37696_STUBBS, GERALD_20040423

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I CAMA / —1 DREDGE & FILL
GENERAL PERM
7Modification `-- Complete IT Reissue L]Partial Reissue
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_
Applicant Name f5 3
Address
Ci State ZIP 2 C)
Phone # Fax #
Authorized Agent /,,Z,
Affected CW EW /K PTA El ES El PTS
N/A
AEC(s): OEA El HHIF El 1H El UBA El
El PWS: 1-1 FC:
ORW: yes / no IPNA yes / no Crit. Hab. yes / no
Previous permit # J) '
Date previous permit issued �! A
E] Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City-- t. ZIP
Phone # River Basin
Adj. Wtr. Body 1 (nat Ynnan /unLn)
Closest M aj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier
Platt- rm(s)
Fingir pier(s)_ 0
Groim length ON 0
,number ENEMENEENIN ONE
Bulk ead/ Riprap length P. W a
avg distance offsho
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boat ouse/ Boatlift
Beacj� Bulldozing_ MONSOON MEN
mom NONE NEENEEMENNEE
Other INEENEENEENE
Shortline Length
SAV- not sure yes no
San2ags: not sure yes no
Mort no OEM 0
i orium: n/a yes ON
y ���r7ir1
Phok
Waivp,c Ailarbed- ON
na,
A building permit may be required by: F—m niate on b ck e&ing River Basin rules.
4ftrene a
Notes/ Special Conditions ad ity DCM
Permit O
cer's Signature
A
Agent or Applicant Printed Name
statement on back of permit
.-
Signature''Please read compliance
Application Fee(s) Check #
ffi
Issuing Date Expiration Date
Local PlanningJuriscliction Rover File Name
A
Agent or Applicant Printed Name
statement on back of permit
.-
Signature''Please read compliance
Application Fee(s) Check #
ffi
Issuing Date Expiration Date
Local PlanningJuriscliction 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 thatthis 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
z 'MallirigAddress:
s,
i 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-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