41346_THOMAS, BENNY_20050427

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[ 1 CAMIA / _ DREDGE & FILL #. �, 4 . 6
GENERAL PERMIT P
' ' - <'--
revious p mit #
! New (-Modification E!Complete Reissue ❑Partial Reissue Date pre 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 15A NCAC
❑ Rules attached.
Applicant Name h�/,J "ti/ t (I k ` — Project Location: County
Address o� %7�Z.c_J J 6� Street Address/ State Road/ Lot #(s)
City State ZIP�(o I Uo� / ;77.+`� (� v✓-�
Phone # (4,) /1y6 _ 7255 Fax # ( ) Subdivision
Authorized Agent /11 1 C7% �t e �j City_ !��'«G'?�✓ _ ZIP
,PrCW �W �TA ❑ES ❑PTS Phone # (`� )�i�/ '7:4'5 River Basin -'c,/1 - (&�.
Affected D OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A�—
AEC(s): Adj. Wtr. Body /l/BUJap�f' ��at man /unkn)
❑ 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) ix i (o
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 t" ,`; t:+ ! -
�GT i
Shoreline LengthIn
SAV. notsure yes Sandbags: not sure yes Moratorium: n/a yes
Photos: yes
Waiver Attached: yes � !
A building permit may be required by: �ca/ /"e -f` C� See note on back regarding River Basin rules.
Notes/ Special Conditions >'f �,> C"�i f' ✓ %� `/.iU ,i �� E
(Scale:
, Al i l
Agent or Applicant Printed Nam<
Signature P16: a re cor
Application Fee(s)
statement on back of permit
Check #
Permit Officer's Signature
D 7 - 2 7-- Ds
Issuing Date Expiration Date
701.
Local PlanningJurisdiction 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 Other:
11
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 / 1-888-4RCOAST
Fax: [phone]
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.nccoastalmanagement.net
Revised 10/05/01

ISO] WMA may. MC Z8567 AIAMt Cohnjftit;I1M
[phone] Dc"m - ELLS _ ROMVM GCS
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' ADJACENT RIPARIAN pROr
0110R A PIER/MOORING AILINGGSS/BOATTL Ty OWNER
T/1' DATIIOrU'� F'NT
SE
I herby certify that I own property adjacent to + M ii,Cs -
Manic of ope"y Owner)
property locatcxl at _ %Q ��Q U
(I.ot, Block, Road, etc.) '
orl __
in _ ~(�Vatcrbody) , N.C. {`Town and/ar Co�rnty)
Ile has described to "'e, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pierJmoaring
pitings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from any area
of riparian access unless waived by nle c
- I -d9 ttQt wish to waive the setback requirement. r
I An wish to waive that setback requirement. U
I)I'SCIITI"10N AND/OR X)RAWING OF PRO POS>r:17 it r".•• Aw S
(7b bs felled' ire by iadividuat _ r
Proposenfi develop»>tent) 612ita" A
-------------------------------
-� Print or T Name
Telephone Number
Date;

I. Ur_
ADJACENT RIPARIAN PROPERTY OWNER S'TXF ''MFNT
MOR A PIF.R/MOOR11VG p1LINGS/B0ATL1pT1J10 TI>IDUSE)
I hereby certify that I own property adjacent to �
(Name of Y perty Owner)
ProPeMY located at / ©9 / l VW V / -)/ &A u
(I,ot, Block, Road, etc.)'
(Waterbody) Crown and/or County) — N-C.
Ile has d=ribed to me, as shown below, the development he is proposing at that location,
and, ! have no objections to his >>roposal. I understand that a
piiinsc/boatlif 1b0,'thousc must be set back a n inimum distance of fifteen Pier/moaning
of riparian access unless waived by r»e_
----�---_ I 49110t wish to waive the setback requirement.
I dfl wish to waive chat setback requirement. APR U 2 2005
I)I;SCltip7'[ON AND/OR bRhW'NG OF PROPOS>E;D DFVF,Y.OPMFNT;
M be filled it, by individual proposinZ develop»:ent)
'�atatuum /
print or Type Name
09r—
Y
I c)cpltonc Number
Date; L/ Q

OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
[phone]
PAY TO THE
ORDER OF
D.E.N.R.
FIRST CITIZENS BANK
MOREHEAD CITY. N.C. 28557
1486
66-30/531
137
4/8/2005
_ * * 100.00
- DOLLARS
MEMO
11'00 148 6112 1:0 5 3 i00 3001:00 13 1 2 16 2 1 2 Wn