41145_SCHWENDY, GLEN_20050405

[-�CAmA / J DREDGE & FILL
GENERAL PERMIT
Previous permit #
New I_'Modification 1--lComplete Reissue
El 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 I5A NCAC
�Y '
O Rules attached.
Applicant Name "
Project Location: County_
Address `. C "` t ,
Street Address/ State Road/ Lot #(s)
City State ' ZIP
-`
Phone # O Fax # (,)
Subdivision
Authorized Agent
City___ ' ° ZIP ----
Affected Li CW ❑ EW D PTA F I ES PTS
Phone # () River Basin
❑ OEA ❑ HHF L lH E UBA ❑ N/A
AEC(s):
Adj. Wtr. Body------ __ _(nat Iman /unkn)
C PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr. Body
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
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
i
Agent or Applicant Printed Name '
(Scale:
j
See note on back regarding River Basin rules.
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit Issuing Date Expiration Date
Application Fee(s) Check # 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 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-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

�a,,��►t,rtr1 n,�.rHx,sa�r rt[VYL'Kl Y VWP(t�K,lAl'L�Nlt'jIV'1
(FOR A PIERIMOORING PLUNGSIBOATLIFTBOATBOUSE)
I hereby certify that I own property aitacent to G 5c.\\ \-j e;\i,, � 4 's
(Name of Property wner)
property located at � f'S Csz�k Lie
-- uT(1A4 BIocJ, Road, eta)
(Waterbody) (Town and/or County)
He has descn'bed to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
piings/boadhWboathouse must be set back a minimum distance of Meen feet (15') from my area
Of rklarrian access unless waived by me.
n I do not wish to waive the setback requirement.
I Ido. wish to waive that setback requirement
DESCRMTON AND/OR DRAWING OF PROPOSED DEVELOP'VIM:
(To he jMed in by individual proposing development)
i�
WA
)� Z�
RCS
Print or Type Name
\ 67X 5s o�
Telephone Number
Date:

POSTAL SERVE F1i'si
USPSC)ass MaiC
P I Postage>&Fee loaid
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Permit No. G=1t3a
I} BAN
r:,Ple s,e prig ofame, address, and Z1P*4 in this hok
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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.
1. Article Addressed to:
A. Sign ture
X ���� ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Pqjivery
Al-IL[i
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Wertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
-sCN W r.�> 14. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7004 0550 0000 3921 9362
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

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INNERBANKS MARINE CONSTRUCTION, INC. 1848
P.O. BOX 190 PH. 252-249-1429
ORIENTAL, NC 28571
SLos
66-30/531
PAY DATE 472
TO THE
ORDER OF N( Nis oo
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DOLLARS
FIRST CITIZENS 472
$ANKFirist-cnaor,s Bar* a mat Cow any
Oriental, N.C. 28571
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