38061_LEWIS, MARSHALL_20040330

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ElCAMA / 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 I SA NCAC
i Rules attached.
Applicant Name N�f'' t�+ 11 (F lv'
Project Location:
County
Address _ " f
Street Address/ State
Road/ Lot #(s)
City_ State ZIP
Phone # ( ) Fax # (' ) r / 7 ' `f t j
Subdivision
Authorized Agent 1 •
City --
_ -- ZIP
❑ Cw O EW a❑ PTA ❑ ES ❑ PTS
Phone # ( )
River Basin
Affected
OEA ElHHF ElIH ❑ UBA El N/A
AEC(s):
Adj. Wtr. Body
ti,. , ` nat /than /unkn
16-v� )
PWS: ❑FC:
ORW: yes / no PNA yes / no) Crit. Hab. yes / no
Closest Maj. Wtr.
Body 4 -�
Type of Project/ Activity
(Scale: - )
Pier (dock) length
(
Platform(s) r —4A, V
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
i
`l
#
i..._....
—,
_
{
i
-
I
Beach Bulldozing
Other _
I
I
I
I
Shoreline Length—
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no f
�.
Waiver Attached: yes no
A building permit may be required by: ,
Notes/ Special Conditions
/
II
_
F
-
r'•� .
-
❑ See note
t/V
--
on back regarding
--
River Basin rules.
G,,
r� -,T(-c
Agent or Applicant Printed Name Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
!.
Issuing Date
`- `'L' C I
Expiration Date
i,),o r 1
Application Fee(s) Check # Local Plan ningJurisdiction
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:
El 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 / 1-888ARCOAST
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 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

CLARENCE E DANIELS 2808
DBA DANIELS MARINE CONSTRUCTION
PH 252-726-7480
PO BOX 236 _ 3 O _ 66-21/530
NEWPORT,NC 28570 BRANCH90331
DATE
O DER OFE N C 1b E N R
I $
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WACHOVIA
Wachovia Bank, N.A.
FOR Ppp
A,,C,,,,H R/T053000219
e,4Ml�-
'.0 5 3000 2 191. L0 5 46 7 L0 16 5 P. 2ii' 2808

• Mar 14 04 04:35p Clarence Daniels 2527267480 p.1
ADJACENT 1 RIPARIAN PROP 1'R Y OWNER S 1 A 1 L1VL%a1�
(FOR A FIER1MOORING PILINGSlBOArLjF "'/BOATHOLrSF)
I hereby ceTtfy that I nwn property adjacent to !,nAr fSsk A t.l_ e ti 5 �'s
(Name of Property Owner)
property located at `2 1 S r-o QT"yn ,z� c c "'j P'0 5 �
(Lot, Bloch., Road, etc.) 7
on CA N q i- , r C✓'q a c,:.:r , N.C.
Materbody) (Town and/or County)
He has described to Me, tic shown below, the development he is proposing at that Iocation„
and, I have no objections to his proposal. I understand that a pierlmoorinR
pilings/boat'ifu'boathouse must beset back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I d n i wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual nruposing development)
CL iQ S U
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Signat'ire
l r (Jo /i l ( D/I%Afe l
Print or Type Name
Telephone Number
Date: 7 /a f/ t

s Mar 14 04 04:35p Clarence Daniels 2527267480 p.2
ADJACENT RIPARIAN PROPERTY ONNER STATEM9KN'`T
(FOR A PIMMOORINCY PfLLNGS/BOATLIFT'BOATHOUSF)
I hereby certify that I own property adjacent to 1)2 ,i L� `i.. e'-o 15 Is
,Name of Property Owner)
property Icx2ted aL `2 IS Frj p,-r- Yn .a c oR; 20 9d Cga s
(Lot, Block, Road, etc.)
on CANAL _. in C_ A
('Waterbod;,) (Town and/or County)
N.C.
He i as described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pieri'rnooring
pilinas/boatliztlbcathous must be set back a minimum distance of flifteen feet (15') fi-orn nay area
of riparian access unless waived by me.
I QI wish to waive the setback requirement.
—p I dDwish to waive that setback requirement.
DESCRTP`I'ION AIS-D/OR DRAWING OF PROPOSED DEvTJ OPN=:
(To be filled in by individual propv=* g develvprnent)
j�aoP°S�d
d
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..S —
Signature
f I:cYt=T�t
Print or Type Name
Telephone Number
Date: _ _r.. 'Z ��C>

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