38723_HUBBARD, BENJAMIN & BRINKLEY, JOSH_20040930

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CAMA / DREDGE & FILL _ d
GENERAL PERMIT Previous permit # kol� '
❑New ❑Modification —'Complete Reissue i_=Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources i
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC k, --
❑ Rules attached.
Applicant Name' ie+�,c�.�se,•�. 1%11,0; a.' �S 1 r;n�,a _ Project Location: County f'Cn:�;.:'...:
Address =�L- "t Street Address/ State Road/ Lot #(s)
i
City_ State tir,. ZIPa'1 5'6-1
Phone # ca 1`6 k�3 Fax # ( ) Subdivision
Authorized Agent �rb%A1-•1—,. City ZIP
I CW E JXW I�PTA '®ES ❑PTS Phone # ( ) River Basin{ 0-A,mo-o
Affected r� OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body__' /man /unkn)
❑ PWS: ❑FC: 1
Closest Ma'. Wtr. Body -
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ORW: yes / no PNA yes / no Crit. Hab. yes / no I
Type
Type of Project/ Activity
OL
Pier (dock) length k
Platform(s)
r
Finger pier(s)
Groin length I ai tlt40
number I
I i
P P length
- 3
av distance offshore , Q
Bulkhead/ Ri ra len h I
max distance offshore _ ..
—
Basin. channel
cubic yards
Boat ramp
Boathouse/ Boatlift 'i -t )�1
Beach Bulldozing `
Other ��.. \✓
Shoreline Length
SAM 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
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Agent or Applicant Printed Name
(Scale: tiU",v'I, )
4 See note on back regarding River Basin rules.
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
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Issuing Date Expiration Date
Local Planninglurisdiction 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, 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 ❑ 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 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 / I-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Morehead City District Wilmington District
151-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax:[phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01