40959_SHUE, MITCHELL_20050215

UCAMA / D DREDGE & FILL
i
`'.� 4Q959C
ENERAL PERMIT
Previous permit #
[]New ❑Modification ❑Complete Reissue [-]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 15A NCAC !! L=
Applicant Name ' ! ! `"� " , _i It s
Rules attached.
Project Location: CountyC
Address ' (.. ( (' �.
Street Address/ State Road/ Lot #(s
City c / , 1 _r ; C State ` ZIP G �,�
i,_i l .� i C/
l
Phone # ( ) Fax # ( )
Subdivision
Authorized Agent
' / `! �' " f
City '- r,,," ZIP
- El ❑ 1 CW EW ❑ PTA ES PTS
Phone # River Basin
( )
Affected
--
OEA ❑ HHF ❑ iH ❑ UBA ❑ N/A
AEC(s):
%
�(Adj. Wtr. Body nat /man /unkn)
El 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
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozi
Other
Shoreline Length 77/5
SAV. not sure yes no) , ----: j
i
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
rV, J f a- , L <5U&
Agen or Applicant Printed Name
Signature Please read co pliance statement on back of permit
Application Fee(s) Check #
(Scale: A/ % J )
t- )
7
❑ See note on back regarding River Basin rules.
i.
Per er'sSignature
Issuing — E iration , ate
8A
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 j � Other:
1, 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 complywith 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

MITCHELL W. SHUE 79G
KIM B. SHUE
PO BOX 4160
EMERALD ISLE, NC 28594 O� O� DATE 66-258/531
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORINI
Name..of Individual applying for Permit:
Address of Property:
N � 1s G . Z s9 It
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing, the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you (cave objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, H)ty. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you Icave been notified by Certified Mail.
WAIVER SECTIOti
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless w?Ned by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
Telephone Number With Area Code

USPS - Track & Confirm
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tJjVI T R J t TATF�
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You entered
Your item was delivered at 11:28 am on January 27, 2005 in
SWANSBORO, NC 28584.
Track & Confirm by email
X10c,46"t, s14';E
P'�" F"p,
FEB 0 9 2005
Morehead City DCM
Enter label number:
71 7- 23V? Czt-L �
Lsz-35-117Z-,3 /,lomC—
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