41792_WARD, NOEL_20050609

� CAMA / Cl DREDGE & FILL ^,� �'7 j J, 792
GENERAL PERMIT Previous permit# a-
ONew OModification 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
y
', }} �
(]Rules attached. i
Applicant Name AJ L- ! E,-), a �, C,i
Address
J r
City .- Le } State 1,/�-- ZIP �--
Phone # ( ) ? '� 9'-Fax # ( )
Authorized Agent
Affected CW 7 EW - PTA ES - PTS
-OEA i HHF ❑ IH UBA i N/A
AEC(s):
❑ PWS: [ IFC:
ORW: yes / no PNA yes / no Crit. Hab. 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
SAM 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
Signature Please read compliances ent on back of permit
Application Fee(s)
Check #
Project Location: County
Street Address/ State Road/ Lot #(s)
i
Subdivision
City_ ZIP
Phone # ( ) �> .�" �l'r`'�'' River Basin �,'• ri�� %�
Adj. Wtr. Body = r i:: (nat./man-/unkn)
Closest Maj. Wtr. Body -
(Scale: )
r
U ll
c
7�;
See note on back regarding River Basin rules.
Permit Officer's Signature
,f
lssuingDate Expiration ate
Local PlanningJurisdiction Rover F ame'

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:
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
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)
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

UNITED STATES;,POSTAL SERVIC '
p r First -Class M"eil
n Postage & Fees Paid
USPS-_,. ..,m.�
''-F N' Permit No. G-10
s'
s•
• Sender: Please print your name, address, and ZIP+4 in this box •
►/M AT/n/5 V)LCG V Al
MAY 3 1 2005
Morehead
� � �.��.'�'��'?�"..3�w. Ii41111111II{1l�illlill�llllfll�lii�flltllliFlliiFl�li{11{!{I�
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
J-<. DAVI S
Pp, DRRV✓r.4 11
P//ws , /V c 2,$5/b
A. Signature
❑ Agent
rAAddressee
T7rAA
d Name) C. Date of Delivery
iS 57kr)/off
Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. ,S,,.e,trvice Type
t-c;ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) -7003 / 0/ D 0003 % VLf0 z/Z / S
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540

fi I Dj��
1C Tr E
ADJACENTRIPARIAN PROPERTN' OWNER STATEMEN1' MAY 3 1 2005
1 hereby certify that I own property adjacent to RIomao Nce L w,44orehtll d City DCM
(Name of Property Owner)
property located at "IC 1116H 4U 4y 70
(Lot, Block, Road, etc.)
on A i rQJ , in DFry 1 S, CARrepET- c'oun/Ty ,N ('
(Waterbody) (Town and/or County
He has described to me as shown below, the development he is proposing at that
location and I have no objections to his proposal.
DESCRIPTION ANWOR DRAWING; OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
P�RopoSeb BU Lk WArD of APPRox. 3s FT,
�►nl 64Sf SIDE of 8vA-r liAs,ni RNn
APPRox; 3Z FT, pv cf?IvAL llmy#, 8aA7
t3gS1,V
WALK WAY - -
'OROposED CNNRL
Signature
Print or 'Type Name
'reiephone Number
Date: �.�
--'j Nc RTA

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R. NOEL OR LYNN R. WARD
1610 MEADOu"';2W LANE Ph. 632-1894
MARTINSVI'..c, VA 24112
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