38390_DOBBINS, GARY_20040620

11
CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
New XModification )Complete Reissue L-Partial Reissue
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_
, bb j* 0
J-
Previous permit #
Date previous permit issued
f� ,
0 Rules attached.
Applicant Name 600 y !Jo y h�. Project Location: County
Address_ gcx It 7 Street Address/ State Road/ Lot #(s)
City l',.-y Vr_+ o State ZIP
Phone #
Fax # ( )
Subdivision
Authorized Agent V1 F b
City P� o , i
_ ZIP 5
CW Z EW
© PTA —1 ES ❑ PTS
Phone # ( )
J�
River Basin
Affected
ElOEA ElHHF
AEC(s):
ElIH 'IUBA C N/A
Adj. Wtr. Body t •
/man /unkn)
❑ PWS:
❑ FC:
,I
f �. vri
Closest Maj. Wtr. Body �titNPt,
ORW: yes / no PNA
yes / no Crit. Hab. yes / no
Type of Project/ Activii )
ty t rr A�(r s� (� v �! S '`
(Scale: &csv'�- )
Pier (dock) length I W) 1 1� t
Platf
Finge
Groi
Bulkl
Basir
Boat
Boat
Beac
Othf
Shor
SAV:
Sand
Mor;
Phot
Wai\
o
n
. i
rm(s)
r pier(s)
I i I
length
number ,
lead/ Riprap length u�
avg distance offshore
max distance offshore �`, v lx'1� Gt i)
2 i
channel 1 _
cubic yards iii��T��`
ramp
rouse/ BoatliftyrNccVPt * � i I .—•--"`
Bulldozing 1 I-
r
--
- i
> --- L-
_.-
Ane LengthFT
not sure yes no _ ` I
—Y
nags: not sure yes no—
torium: n/a yes no
Ds: yes no
r AttnrhAe1- vac nn
A building permit may be required by: %. C' See note on back regarding River Basin rules.
Notes/ Special Conditions ,. , i" e i a . f i i �i^ r+ rrt , a f ( .. f O rr . N 1 M v 1! 1 ,'
Jf4 r' Mvlf I'� Flt�ai�A Gtkc-e ro 6f.i />v7f
'd;+.te r. ct�PC Liv`rN (,i }rcl nNr i,jrj��al'�sr Mv't Ff !E-v rNrc� r�,�-1,J
-7
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date
Expiration Date
,I
Rover File Name
4
ApplicationFee(s) Check# Local Plan ningJurisdiction
A building permit may be required by: %. C' See note on back regarding River Basin rules.
Notes/ Special Conditions ,. , i" e i a . f i i �i^ r+ rrt , a f ( .. f O rr . N 1 M v 1! 1 ,'
Jf4 r' Mvlf I'� Flt�ai�A Gtkc-e ro 6f.i />v7f
'd;+.te r. ct�PC Liv`rN (,i }rcl nNr i,jrj��al'�sr Mv't Ff !E-v rNrc� r�,�-1,J
-7
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Permit Officer's Signature
Issuing Date
Expiration Date
,I
Rover File Name
4
ApplicationFee(s) Check# Local Plan ningJurisdiction

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 L I Other:
L—I 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 howto complywith 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 / 1-888ARCOAST
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
151-13 Hwy. 24
Hestron Plaza If
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.nccoastaimanagement.net
Revised 10/05/01

THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUAI I-`! AHD C VF_NLY FR()M DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
NOT VALID OVERS1.000.00 62249699
ISSUING BRANCH. - -- r-
93-54 I!920
DATE _ --- ---- -
PAY TO THE % /�
ORDER OF J/ / r �� �••� •r •• .
t•C M ,I� , ��� I ,� I 1 r'� 1 '�, ; _ i _ DOLLARS BY SIGNING YOU AGREE THE SERVICE CHARGE
�pJ AND OTHER TERMS ONN THE REVERSE SIDE.
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,04s/06/2004 10:34 3366264303 SWATCHWORKS PAGE 01
s
04/05/2004 09:09 2522379133 HARRIS & ASSOCIATES PAGE 02
04/05/2004 09:33 3366264303 SWATCii"KS- PAGE 01
Ali �' tom_ ' r,"� ' .svey O��'NSTA'�
�~
(FOR :4 FTER/LfNCO r-�z� �o�1T i FT]
jace„t to n,r ,
Z iitrely cczdey that own property :doroperty;
t?'r,erY
1'.
p:d ar �•4 7 `� � $ If� /n. jl �'`'`-�' _ %'�v�s-d' .�__..�_
ruqut.y locat(Lot, $ix[c, kZo cl, etc.)
C
(Cc, Z,acLor (-00-Cty) Fyaterbr�dy)
Fie i}aa described to me, as shown below, tie de�aiop,r,.^.nt he is pY0jtio8-d o rhxc
I_rcaktoc, and, l have no aajc ticns to his proposal. i unders and g` N a pier/UOGOvered bOs� li
muss ;Pc s¢: back a minimurc} distance•.. of flrt t f*c (I5�) ftarr, my is"ea of rllaazi2ll access vnJrss
:. w8ived by Me.
r da� r�oG wish to waive the sc'bat reauixemant.
j
Z wj5h to wr.ive thr±t setback requirernonr-
^�SC�t�lxJti Arti3J/OR-DFLAWTwG OF PRQPO5EI},.y.EZ.C7F?v1� x't.._-....
(';to be fiilsd in b: /n.f3,rulucl pn.:�aling de:elr!t�r'snt)
oY �.
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Print �r err•. F�.,�ne�,.� GIB �"����SaS� ,
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Ot;/06/2004 10:34 3366264303
Apr 06 04 09:16a Kabuto
94/05/2004 10:16 3366264303
SWATCHWORKS
252-222-0070
SWATCHWORKS
PAGE 02
P.
PAGE 02
.tire " � �- ,,r �•, ��; �•�• x � 4�'N� 1� �'�'x ��:::� ��,
1�,�7�r�,l�'JE_I�T R .
�t'Aitc
(FORA ppEpjNCOVERLE i BOAT
. 1 Iie:reby ce:a.fy thttX oivn pco�rty adj �F,•.. ��
tN0trr!e of P.-Op'er
rcyioczl.-Coac(Loy t,-dock, Rend, etc.) --
• un ,_,�4- •'� � b ., l'����.�p aneior�t�ounty)
aterbnrj.) .
He leas dPscnbad CO me. as Shown bcicw, tie deL�toprnent h4 is prow�sin at that
;l�catzor., ani, i have no obj�:tions•to his proposal. [ under5,ttt!7 rih, (�i�t1lncpvcrec± boa: Ist
n7ust� SCi hack a rslfllfrlURl.tltStaac= OI tlitt`':t Cent (1d') from myia:ea of riparian acr: ss unless
waive by ate.
I I
I L!p wish to ware the sciback re��iireme~t.
1
-, ._... d,j wish to waive that secbac?c 2CIt1(f�rrten[- !
:. DFSCJEti7=�CXOiti riti_D/OR DRA,iiU G OF PROPOSED L)Ey-Er-0FNtE,:r�.-:
J (To be fined P1,Fo-dng irrel���+r.�enrJ
�CO
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