41911_SELDON, MALCOLM_20050630

^, �-'CAMA / '- !DREDGE &FILL n ...
GENEDate GENERAL PERMIT j Previous permit #
Li New 1Modification -'Complete Reissue ❑Partial Reissue
p � 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 I SA NCA
Rules attached.
Applicant Name_ _L �`'C o!! / "_ Project Location: County -
Address Street Address/ State Road/ Lot #(s)
City61 , i . � � State ZIP r
Phone # (�) l �� ' Fax # O Subdivision
Authorized Agent i `.t"�"t:. " Joe a f: �City-
Affected — � ✓ � c : � ` d"' ZIP
CW J EW p PTA ElES ❑ PTS Phone # ( ) River Basin
❑ OEA ' i HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): [I PWS: ❑FC: Adj. Wtr. Body Gnat jman /unkn)
Body
y
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. — ---
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 1
Beach Bulldozing
-
Other r .� 4
_
Shoreline Length
SAM not sure yes (no
Sandbags: not sure yes (no')
Moratorium: n/a yes n
Photos: yes no,
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
r
Sigr6ture Please read compliance statement on back of permit`
Application Fee(s) Check #
(Scale: I c )
"See note on back regarding River Basin rules.
Permit Office ture
� " t�--0J' fI - , -
Issuing Date Expiration Date
Local Planningjurisdiction s 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 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 howto complywith thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699- l 638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
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

PRESCOTT BROTHERS INC
141 TARA TRL
GRANTS60RO, NC 28529
PAY
TO THE
ORDER O
3046
66-30/531
DATE (`� `Y — is 472
DOLLARS @
FYRST CITIZENS 472
r o Fi1W-CWJ ons Bank a Trust Company
Oriwiat, N.C. 28571
ww.fir tcitizens.com
w
FOR C' Y � l� (1 ��Gl'�.
11100 3046lie l:0 S 3 L00 3001:004 7 LLD 2 S 4 9115

ADJACENT RXPAR7A.N PROPERTY Ow-NTER STATEMENT
Ihy certify
that ' certif • that I own property adjacent to MnLOL �� �i�'C� 1��
(;Name of Property. Owner)
ro rt}' located at
1'F
P (Lot, Block, Road, etc.)
on
►v , in OR1�U�tl� 1 I.C.
(tiYaterbody) (Town and/or County)
He has described to me as shown belo", ', the development he. is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION ANTD/OR DRAWfNG OF PROPOSED DENTLOPMENT
(To be filled in by individual proposing dei-eloprnenl)
Lo
50
cc, T:2;
o pp
L ; 5Am
Lod
tJ-' 1
Sim afore
Print o: Type Name
2-S- 21
T elepho-,e Number

ADJACENT RIPARIAN PROPERTY 0WINTER STA.TEMEN`T'
I hereby certify• that I own property adjacent to Qvc�,�*-�
(Fame of Property O wner)
prope loc2tea at .-i AI 671 k) A&,
(Lot, Block, Road, etc.))
in N-C.
on_�Vd��`�� �►VQi1Z
(4i�aterbody) (Town and/or County)
He has described to me as shown below, the development heis proposing at that location,
and, I have no objections to his proposal.
DESCRIMON ANTlJ/OR DRAWING OF PP.OPOSED DEVELOPMENT
(To be filled in by individual proposing development)

M
R1 VCR
bus
�y.aa4.D S4Z�ng 29 W p
FU TURE
OEVEL OPMEN T
A REA
wdeE:to S@OE 20 unf