60293_CLEVELAND, SCOTT_20120628

[;CAMA!'` DREDGE & FILL �1�0. 60293
GENERAL PERMIT Previous permit#
❑New ❑Modification -]Complete Reissue LlPartial 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 I SA NCAC
❑ Rules attached.
Applicant Name Project Location: County ,, L
Address Street Address/ State Road/ Lot #(s) 62 l00 5)0'19V V�
City - - State ZIP
l
Phone # (_ ) _ Fax # (_ ) ' ` Subdivision
Authorized Agent ----- City ZIP.
Affected ElCW ❑ EW ❑ PTA -1 ES ❑ PTS Phone # (_ _) River Basin
AEC(s): ElOEA HHF ❑ IH _I UBA N/A Adj. Wtr. Body (nat /man /unkn)
El PWS: E FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length _
(Scale: _� )
Platform(s)
Finger pier(s) j
Groin length
—
I
number
i
I
Bulkhead/ Riprap length
-
--L
I
avg distance offshore
II
max distance offshore
Basin, channel![.! X
cubic yards
Boat ramp
I+
Boathouse/ Boatlift
.j
Beach Bulldozing
Other
j
�
j
I
i
J i
Shoreline Length --- — —,
i
I
--
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
l —�
Waiver Attached: yes no
A building permit may be required by:C
_ �-
See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statementon back of permit
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s)
Check #
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:
D Tar - Pamlico River Basin Buffer Rules F1 Other:
El 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: [phone]
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
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)
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)

4
■ 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:
2. Article Number
(rransfer from service la:
❑ Agent
B. Re a ed by C. Date of Dellv ry
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Serv' e Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7008 01 SO 0003 L074 3703
n Receipt
102595-02-M-1540

UNITED STATES POST?,4i5� if l F ;' ' _.II I s•'s "a;%�Os ee
• Sender: Please print your name, address, and ZIP+4 in this box •
t,.a'.-���:�;-� �li�iffllflFl[IFiIFiJlil!}�IliJfJJIFIIl1131��ii�U1l�ttlflll�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to o560 114eu /-) 's
(Name of Property Owner)
property located at �a / 00 �(•';/� (Y ,
(Lot, Block, Road, etc.)
on �' /,) 4- L- , in /�/ �2 1 ��-r7 1 -��/Z , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 817^& SG- 620-a-Mailing Address: 31,lr ©Ae%�iJ P A
lyt-u..Ves p-- rY
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
--------------------------------------------------------------------------------------------------
LL�I ltll 11V1V eUI LY/ VA UnJ-1 VV 11� V Vl -�k n%J1 "Ox L LJ` V L' LVl iViL' n 1 .
(To be filled in by property �wner pro`posi eve%pment)
(Information for Property Owner Applying
for Permit)
3 sac., 0A-KV ck) T�
Mailing Address
Flo r-5-F T�
City/State/Zip
$ 17 b 5 (o laa-�
Telephone Number
U(f�� J( 7I1
Signature Date
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(p®gyp 0.re'n pgPrOCiC�itiy
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(Riparian Property Owner Information)
Print or Type Name
Telephone Number
Date

PL— 11 1.1—.11-11— ?
JENNINGS OUTLAW CONTRUCTION, INC.
PH. 252-633-4499 FAX [phone]
oa 612 MADAM MOORE'S LN.
- o NEW BERN NC 285
15164
62
66-679-531
Date �v► Q
Pay to the
order ®F d f $ 200
Dollars "
THE EAST CAROLINA BANK
)NWW.ECBBANCORRCOM
For
1150IS16t,11' 1:0531067991: 0700032659n-
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