State i� ' C ZIP
? y
Phone # ( } Fax # ()
Subdivision
Authorized Agent
City_ZIP
'�/ •'
Affected CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # (
) y 2 "= ��, River Basin = ''r ,r
AEC(s): ❑ OEA C HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
:" Y� / '�
(nat [man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Maj. Win Body-_- tr"
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift % ,(
Beach Bulldozing
Other
Shoreline Length
SAM 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: )
A
f
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
_ See note on back regarding River Basin rules.
i
Permit Officer's Signature
Issuing Date Expiratf' n Date
Local Planningf 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
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:
F _I Tar- Pamlico River Basin Buffer Rules Ll Other:
U 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-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

S.
{ ADJACEN I' Ri_t`lililtii`i �n ^� `' ' ; X 0 YVN�' R SETA- i.�`�`�Z`� .r
.T l ...
^ � (FOR A PIF.RIUNtrOVERED BOAT LJIM
_ 1
I herebv ccrtify that I own property adjacent to N%
( 1: -fue of Property Owner)
property located at_-��T�% L�l�(�'o?�ii��.lvL ,��it1C.t/���5 ��/
(Lot, Block, Road etc.
on f'� D,r�T� in �iL��� c' U��-�/�'.� �`�/l�i�
�� Cjli - . N.C.
(Waterbodv) (Town and; or, County)
He has described to me, as shown below, the dev_-!oprrtent he is proposing at that
Icc-ation, and, I have no objections to his proposal. I understand chat a pier/uncovered boat lift
must be set back a minimum distance of r ftern feect (I5') frorn my `area of riparian access unless j
waived by me.
I do not wish to waivLEE
-.the setback requirement. 5
I do wish to waive that setback requirement. JUL X 2 2005
---------------------------------------------------------------------------- ------ Marct-it DC DESCR.LP'z' 0 .A_ND/OR DRAW-PiG OF PROPOSED DEVEL,OP'ti �+
("To be filled in by indiyidu4-2 pn:poszng dwell)prnent)
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---- ----------------- ---------------
e L-
Prin r Typ-2 N.1me
LA ��.7 - i%>.27
Telephone Numb•rr
i
Date:
1

�®A
1DJt CFIY"1' O 5 Ajy �Njrt4-
"FOR .A _PIERIUNC'OVEIMD BOAT IJIFT)
I hereby cti ify that I own property adjacent to�S.
/ (Nlinie of Property Owuer)
property IocaIed at
(Lot, Block, Road, etc.)
on }L'l/l� in7�i�/L���Cr�C_��>`FT��_C'o; N.C.
(Waterbody) (Town andiorlCounty)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proDosal. I understand ghat a pier/uncovered boat lift
must be set back a minimum distance of rirte`:i fit ( 15') from my, urea of riparian acc ss unless
waived by me.
I do not wish to waive ,the sicback requirement. P
IC
}
I do wish to waive that setback requirement. J,
JUL 1 2 2005
------------
DESCRIPTIOI`� :-N-D/OR DRAWING OF PROPOSED J)E � city DCM
(To be j led in 4-2 by iridiP&Yu-- oP&.ng de.•Yl�pment) 1 b 'V'
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Print or Typ, i"•i,vne
Telephone N�rrnbq- r
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Date:

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-• • • -••� ��� �� �_ ­umeN I UHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
PAY TO THE ��
ORDER OF _
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NOT VALID OVER $1,000:00_
ISSUING BRANCH -•,!A:AD Prig__
DATE
63229129
93.541 /920
DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
AND OTHER T RMS ON THE REVERSE SIDE.
11ME3 2 291 29112 1:09 200541III I:0170 71045 109 2,11
■ THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. ■
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