37571_DUDLEY, JOHN WILLARD_20040315

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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
L] Rules attached.
_
Applicant Name
Project Location:
County
Address ``
Street Address/ State Road/ Lot #(s)
City State _ ZIP
Phone # (�) Fax # O
Subdivision
�
, �� �'
Authorized Agent (;J-� i; II <:
City
r
_ ZIP
El CWEl P
`, '^ A ES TS
Phone # (_ )
}� ` y� River Basin I.. i
Affected
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body_
_ (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr.
Body
- -
number
head/ Riprap length
avg distance offshore
max distance offshore-
14
ramp
house/ Boatlift
h Bulldozing_ IS
01
•IS
not sure yes (n o
bags: not sure yes ho
tos: yes no
nr
MEN
E
'ONE
ME
ME
MEN
N
MEN
SE
MEN
EMEME
ONE
ME
MEN
P
No
EMS
mom
SUM
ME
MEN
mom
MEN
Ell
0
C_
h
Agent or Applicant Printed Name /may
Signature ** Please read compliance statement on back of permit
Permit Officer's Signature f 1
Issuing Date � Expiration Date
Application Fee(s)
Check # Local PlanningJurisdiction
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 (252-946-648 I) 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 Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
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

S- -I —b f J, It; t
"I'd doll,uI M
25238
'yTHis CHECK IS DELIVERED FOB PAYMENT ON THE FOLLOWING ACCOUNTS
DUDLEYS MARINA INC.66-30/531
PH. 252-393-2204 341
P.O. BOX 1148, HWY. 24 EAST
SWANSBORO, NC 28584 DATE
PAY
To THE
CANJ"i P'
TOTAL ORDER OF
a�/
a II LESS D SCOUNT -e4- DOLLARS
,
LESS
TOTAL DEDUCTIONS
FIRST CITIZENS 741
AMOUNT OF CHECK M —s 5-k & Trust Company
f3,4NK F'­c',l,,.. N.C. 28584
www.firstcitizen%.com
U0
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7 -7/
3 5
0 1:00 34 1 2 2 S 7112 F.
1:0 5 3 100 3C3 1150 2 5 2 313115

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 0 h� �.�I C, 's
(Name of Property Owner) �T
property located at C (vl/-L Sl
(Lot, Block, Road, etc.)
on ifaw 'Y' y l ,'' PE'(% C-- v � � N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
��C� f✓.�'a,K�n�S c,,� f L r A7',e7-
Signature
`L)L,/ le-) C ' U `i tlie_
Print or Type Name
Telephone Number
Date: / 1)5 (�`

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to P. IS
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on
(Waterbody) in , N.C.
(Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
-Davi(t P. Walky-
Print or Type Name
ql D 3:�6 .- 4 ��
Telephone Number
Date: 3✓15-(�k

0 -1) (,k A'\
,3

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