38839_FERNA, DAVID_20040601

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DCAMA / I] DREDGE & FILL
GENERAL PERMIT Previous permit#
EINew ❑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 G'G
Rules attached.
Applicant Name J /1� 9— Project Location: County (r�1Z7,t,
Address t 006G LStreet Address/ State Road/ Lot #(s) �„( %—T 1
City ffJcfi,01L�J C•I I State zip ?S S% 7 /�8 1/�
Phone # ( ) Fax # ( ) Subdivision `xy "— a ✓ e, LA1
Authorized Agent City � l ` j ZIP
i ❑ CW ❑EW © PTA ❑ ES ❑ PTS Phone # ( ) River Basin tl W "C.Q 6,)
�. Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A /
I AEC(s): 1-1 PWS: El FQ Adj. Wtr. Body 6J1 ' -I L (nat 4-a-n)/unkn)
ORW: yes /(no PNA yes /�o) Crit. Hab. yes / no Closest Maj. Wtr. Body���t
Type of Project/ Activity Y t' 1 A r Ali- �- ti a k CF Y� CA v c1—T
5 ,X -3 ")
Pier (dock) length j
Platform(s) -- _
Finger pier(s)
I
Groin length - -
number — - "-
Bulkhead/ Riprap length I 1
avg distance offshore _...�
max distance offshore
:
Basin channel
:
cubic yards S
Boat ramp f 1 J ..
Boathouse/ Boatlift
i I
Beach Bulldozing
Other I 1
J.
7. .
u-_3 AN.�
(Scale: /J`�"'S )
Shoreline Length
' I
SAV: not sure yes n
Sandbags: not sure yes n !�
Moratorium: n/a yes LiA,94
Photos: yes no
ro
Waiver Attached: y no
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions i % r/�� fAJ7� �r•1 �C� �k r/1 c«T a'tJ TJ q& / % ��i� `'�- T` '� .1;��C `T A,1 4�
t / / U
r��... ,_f/ �• Knl � �.,....,. /� /Ur7/),nt,Yl�, �� i /J/A'fOn /.� U%%/ IJ� r'Ci i/ G�ti'7,ZFi ✓ , / 7/fS iLh %
?vl 4 1r,� ., IBC. toA, f A S Dom,
Agent or Applicant Printed Name .�
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Chee #
2-11
Permit Office 'sS ature
i v Lf
q /0y
Issuing Date I I
Expiration Date
Local 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, certifythat this project is consistent with 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 / 1-888-4RCOAST
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

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'DAy! 0 �:'U V- f A 's
(Name of Property Owner)
property located at L-t a 1 y o
(Lot, Block, Road, etc.)
on C,r� �.+ c,' �, 1 C: W _ , in N t'*J PC,(-7- C N.C.
(Waterbody) (Town and/or ounty)
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)
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Signature
Print or Type Name
Telephone Number
Date:

MAY-27-04 09:14 Ar! KENL'r'_rFaRM—ANl1_HI.!'IF_ 9192845326 P.01
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ADJACENT RIPARJAN PROPERTY OWN't
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I hereby certify that i own r,-op rty adACCltr. to u
M1yl €: (tVune Ut iyrupet' y` !!`
.' E r047C i4t 37itCCj a l , �'..r...aLr" .: «mow 10 0
{Lot, Block, Road, etc.}
(W�terbud�) (Town andf4r Qunt)°j
i He has described c�i m� as sF��ti'n be!gw, t}7e de�etomen; tt ss prod
1 I'.'asiI t Have no onfecr.,c?nS"'o his yrvpu�mi.
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rt DEQCRIP MN? .e,.NVO13 OR! NVN- t;.OF.PR0-PQ.SER j�E'V� .. l
(7"0e Plfed in by individual proposing der010prnp+
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85;'2412004 13.29 25272S5349
COASTAL EQUIPMENT RE WAGE e2
ADJACENT RMARTAN PROPERTY OWNER S C'A.TEM —NT
I hereby certify 'that I ov:n property adjacent to -Z�AvMO �7gf4A s
(,,Name of iropert} Owner)
prope y Iocat6d at _(, i 11J 4fY :bhp t c.� o G L,�.A
(Lot, Block, Road, etc.)
on C'.mJin �i a y A_ �: w :. _. I.C.
(�4'aterhot3) _ (— ToK nd/or ount�) —
N- has dcs�-ribed to me its s`';o)--n below. L` e he is proposing at that location,
2.1d, I ;nave no ob)ecttcns tali b13 PrOPOS,1!
DLSC.RIP'TION AN3 OR DRAWING OF PROPOSED DEVELOPMENT
(Tr be fillers in by indi►idual proposing development)
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S,;nature
Print or Ty,% Name
Tel?�hpr,e rdunlb-r
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