38325_DEBERRY, DANNY_20040419

❑CAMA DREDGE & FILL NJ
GENERAL PERMIT Prous permit #
1-2 New --❑]Modification El Complete Reissue ElPartial 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
-Lf� ? El Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
L
City 21, L State i ZIP
Phone#
Fax #
Subdivision J'
t It
Authorized Agent -ki
1)
City(
ZIP
F-1 CW kl�w
killftA El ES El PTS
Phone#
River Basin 4
Affected
AEC(s): D OEA
r
El HHF El lH EJ UBA U N/A
Adj. Wtr. Body
41
Ilf- ..
4� 1 at /man /unkn)
D PWS:
EI FC:
1�-
—
Closest Maj. Wtr. Body
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
(Scale:
T
Shoreline Length.
SAV. not sure yes no
Sandbags: not sure yes I no
Moratorium: n/a yes 0,
Photos: yes
Waiver Attached: yes no,- -
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit **
Application Fee(s) Check #
U.
Planningjurisdiction
LtCl-��'?-1
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, certifythatthis project is consistentwith 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 (910-395-3900) for more information on how to comply with thesebuffer 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 / I-888-4RCOAST
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
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

ROGER A. CONNER DL 36a7618
RITA M. CONNER DL 1554599
2773 HWY 70 PH 728-4980
BEAUFORT,NC 28516
Pay to the
Drder of
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State Employees' Credit Union
M h d C't N th C 1aa
5446
66-7704/2531
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I�c�ll��rs LJ
62 ore a i ea y, or am
For � c aT iC l (- AFC 3325
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w caum, ard, I have no cbjwdm 1a his praPosal. I undaimod that a pier/mooting
mast be at back a minimum distanoa of AAA fat 0 5') !tore my Am
of tiparian wcm uoiesa waived by me.
1 A.kA wish to waive the setback requisMnt-
I Io wish to waive that seft& nit.
DESCRWnON AND/OR MAWING OF PSOMSED DYV -,""WENT-'
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04/15/2004 14:22 9105725335 3FI
O4/15i2004 12:55 252728498E ROGER CONNER
PAGE 03
PAGE 01
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Division Survey For
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Colon Farm Rood
Straits Township
Febn!ory 7, 2004