41360_SMITH, DEREK_20050428

I_'! CAMr,A / [_ DREDGE & FILL
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GENERAL PERMIT
Previous
mit #
:]New I -Modification ❑Complete Reissue
C (Partial Reissue Date pr
us 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
O Rules attached.
Applicant Name "'
Project Location: County
Address ` _ j` -
Street Address/ State Road/ Lot #(s)
City _ _ _ State ` ZIP
Phone # (�) Fax # ( )
Subdivision
Authorized Agent
City_
ZIP
LL CW i EW ❑ PTA I ES ❑ PTS
Affected
Phone # ( _)
River Basin
D OEA I HHF r l IH ❑ UBA ❑ N/A
AEC(s):
r
Adj. Wtr. Body r '�" '
/
(nat /man �/unkn)
El Pws: -� ITC:
- � ,
% f
ORW: yes / no PNA yes / no.: Crit. Hab.
Closest Maj. Wtr. Body
yes / no
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 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
Agent or Applicant Printed Name
(Scale: ) I
See note on back regarding River Basin rules.
F
Permits Officer's Signature
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
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, certifythat 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:
_ 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

Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to De (t k `fin, 4-\ 's
Name of Property Owner
property located at L.4 �� Sew �a a%c 6c C ,
block, road, etc.
on rm �tyt &,t5 �^l Alalert#* , in &✓k ezi4 eovh l , NC
Waterbody I Town and/or couhty
He has described to me, as shown below, the development he is proposing at that location and I have
no objections to his proposal.
' I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
SCc 1` g"Ac1.c ct
SignatureGA-43c LCC—' JH
1!1�-, --C' 1j
�4ddiL s
Print or type name
Z�(O% 4 77
Telep one number
Date
I� /1
V�D�2eH e41
` 4 i A( L09
014, N,C

npr 20 05 09:56a C21 Coastal Properties 252-726-2067 p.l
JAN-9-19% 07:05A FRCM:RZR COMFORT CO 33GG"51e30 1'3:12527262867 P:1f1
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Adjacent PropertyRipariander Statement
(FOR A PM MMOORING Ialfi..INGSMOATLWTIBOATHOUSE)
i h M.r y certify that I own proped adia=t to �i/'t•it+v\ �..+�Y+f � " 1 Is
NUN of pmperty owntr
propetty located at Lam€
block, road. etc. j� � yNC
on ;rnbraL"aws�.&I
He has described to one, as shown below, the development he is proposing at that iovadon and I have
no objections to his proposal.
I do not wish to waive tba setlsack mquirment.
e 4u wish to waive the eotb ck nquirement.
Description andlor Drawing of PMpaaed Development
(Tee be ttillod in ba the individual proposing development)
Yee 4r- 1--e. 4(
30P-e-Y /n.c-(Jr9�
i5r i oz type name
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2205
ARTIS BRYANT HARDEE II 66-21/530
104 South 19th Street BRANCH 77615
Morehead City, NC 28557'
Date
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pay to�theorder
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I:053000 2 191: 10546 2 L L630r,?o 2 205