46192D - Stone

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑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
El Rules attached.
Applicant Name Project Location: County , �-
Address
City
State ZIP
Phone # O
Fax # ( )
Authorized Agent
❑ CW ❑ EW
❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA ❑ HHF
❑ IH ❑ UBA ElN/A
❑ PWS:
❑FC:
ORW: yes / no PNA
yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin ��—
Adj. Wtr. Body (nat /man hunk-)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platfo
Finge
Groin
Bulkh
Basin,
Boat
Boathouse/ Boatlift
4
Beac
Other
Shor
SAV:
Sand
Mora
Phot
Waiver Attached. yes no
A building permit may be required by: El See note on back regarding River Basin rules.
Notes/ Special Conditions
rm(s)
Agent or Applicant Printed Name Permit Officer's Signature
Signature Please read compliance statement on back of permit 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 th:a 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:
FJ Tar - Pamlico River Basin Buffer Rules �_ j Other:
E 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

i
j, 0/10/
CAMA/ g DREDGE & FILL
GENERAL PERMIT Previous permit#
ANew ,Modification .LiiComplete Reissue iii Partial Reissue Date previous permit issued
)rized 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 ) ' 3 J C \
_ , a.. ..jklaules attached.
it Name -L tJ 51 r) r Project Location: County; `j (1_-
-513 5 1,G t;.c \=� YN"NJ 0\ b K-- Street Address/State Road/Lot#(s)
a-E.%NS 133>L. Statek L ZIP 7.1 L) \ ( . 17S �C2_J,-(1-- 0
( b3 1 - 03561-Fax#( ) Subdivision
zed Agent \AL.,__Ai- c City l?SI),,E L 6E-1-... k ZIP LS1-1
i ElCW ❑,EW ❑PTA C ES ❑PTS Phone# ( ) River Basin> }l
❑OEA ❑HHF ElIH ❑UBA ❑N/A Adj.Wtr. Body 3\ 'I�S Z t-\ c i-- (nat ,
❑PWS: ❑FC:
•�
� Closest Maj.Wtr. Body i' 4--01- S �,
yes /(no PNA yes / L✓ Crit.Hab. yes / no
f Project/Activity i-..>S1 A L L 1 O X \C ,.-+\ ,i1-r-- C Li ' Dv i. ;L.. -VIA.:%1 1--X. ,. ,� '‘
►, k , X 1.J C• s..)c..'t- ti Q: ' tL T ) 1- x 1 1 P-,0 1cS (..-Z FT (Scale: /i,/
)ck)length k tV\�\1 N.)i i; n) L L lL x C_.t\v P\T1....)
n(s) 1 C.?1 I'O ; $1(1-0 '-i-.Zr►.e cc tti
3ier(s) 3 X 7- t {
=ngth I
imber ( I
id/Riprap length
g distance offshore r t �
ax distance offshore -
hannel
ZXS� )t i ¢ � .
1 t
ibis yards \ C:) I 10. 3
mp I
i -t
use/Boas )1- I I. $ _ 1
tp,
tulldozing I
I SA _}4, I • I
i
1a
ie Length
not sure yes no '
s: not sure yes -d-
it: 1..- i ...-, ` 1-
num:
n/a yes
yes no
Attached: ) no 1 1
-

:AMA />c:DREDGE & FILL N? 41
E N E RAL PERMIT • Previous permit#
lew DModification Li Complete Reissue ❑Partial Reissue Date previous permit issued
ed by the State of North Carolina,Department of Environment and Natural Resources
astal Resources Commission in an area of environmental concern pursuant to I5A NCAC 1 ) , 1 2.� c )53��
Rules attached.
Jame .j✓•N) 5--;c iJ G Project Location: CountyS J f.( —
.�£C. 'cc 1.:\ 1 r'— Street Address/State Road/Lot#(s)
GNS 1- 31-- State-0 (-- ZIP 7 '-1 \ 7 l.;)i ��j ANT
01 • 03$1-Fax#( ) Subdivision
I Agent \a i & c 7 city—r_5A L I LP.e-A-1 ZIP 2- H 9,
C Cw Ew 1PTA ►ES OPTS Phone # ( ) River Basir 1-G
COEA CHHF CIH CUBA EN/A r�
Adj. Wtr. Body►3+a:. 14-S GNa, ✓>-)ei- • (natVma
C PWS: ❑FC:
s /i PNA yes / o© Crit. Hab. yes / no
Closest Maj. Wtr. Body / �; }\1 ' Z f
'roject/Activity ►-WP:,iALL 1O X \O P Yost-c-- C L'I ' O.'c i\... aLC `" 6;.11.,- _..-)1j
i G cL I x Z-- C iJ c, 1` Q L (L a- ) 1-- X I l .NI LZ TT (Scale: /u/ Zo
length > r1 a i v\i. e/ l-t% L X C_,N }vT1 ...._
i 10/ 11:j 3-1..10 Fl•i-1f.-C e ti
.(s) 3 x .z. .
th
per —--
Riprap length
istance offshore �_
distance offshore
1nel L J X 5 - 2 • 4-/-• r✓
C. p✓A 4 i i t\
yards '� j0:
• - , 9—
Bc",aT i Z 1, 1 7 j -
i..7
dozing sV •
— - - i1\ \ \ <-�\ ro N,_s'\_N 71_
1D. S' A13 \ ALKWA'
_engtn �� `/` & —
not sure yes ,no, _ Q
not sure yes (n� i ` I ' ' �
n: n/a yes L
yes Cno
1
ached: e, no —

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
ne of Individual Applying For Permit: J o11.E _ 5. Ke ((y.
Iress of Property: 11) 7 Tr J t . ,9-J e- -
(Lot or Street#, Street or Road)
op4c% ,-( i3 ����_ Pe.ne'er 623
(City and County)
;reby certify that I own property adjacent to the above-referenced property. The individual
lying for this permit has described tome as shown on the attached drawing the development they
proposing. A description or drawing,with dimensions, should be provided with this letter.
I have no objections to this proposal.
you have objections to what is being proposed, please write the Division of Coastal
nagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
iin 10 days of receipt of this notice. No response is considered the same as no objection if
have been notified by Certified Mail.
WAIVER SECTION _.
tderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be
)ok a minimum distance of 15' from my area of riparian access-unless waived by me. (If
wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement..
I do not wish to waive the 15' setback requirement.
- 3D- 0to
t Name Date

02 07 04: 40p Hal Focleman 910-2703374 P• 3
DIVISION OF COAST L tL.AS
ADJAt ENT RIP RIAN PROP R OWNER NOTIFICATIPNJWAIVER_FORM
lame of Individual Applying For Permit „o 4 n j t it
Lddress of Property: /C 1.
(Lot or Street#, Street or Road)
(City and Count')
hereby certify that I own property adjacent to the above-referenced property. The individual
pplying for this permit has described to me as shown on the attached drawing the development they
re proposing. A description or drawing,with dimensions, should be provided with'this letter.
I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coastal
►4anagemeat, 121 Cardinal Drive Extension, Wilmington, NC.28405 or call 910 395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
'on have been notified by Certified Maul. •
•
•
_ WAIV t SECTION . . _
understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be
et bck a minimum distance of 15'from my,area of riparian access-unless waived by me. (If
►on wish to waive the setback,you must initial the appropriate blank below.)
•.
I do wish to waive the 15'setback requi ement.
I do not wish to waive t c 15'setback.requirement. •
1.
iign Name Date
(A) AIM

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