47416D - Atkinson

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue El 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 ! (
t_ E ✓ :_,
i I. L-: �'\ i
i l-:
City
State I
ZIP
"All
Phone # ( )
. ;� . ', ' i
Fax # (`)
Authorized Agent
T( i i•, � h
Affected ❑ Cw
o IEW
ETA ❑ ES
❑ PTS
AEC(s): ❑ OEA
❑ HHF
❑ 11H ❑ USA
❑ N/A
❑ PWS:
❑ FC:
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 4 I r
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
d Iyi6
Application Fee(s) Check #
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City 1 ZIP 1 I i
Phone # ( ) River Basin ! i r is
Adj. Wtr. Body nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature LLL i
issuing [5ate Expiratioh Da e
Local Planningf urisdiction
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:
❑ 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
Central Office
Elizabeth City District
Washington District
Mailing Address:
1367 U.S. 17 South
943 Washington Square Mall
1638 Mail Service Center
Elizabeth City, NC 27909
Washington, NC 27889
Raleigh, NC 27699-1638
252-264-3901
252-946-6481
Location:
Fax: [phone]
Fax: [phone]
Parker -Lincoln Building
(Serves: Camden, Chowan, Currituck,
(Serves: Beaufort, Bertie, Hertford, Hyde,
2728 Capital Blvd.
Dare, Gates, Pasquotank and Perquimans
Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
919-733-2293
733-733-1495
Morehead City District
Wilmington District
Fax:
400 Commerce Ave
127 Cardinal Drive Ext.
Morehead City, NC 28557
Wilmington, NC 28405-3845
202-808-2808/ 1-888-4RCOAST
910-796-7215
Fax: [phone]
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
(Serves: Brunswick, New Hanover,
New River Inlet- and Pamlico Counties)
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

;CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
[!,New Modification ❑Complete Reissue EPartial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources _
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7
Mies attached.
ant Name LM W IL- TJ k NAAS /Vf-IK1W-:)OrJ TL Project Location: County iGN L QEI
ss 1,� l CI? 61 KS 10 C, (✓AST UK2 . Street Address/ State Road/ Lot #(s)(�A P^e
41 11;'� 1 t�l 1('�1 IV State WC, ZIP 2 41 j
# (a�L) I;Ek _ 3 U I Fax # ( ) Subdivision
•ized Agent J 1 Nk nAy Ncr� T- City 1 LM l ti(��(� ZIP Z-9L4
d ❑ CW CdlEW F—w+TA ❑ ES ❑ PTS Phone # O River Basin (r rr I
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body ra) TC f -j (K eLK
I:
❑ PWS: ❑FC:
yes PNA �.�O-s;/ no Crit. Hab. yes / no Closest Maj. Wtr. Body A 1OJ V�I
of Project/ Activity A (A) VL_ CA-C 7 N(-- OuC-IG 7L\ _k t5-n ijl� Nl L- . CC NS7-12 u cr
&E1\r 11 A 1 9' '' 2-' OpJ Ill Oz , (Scale: j
lock) length
pier(s)
length _
i
lumber
.ad/ PoPraP len h
gt
,vg distance offshore
nax distance offshore -
channel -
. - I fir
�_.
ubic yards L-O&C
tit
1
F
�
—4 -.
amp
>use/ Boatlift
Bulldozing
-r
... - t
ne Length ti 140
.....w.
not sure yes G,�---—
i
-__�....
-
I
gs: not sure yes ano)rium: n/a yes (.._.
• yes
Attached: yes no

1
W 0-- - -

Doc-04-06 09:28 Frcm-IAURCHISON TAYLOR i GI6SCN PLLC
7-344 P.03/03 F-649
y ZV
pplying For Permit: -fb
MOW Of of Propctty:
(Lot or SIzW #, Sweet ar Road)
a►�-
(Ciry County)
I hereby _er%ify that I own property a:i?scent to the above-rs fereacsci.prop=y- The individu. I
apPIY!tS for this permit has described tome as $haw:" = the Attlached drawisig thr devil opsaeat the
ere proposing. A des ;1% or drawing, with dimeubiana, ftuid be, provided wuh fts I=ct,
I have no obj actions to this proposal.
If you have abjeettosts to what is beiag propostd, plsaes wrl;s the A"Iou of Coast .l
Msaqstaeat,u7 CardlAat Drive Est No rasss wl�i a�idsred theme C 3805 or �A orb er�i At f
within 10 "y6 of receipt of this noticw p
you have been notiflsd by Certified ?Visit. .
I understand that a pier, does, moariq pi(iap brnakwatet, beat bouss or boat slit snug } !
get bek s ss:bsimum dumnse of 16' from say area orriptrian access - unless waived by Ms. (I
you witb to wtivs the:etbactc, you must iunW the appropriate blank below.)
do wM io waivc the I3' setback ,scam MIML
42= %;ish to wltive :he 131 setback requimmem,
N
Sip N=*
L)o ne\ e
PAUI Nv=0
Q � 0 - 21-C�b --1119

CoC-04-06 30:27 Fro-MURCNISON TAYLOR A GIBSON PLLC
7-344 P-02/03 F-649
Name of indivijuai Applviag For Permit:... +
Address of Praperry; II� Ce��e AgE .�—
(Lot or S xW #, Street or Road)
(City as cua:1')
I harsby certify that I own propcM a:iiuent to or, the eApchaddrawitiSihe eve ape ntrthe
applying for this pamithei descabedto me as 'how"
are praposing. A dose-iptfon or drswiAX with dimeusiOrA, should be provided with this Ietser,
I have no objectxons to this proposal.
If you have objections to what is bolal proposed, please write the Divisiaa of Coast I
1VLsaqemeat, 127 CardlAal Drive Est No rps ut Was�is eoasidered �14904, NC 4e some5 or es olobje tiont f
witUW 10 days of receipt of this notice pa
you have been notified by Cerritleil IX ii.
I understand that a pier, doek, m9or1116 plilaph brukwater, boot boase or boat lift mot 1 e
set bok a mitianum dismee of 15, from my area of riparian access • nakess waived by aye. t
you wish to wsiva the setback, you must initial the appropriate bIoak below.)
do with wave the 1$' setback r9g;*ement, Orel;"
I wish to WaivC the Is setback r.quiremm
Print Name