42317_SORENSEN, MARTIN_20050729

-1CAMA/ DREDGE & FILL
T'```°�
GENERAL PERMIT
s�
Previous permit #
ENew `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
7/1 , / �. �� ✓�
p
/A/ 1 i J
� Rules attached.
Applicant Name 4 t1 0 ✓ r,1 ✓ e' '
Project Location:
County ; .✓�;�r ,,I �
Address L �%y G� Ila r 6 v r ZA ri a
Street Address/ State Road/ Lot #(s)
City fzi, 0.� f !� 40' , —State,, (' ZIP %l : %--
:IG fr7 P
Phone # Fax # ()
Subdivision
Authorized Agent
City
ZIP
U CW ❑EW PTA ES ❑ PTS
Affected
Phone # ( )
River Basin —
Jr �Iw✓'
AEC s : ❑ OEA ❑ HHF ❑ IH ElUBA ❑ N/A
()
Ad'. Wtr. Body
i y
'°��lG1lC%
(nat / a unkn)
El PWS: El FC:
ORW: yes / no PNA yes / no') Crit. Hab. yes / no.
Closest Maj. Wtr.
Body'®�i7
,r
Type of Project/ Activity
(Scale:
Pier (dock) length �/1/. y & _ —
Platform(s)
Finger pier(s)
Groin length
number —'
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ oat
Beach Bulldozing
Other 411 (,. l p✓ 2fX r�
Shoreline Length
SAV: not sure yes o
Sandbags: not sure yes no /�
Moratorium: n/a yes no j" !fr
Photos: yes no
Waiver Attached: yes • -
A building permit may be required by: i / F./ 4�2 [ See note on back regarding River Basin rules.
Notes/ Special Conditions ,l: ✓� ?� f/d�' '/'1"(/GBH<-/
Ile
Ji
Agent or Applicant Printed Name
Signature "Pie se read compliance statement on back of permit"
Application Fee(s) Check #
7,4r f /D 5 �i�/�►�
Issuing Da et Expiration ate
11%r /4"u,f i/
Local Planning Jurisdiction Rover File Name

ement of Compliance and Consistency
permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
.tion of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
and void.
s permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
►licant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
tfer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
finances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
idowner(s) .
ie State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
formation and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
fiver Basin Rules Applicable To Your Project:
_ Tar - Pamlico River Basin Buffer Rules �_ ! Other:
Neuse River Basin Buffer Rules
indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
iver Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
dater Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
egional Office (910-395-3900) for more information on how to comply with thesebuffer rules.
livision of Coastal Management Offices
:entral Office
tailing Address:
638 Mail Service Center
aleigh, NC 27699-1638
ocation:
arker-Lincoln Building
728 Capital Blvd.
aleigh, NC 27604
19-733-2293 / 1-888ARCOAST
ax: 919-733-1495
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Morehead City District
Wilmington District
151-B Hwy. 24
127 Cardinal Drive Ext.
Hestron Plaza II
Wilmington, NC 28405-3845
Morehead City, NC 28557
910-395-3900
202-808-2808
Fax:[phone]
Fax: [phone]
(Serves: Brunswick, New Hanover,
(Serves: Carteret, Craven, Onslow -above
Onslow -below New River Inlet- and
New River Inlet- and Pamlico Counties)
Pender Counties)
www.nccoastaimanagement.net
Revised 10/05/01