40088_WEAVER, EDWARD_20041026

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-ICAMA / F-1 DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification C Complete Reissue -'Partial Reissue
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
Applicant Name-J,,,'(-:c d LJ e-o Ve—'r
Address %<;,A�� ;•Va-e
City Ir Ala r1 State !V 4ZIP .1 %'? 3
Phone # (`� 19) �"'��� Fax # ( )
Authorized Agent s h P f oe b b
Affected D CW ❑ EW F3tftA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ 1H ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no , Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s) v
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
a
cubic yards
Boat ramp
Boathouse/ Boatlift
0 88
Previous permit #
Date previous permit issued
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)r,.:
Subdivision
City i 1�3 e.t'!dt (t ZIP
Phone # ( ) River Basin t 04:Ziti
Adj. Wtr. Body }zw.1 i.• e c�yy uci ,(nnat':/man /unkn)
Closest Maj. Wtr. Body " t, et `? 6 ua It
(Scale: A.. � • T S )
�w
'k - i f,
3
Beach Bulldozing s
Other.�,.......,.__..._._.....�...,,_
— iv w
Shoreline Length
f'
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 compliance statement on back of permit
I
See note on back regarding River Basin rules.
Permit Officer's Signature
91
Issuing Date Expiration Date
7/ 7f9
Local Planning Jurisdiction Rover File Name
Application Fee(s) Check #

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 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

PAY TO TH!E_-T-,
ORDER 0F
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DRAWER. TRAVELERS EXPRESS COMPANY, INC,
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NOT VALID OVER $1,000.00 ISSUING BRANCH C'- 2249 9 4 9
DATE QQTf..'i'f.:;Ef;? 21.01,04 93-541/920
-DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
AND OTHER TERMS ON THE REVERSE SIDE.
AP
P.O. BOX 9476. MINNEAPOLIS, MIN 55480
(,I WEE. FIRST INTERSTATE BANK, HE(ENA. MT
CITY 8 STATE ¢
24991,90 1:0920DS1,111:0170710451092,11
N 1*111' ,DOCUMENT HAS AN ARTIFICIAL WATERMARK VRIN rED ON THE BACK. I'Fll:.1;14ONrOl:'rfil-.D(ICUkll:,NI HAS A MICRO -PRINT SIGNATURE LINE AND BORDER ABSENCE OFTHOSE FEATURES WILL INDICATE A COVY■

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Office of Risk Management 541-i68Se p-2
ADJACJF.�V'I' PJ-PART tiN .OPT v OWNER STATEMENT
(POP, A PIFRIUiYCOVERr D 80,47 41FI)
I hereby cam, sfy ;hat I own propery adiac nc to
('`+}lme of Property Owner)
property Icczteci at �4- rLiJ�Yi= —j� .._
Q[, 67
Block, Road, etc.)
in tvC
on
�,bo (Town and/or county)
He has descabed to me, as sho•,+g1 be.ov,', the deve:orpttlem he is proposing at tt.i
/- Ico3uon, and, I nave no objz;uons to his propcs.-J. I understand Ghat a pieriuncovered boat Li
J must be se: back minimum distance of nCe--n f6--; (!5') from my area of riparian ac zss !trees
\1b LA J waived by me.
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QP. I do not wish to waive the setback rernire;nent-
ct &`T I du Aish co waive that setback -ecuireme-tt.
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DESLFZ.>P O[N-ANDIOR DRAWTiG OF PROPOSED DEVELOP'vM"iT:
(To be fUed in by indivadu- l proposing deveL pmenr)
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(FOR A PIERIUNC-0 VERED BOAT L11M
I hereby cer,iFy that I o',Ln property adiac:-nt to
(,N:!Lrne of Prop-ert ,
proper-t,• located at L•c) ---.�LC�C�—�-----�--
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onCjc'ala� ff ! Ju--
(Waterbody) (TowD a.nd/orlCoui�} --
He has desc:. be-d to me, ?U)i si�o'.�n be,o',;, [lie de'✓e!cptent he is proposing : r
Iccabun, and, I hav,, no objections to his procxosal. I understand Wlat a pier/uncoVere-1 ii ,at I.
must be set back a minimum distanc:� or [—I n [cLt (I5'j from myp.rea or (-ipari,I_n acc:- ink,,.
waived by me.
t/ I do riot wish to waives the serback rr+at!iremeit.
I do �,vish to waive [that setback rec!ui�ernerlt.
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ip DF_SCP=,D, A2-D/OR DR V',T`iG OF PROPC)SED DEVLL0P-71,JT_`iT:
(TO be filled in by irzdivuiurl proposirz,, der'el7Frnerz.0
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