41986_SEXTON, DAVE_20050719

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CAMA / _ , DREDGE & FILL /0�
GENERAL PERMIT Previous per
[]New ❑Modification ❑Complete Reissue LIPartial 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 I SA NCAC
Rules attached.
Applicant Name -e-� C �4. Project Location: County _ -
Address_ Street Address/ State Road/ Lot #(s)
City — State ` ZIP -
Phone # ( ) Fax # ( ) Subdivision
Authorized Agent City _ _ ZIP +1
❑ CW ❑ EW `, PTA C ES ❑ PTS Phone # () -_ River Basin`
� Affected r�
AEC(s): El� F O OEA HHIH Adj. Wtr. Body - (nat /man unkn
❑ PWS: F FC: ueA ❑ N/A
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
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
SAV: 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
J
+`
Agent or Applicant Printed Name
U
Signature Please read compliance statement on back of permit
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
LO 1 13
Local Planningf urisdiction Rover File Name
Application Fee(s) Check #

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:
I_ I Tar -Pamlico River Basin Buffer Rules Other:
L ] 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-888-4RCOAST
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza 11
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.nccoastaimanagement.net
Revised 10/05/01

1
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I hereby cerOfy that I own property adjacent to
Nn.>e.of Pi irv:Os�iier
property located at
(Lot Block Road etc.)
(Waterfiodv) (Town and, orl Co nty,}
He has desc ibed to me, as shown below, the deve!opgllent he; is Proposingat than
location, and, I have no objections to Eris proposal. I undPrst��n�f +itiat � pt�>~lrlacovered beat hPL
j must be set back a artiriirrlutn distance -f rtftee;i fe~t (l5') from my ;a.rea of ) arian ace ss dftf6s.
waived by me_
I do no wish to -waive .the setback require;rient.
I i
j I do wish to waive that setback requirement.
-------------------------
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DESCRJ=f, Iv A,-b/dR DRA, VENG OF PROPOSEll DEVELOP-N ''% T: - -
(To be filed in by ir�idi -&ual T,r;posing devdll wmew)
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Print or Ty�� I•.,r4 iie
Tele hone Numb,I.r
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Date:

Po PT F�1CINL 0 {rEF ED BC�fi Z' 11 y
I herebv Certify that I own property adjacent toV�,5- ! 'S
(y:lrn.ie of Frdpert-
yOwner)
{
property located at
(Lot, Block, Road, etc j - -
on POND- rir C- _ KC.
(Wafmbodv)` (Town an.diorlC_unty')
He has des:. 'bed .to ,me, as shown below, the deve!opirient he, is propcss n; at that
location, and, I haveno objections to his proposal. I undersuiuid i;hat A prir/ tncovere boat li tl
must be set back a mtr, iri�utn dist.ancic of eift�n fe~t (15') from m urea`o( p`ariAn acctss unldss
i waived by me.
I do not wish to waive .the seback requirement.
:, j ✓ I do wish to waive that setback requirement.
i
DESCRIPTION AND/OR DRAIWENG OF PROPOSED DEVEL>OP-'fF—,''IU-
`i � (t'o be J-zlleri in by 'ndiv-iduczl E;r�posirzg ciec•�I�,F{nent)'
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