40318_WISNESKEY, GEORGE_20041104

DCAMA / I---- DREDGE & FILL
GENERAL PERMIT
Previous permit #
E]New CiModification EComplete 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
Rules attached.
Applicant Name
Address
City J J
` ' State
ZIP' / 1
S,
Phone # O
Fax #(,)
Authorized Agent
° ' �'x` ' -f G
1 " `
Affected �— Cw
[9' W EyrPP`rA ❑ ES
❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA
❑ N/A
17 PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit. Hab. yes / nc
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 1 ` 'Y' 'e
Shoreline Length
y'
SAV: not sure
lyes; no
�...
Sandbags: not sure
yes n
Moratorium: n/a
yes
o0
Photos:
yes
Waiver Attached:
yes no
A building permit may be required by:
Notes/ Special Conditions
1�I V�
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L -
U
P, 1 �✓ VCY ')
e, �tiJ�
Agent or Applicant P inted N e/
Signature, "Please read compliance statement
on back of permit"
zl
Application Fee(s)
Check #
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision "
City_ �i l j ' 1 N ZIP k 1 ?!
Phone # ( ) River Basin
Adj. Wtr. Body J P f �✓ �` (na-t'Yman /unkn)
Closest Maj. Wtr. Body
�Or
u
J,
i S �
e � e
a
_`''See note on back regarding River Basin rules.
Pefmit Officers Signature q
Issuinfg,pate Expiration Date
J%�'r "(43 )) r1V )�
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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
L_; Tar - Pamlico River Basin Buffer Rules Other:
�se 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 / I-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 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

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-- wily enl ced docu men f. See back fa detu i Is..L, _.
INNERBANKS MARINE CONSTRUCTION, INC. 739
P.O. BOX 190
ORIENTAL, NC 28571 1 � j
252-249-1429 DATE 66-30/472
PAY
TO THE N(C is 100-00
ORDER OF
V VAN. 1Zy`y��yC� (J��� �O�i DOLLARS
PPOHRST CITIZENS 472
BANK
Ap KOFirrnetal, N.C. 28571
www.firstciti za nCsom.cpoanm
FOR
11,00 17 39115 l:0 S 3 100 300f:00i, 7 L 20 1 28 2 2uw

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9=24-200d 1.50PM FROM P_1
FROM (FRI)SEP 24 2004 1?:42/ST.13:41/No.6804537M 1 P 2
Amui, miser , n iurAlSL&N rnVrx.Kl I V rvY`r is �11�s1r�iG1� 1
(FOR A PI1RWOORING PffJNGWD0ANJFT1WATBW=
I her =* 69 I am property a&owtD %e r - V Vnc 's
ftime of prwery Owner)
pmperty kKated at LAO COO& C620 tz,T
GA14 Block tea, eftj
as . mvr" C Gs--E IL _ . in Or: f ^NNA
(Wabrbody) (Town =&ct Comb)
He has ddcn7)cd iD me� as abeam bdow, ft dcvdoperrcat be is p mposing stt that
boom, ad, I hm na diecfim to his propouL I undwaand tint z pie moocir*g
mmt be edt backa miiaria w do= eft fi=t (M fi m my»
of dmm w= ®lcsa waived by mc.
I d.imat wish to waive the c loquhemwt.
I AQ with to waive that scsbaCic lupirmaot
DFSCRU7M ANWOR DRAWING OF PROP060)
(T'v ba f'sd is by dal pwoAq 8s.ae)
Telophaue Number
Dow

P%jujti%.r,Lvi itirAtclAry rmVrLK1 Y VWnkK 61LAlTiV EN'JU
(FOR A PIMMOORING PILINGSIBOATLIF (BOATHOUSE)
I hereby certify that I own property adjacent to 's
(Same of Property Owner)
property located at L U C ; c) C,
(Lot, BIock, Road, etc.)
on S h'1zT t'1 0-0-eelc , , in Or" e.,AA , N.C.
(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. I understand that a pier/mooring
pdings/boatliMoathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP1 EEN'T:
(To be , Med in by individual proposing development)
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4V\R''�
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Signature
Print or Type Name
6,r-)-)_ z �"-) - /� 2-7
Telephone NumberCe
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Date: - Z :7 6 i