Dodson, Bob 80066C

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GENERAL PERMIT
DNelv trModificdion ,Qdomplem Reissue OPartial Reissue
fu au0prized by the State of Nordr Cerolina' Depaltmem of EMronmentrl Qudiv
and the Coosal Rasourcea Commissiofl in an arla of ervironmertal concgr PUGuant
Applicant Name
Pre\rious Permit ##,#8
Daie prwiour P€rmit issued
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to l5A NCAC
Address
Phone # fll$
e@&-State
Ardrorhcd&ettt-
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O UBA tr ]VA
Subdivision
Phone # ( )
Adi. Wtr.
Clos€st M4. Wtr. BodY
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River Basin
flJffi Iil., ! Plvs'
ORIN: yq l@ PNA @tn"
Iyp€ ot Proiect/ ActivitY
,///(Scale:)
Pb (dock) litdt - --Fr.d Pffifln(t) -
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A buildint Permit m.Y bG r€quired D S€c n@ on bak rrgadin8 Rivar Besin rules'
( Note Local PlanninS.lurisd
Notcd SFiel Gondltionr
pemit{
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read compliance statement on back of
ChEk#
PErmlrOflicrr's Name
tVe
Proiect Locatlon: countt -OlLSloJ*L--
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sse€t Addr€ssl state ndtw.*1s'1 fuVZ
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ENER/AL PERMIT
ENew EModification .,Q(ornplete Reissue Dpartial Reissue
As authorized by the State of North carolina, Department of Environmental euality
and the Coastal Resources Commission in an area of environmental concern pursuant
Applicant Name
Address I ve-
Phone # ([f
Proiect Location: Couni/ 0 nSfoW
StreetAddress/SateRoad/Lot *61 fuZ
Date previous pe.mit it u.d I -B 2f-
ztP
River Basin
N9 80066
Previous permit # Tdrs\ @ D
oRW: v"' t@ pNA (A / no
to l5A NCAC
Subdivision
Phone # ( )
Adj. Wtr
Closest Mai. Wtr. Body
I
E-Mail
Authorized Agent _
Affected tr cw
NOEA
-ACw
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&pra
trrH
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tr UBA
!PTS
DN/AAEC(s):
)C
(Scale:)Pier (dock) length -
Fixed Platform(s)
Floating Platform(r) -
Finger pier(s) .z-
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore -
Basin, channel
Beach
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Atached:
A building permit may
( Note Local Planning.
cubic vards /
yes
yes
yese
be required E S"" note on back regarding River Basin rules.
Notes/ Special Conditions
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Type of Project/ Activity
Printed Name
I read compliance statement on back of permit **# PleaseI
Fee(s)Check #
PermitOflicer's
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Statement of Compliance and Consistency
This permit is subiect to compliance with this application, site drawing and attached Seneral and specific conditions' Any
violation of these terms may subject the permiftee to a fine or criminal or civil action; and may cause the Permit to become
nullandvoid.
This permit must be on the proiectsite and accessible to the permit officerwhen the proiect is inspected for compliance. The
applicant certifies by signingthis permitthat l) priorto undertaking any activities authorized bythis Permit, the aPplicant will
confer with appropriate local authorities to confirm that this proiect 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 adiacent 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, certifythatthis project is consistent with the North CarolinaCoastal Management Program.
River Basin RulesApplicable To Your Proiect:
Tar- PamlicoRiver Basin Buffer Rules
Neuse River Basin BufferRules
E oth..,
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-648t
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: 9 I 0-395-3954
(Serves: Brunswick, New Hanover,
onslow - South of New River lnlet-
and Pender Counties)
Division of Coastal Management Oflices
Morehead Ci9 Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax:[phone]
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City strict
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
257-264-390t
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
hftp://portal. ncden r. org/web/cm/dcm- home
Revised 7/06/ I 7
lf indicated on front of permit, your proiect is subiect to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These bufier rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Oflice (252-946-6481) or the
Wilmington Regional Office (9 I O-796-7215)for more information on how to comPly with these buffer rules.
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NC Division of Coastal Management
Cashier's Official Receipt t4020 A B @D
e/rt ,04Date
Received From:P.hr.l'DaJsr^A'O$
Applicant's Name;
Check No.vSut
County:CXtslo"t
Oate:
Date:
Project Address:
Signature of Agent or Applicant:
Signature of Field Representative:t4l
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Please retain receipt for your records as proof of payment tor permit issued
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ENER/AL PERMIT
nModification DCompleteReissue IPartialReissue
As authorized by the state of North carolina, Department of Environmental euality
and the Coastal Resources Commission in an area of environmental concern pursuant to l5A
Appl icant Name
N? 78822 A B OoPrevious permit #
Date previous permit issued_
Project Location: County
StreetAddress/ State Road/ Lot *@ **fno _
Subdivision
City ztP
Phone # (_)River Basin
Adj. Wtr.
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Phone# |fr\
Authorized Agent
Affected
AEC(s):
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Type of ProjecV Activity
Pier (dock) length
Fixed Platform(s)
(Scale: /l0 )
Floating PlatformG) -
Finger pier(s) -
Groinlengh __ :
number r
Bulkhead/ Riprap length -
avg distance offshore -l------i "-1-'
-a'+max distance offshore /
Basin,channel / _ _
cubic
Boat ramp
Boathousd Boatlift /
Beach
Other
Shoreline Length
SAV: notsure
Morat}tum: nla
Photos:
Waiver Attached:
yes @
yes ,frn
yes 6
@@
A building permit may be required by:L] S"" not" on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Andrew iller
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# Please read compliance statement on back of permit **
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Applicatlon Fee(s)Check #
Permit
5
Date
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