47460D - Thomasson

❑ CAMA / D DREDGE & FILL
GENERAL PERMIT
Previous permit#
ONew ❑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 I SA NCAC
�.
Q Rules attached.
Applicant Name �'i; ; %�T ;' �' L; -; r' f�
Project Location: County
Address/ F t/, / �� F i ,." , j: r% .
Street Address/ State Road/ Lot #(s)
City �' l I s State - "-' (' Zip
Phone # O ,1 S f/ 1 Fax # ( )
Subdivision
Authorized Agent
City ZIP
Affected ❑ CW ❑ EW 0 PTA F ES D PTS
Phone # ( ) River Basin
❑ OEA C HHF ❑ IH ❑ USA ❑ N/A
AEC(s):
Adj. Wtr. Body~`: i v i� (nat /man /unkn)
PWS: -FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number — ----
Bulkhead/ Riprap length C/
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM notsure 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
- is
Agent or Applicant Printed Name
ram. �. t ✓
Signature Please read compliance statement on back of permit
ApplicationFee(s) Check# Lo
(Scale:` - )
L! _ .
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
cal 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:
r__
i—J Tar -Pamlico River Basin Buffer Rules Other:
L] 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/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mail
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

;CAMA/ Ci-EREDGE & FILL i
3ENERAL PERMIT Previous permit#
New EModification ❑IComplete Reissue LiPartial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural R urces L
Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ?//,}Of©
Wales attached.
it Name fern illy tr Pe t rh p/fiAJf "/ Project Location: County
/ 7 i..) V r /1/9 r fe,,✓ t" g 41, Street Address/State Road/Lot#(s) S9,e t
S4 1. 1 d','/t StatetNiC ZIP Z 7 y,(J
(9/0) 7 S y J 02 y Fax#( ) Subdivision
:ed Agent City ZIP
❑CW II EW [}TTA [S. ❑PTS Phone# ( ) - River Basin 4,44
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 9J W/ nat.Y1
❑PWS: ❑FC:
Closest Maj.Wtr. Body /4/I" A/
yes no PNA yesIC,. Crit.Hab. yes / no
F Project/Activity 1,Js 4// /ye i.../ it:/ 11(4"4,d
(Scale:/ „_
,ck)length
1(s) C 7 r —+ —
lier(s)
mber I a ——
1
d/IRiprap length 7 / d-. wG .N f POP': { �T { ` i •
g distance offshore f
ix distance offshore t -
iannel
i
{
bic yards
np 1+ - --
i
Ise/Boatlift 1
1 ' t .T -fir
ulldozing --1 I ___ _ I —I----
- IJ 7ty"c 3«//l4
- _ } _
e Length ) / �7
-
T 3 lr ff
not sure yes no 1 t — t
i
s: not sure yes no f i I 1
ium:
n/a yes no
yes no I
Tr � ? I r /; i tS,ttached: yes no `

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:CS MZ ✓Z /' f raj /l7O/4f550A.1-
Address of Property: /?Z7 5
(Lot or Street #, Street or Road)
(7 /A 5&2.)(C-K
c�f/i4x�e2' 1 /V G Z 3L./ 7) C--,et16/(..' l
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu
applying for this permit has described to me as shown on the attached drawing the development thf
are proposing. A description or drawing, with dimensions, should be prow dec with this letter.
C' ���C�u S DF O Ttia p -c , y //if e pJ rr y r, r-
t� vI ave no objection3 to this proposal.fi n'J �-n�,
The- &Lk1, c cnisrxuen/+.� /NIIA sa4vt at-e
. i Nac--li',wr r Kr1 71/Mr vt �u %I L r )i e�X TM,,i1 pre.,
If you have onjections to what is ing propose pease write the Division oast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ify(
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
NR. I do not wish to waive the 15' setback requirement.
e (1/2. ,t,z,
)&
Sian Name Date
L. , &ee n

1MPLETE THIS SECTION COMPLETE THIS SEC NON ON DELIVERY
ems 1,2,and 3.Also complete A. i• ,
stricted Delivery is desired. X \ 1 ,'� • , -0 Agent 'n,.•,�n - nn
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ame and address on the reverse ► - ' `w EcA.f• -ssee I
can return the card to you. B. � LI• nred a e) r �' D .�. ry f
card to the back of the mailpiece, I w K u(M) —
ont if space permits. � - Q i in ts CO
D. Is delivery:d.ress different f m' m 1� Yo A F, TT
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3. Service Type r .) _ j
❑Certified Mail 0 Express Mail
❑Registered 0 Return Receipt for Merchandise ' i C 4
❑Insured Mail 0 C.O.D. y
4. Restricted Delivery?(Extra Fee) 0 Yes ,. / j
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7006 2760 0000 9839 4694 1: 5servikl
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1,February 2004 Domestic Return Receipt 102595-02-M-1540_ 1
OMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ti
A. Si natu 3
items 1,2,and 3.Also complete g . �) �.
estricted Delivery is desired. /J,�� (/jC/ 3' Agent
name and address on the reverse X (�C e{�i/ 0 Addressee
a can return the card to you. B. Receiv by Printed Nam C. Date of Delivery_, i. z
s card to the back of the mailpiece, /� /(./ /_r s cc
front if space permits. `T•//(J l ( ( Z
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D. Is delivery address different item 1? 0 Yes ti G 0 a
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Yea } , '4118� J , If YES,enter delivery address below: ❑ No y y cn cn a 1 R F
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4. Restricted Delivery?(Extra Fee) 0 Yes
1ber 7006 2760 0000 9839 4687 I
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11, February 2004 Domestic Return Receipt 102595-02-M-1540 I
2760 0000 9839 4687 7006 2760 0000 9839 4694
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