36232_FITCHETT JR, ROBERT L_20031209

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]CAMA / D DREDGE & FILL
GENERAL PERMIT
Previous permit #
]New JModification ❑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
❑ Rules attached.
Applicant Name 4 Project Location: County
Address Street Address/ State Road/ Lot #(s)11
City cljlg
State ZIP
Phone # O ) Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH I- UBA ❑ N/A
1 PWS: ❑ FC:
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
Shoreline Length
SAV: not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required
by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Subdivision / A?! , r
City ZIP
Phone # ( ) River Basin '
Adj. Wtr. Body < i<i { �r (nat /man /unkn)
Closest Maj. Wtr. Body f `"
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
IssuingAate Expiration Date
i
Local Planningf urisdiction 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 / 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

Unsatisfactory - Treats others with
disrespect and promotes a work
environment where diverse cultures are
isolated or disrupted
Performance Improvement Plan
The Performance Improvement Plan form MUST be completed when an employee receives a rating of "Below Good" or
"Unsatisfactory" on any KRR or Dimension during an Interim Review or Final Appraisal.
Section A: Employee Information
Employee Name:
Position Title:
Division:
Section B: Describe the current performance deficiency
(Be sure to indicate the KRRs and Dimensions that relate to the deficiency and whether the employee is currently meeting
expectations.)
Section C: Identify specific corrective action to be implemented by the employee and steps taken by the supervisor. Also,
include consequences for failure to meet.
Section D: Describe how performance improvement will be measured.

Section E: List the timeframes or due dates established for improvement
Date(s) for a follow-up discussion:
Employee Signature/Date Supervisor Signature/Date Manager Signature/Date
Section F: Follow U
1. Did the employee implement corrective action? Yes No
2. If no, what further actions will be/have been taken?
3. Have you discussed and offered EAP to the employee? Yes No
Employee Signature/Date Supervisor Signature/Date Manager Signature/Date

Career Development Plan
Career development planning shall be offered to the employee, when the initial work plan is written or at any time during the
performance cycle, for the purpose of providing opportunities for new skill development or to develop a current skill to a higher level
Section A: Employee Information
Employee Name:
Position Title:
Division:
Section B: Concisely describe career plans, KRR's and/or Dimensions to be developed
Section C: Describe how successful development will be measured
Section D: Development opportunities to be undertaken by employee Timeframes
1.
2.

3.
Section E: Resources and support to be provided OR reasons for non-support
Employee Signature/Date Supervisor Signature/Date Manager Signature/Date
Activities Completed: Date:
Interim Review Comments
Employee Comments: (Optional for employee)
Date:
Supervisor Comments: Date:
(Required if performance is below "Good" in a KRR or Dimension — see Section 2, "Interim Review" of DENR Policy)

Manager Comments: (Optional)
Overall Final Performance Rating
Date:
(To determine the Final Performance Rating: (1) transfer the ratings (O, VG, G, BG, U) for each KRR and Dimension to the chart
below; (2) record the appropriate Combined KRR Rating two times and the Combined Dimension Rating one time — the three ratings
are considered to be equal; and (3) use the combined ratings to determine the overall final performance rating.
KRR Ratings
KRR #1
KRR #2
KRR #3
KRR #4
KRR #5
KRR #6
KRR #7
KRR #8
KRR #9
Dimension Rating
Dimension #1
Dimension #2
Dimension #3
Dimension #4
Dimension #5
Dimension #6
Dimension #7
Dimension #8
Dimension #9
Combined KRR Rating + Combined Dimension Rating

Overall Final Performance Rating
Outstanding
Very Good
Good
Below Good
Unsatisfactory
Final Performance Rating Summary
The supervisor shall write a summary statement, based on the employee's actual performance, supporting the final performance rating.
Highlight outstanding accomplishments, distinguished areas of development, areas for improvement, and disciplinary action. The
statement should be a balanced and fair representation of the employee's performance during the entire cycle.
Employee Comments

Employee Signature Date Supervisor's Signature Date
Manager's Signature Date
(The employee's signature indicates that the employee has reviewed the supervisor's final performance appraisal. It does not indicate
that the employee agrees with the contents. The employee shall have 15 calendar days from the date of notification of an action to
appeal to the division director (or comparable level where no division director exists). For further information regarding appeal rights,
see Section 12, Performance Management, in the Department's HR Standard Operating Processes Manual.)