38099_THARP, JIM & LINDA_20040408

CICAMA / -' DREDGE & FILL
GENERAL PERMIT
CNew hModification Complete Reissue Partial Reissue
ilk T
Previous permit #
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 0; // /mod 6Q
(S�,Rules attached.
Applicant Name 11 c?"Cj L%• da- /Carl � _-
r
Address
City e State ;'"V / ZIP QS
Phone # 9v 9- 660(, Fax # ( )
Authorized Agent
Affected 11CW )qtW I#TA [I ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA El N/A
PWS: ❑ FC:
ORW: yes / no PNA yes / no) Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s) X" ! j
Subdivision
City ZIP /G
Phone # ( ) River Basin,
Adj. Wtr. Body hn��,�e� nat�man /unkn)� nat��man /unkn)
Closest Maj. Wtr. Body'�c�
Type of Project/ Activity
y%:�711 is
(Scale:
% )
Pier (dock) length
Platfo
Finger
Bulkh
Othe
SAV:
Sand
Mor
Phot
Waiver Attached. yes no
A building permit may be required by: l!!Y►Theti
Notes/ Special Conditions
!as
C See note
on back regarding River Basin
rules.
�
'cv
pier(s)
Agent or Applicant Printed Name
i
Signature Please read compliance statement on back of permit
)eck #
�U C!
Application Fee(s) Chh
Permit Officer's Signature v
1
Issuing D tae ' 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 I) 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 / 1-888ARCOAST
Fax: [phone]
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

HODGES MARINE CONSTRUCTION 1980
NCDL 1999167 PH 252-745-7018
55 BAYSHORE RD 66-30/531
MERRITT, NC 28556 e Date 472
Pay to the
Order of r
Dollars
0 F1RS"TCITIZENS 47z
fl ,� K F ,ont irizons Bank 8 Trusl Company
�t-il r I1 O; ot-Cd N C. 20571
www.firstcitizens.com
For-^`; hp
r
i:0 5 3 100 300i:00 L 7 1200a 3 Lail' 0 L 9a0
0C1—keA—.

' - J.'k;L'N" 1-UPAR.L-UN PROPERTY OW?� ..
`---' (FORA �'R/r�l00RING PILINGS/BQATLIF! uOAT ATE'�rENT
NOCSF)
I hereby cerify that I own property adjacent to
(Name of Property Owner)
Prope.-y located at .
(Lot, Block, oa , etc.)
on -il -c�'A '.o ,, , in
(Waterbody) (Town and/or County) C.
He has descrbed to me, as s;:own below, the deve.o meat he is ro os-7 --
a:; d; �
I have no to
to his p P P ' _ `- d'at location,
�s, proposal. I understand th -
P Doatiift/boathouse must 'a= a P'•er mooring
be se: back a minimum distance of fifteen feet () fiom my area
Of rpazian access unless waived by ,tee
--- I do— ni wish to me the setback re uirement.
- I .Q wish to wave t=aH setback recuirement.
-----------------
--- -
DESCRIPTION AND/OR DRAWLN- G OF PROPOSED DEVELOP TENT:
(To bed ir, by individual propoYin , development
Si°nature
—P—CI_I
k i I I I L or IYpe Name
Telephone Number
D,-,P-

ADJACENT BTPARL�N PROPERTY OWNED STAITMENT
i
(FOR A P'--(IMOORING PILINGS/BOATLIFT/b„ATHOUSE)
I hereby certify that I own property adjacent to Li ,L' lt'� > =�� �- ��l fi ��' i
s
(Name of Property Owner}
proper. ry located at 1 (� /� C -( _ —
(Lot. Block, Road, etc.)
on
(Waterbody)
At/
�J�
(Town and/or County)
He has described to me, as 51:own below, the development he is proposi-_ a: that location,
and, I have no objections to his proposal. I understand tha_ a pier/mooing
pdings;boadift/boathouse must be se:'back a minimum distance of fifteen fee; (15') from my area
of riparian access unless waived by me.
I do not wish to wa%e the setback requirement.
I d-Q wish to waive t.`_: setback requirement.
----------------------------------
DESCRIPTION AN-D/OR DRAWr G OF PROPOSED DEVELMIEVT:
(To be filled in by individual proposing development)
Siznaturz .
e Tee- #' /� Ids P
Print or Type Name
Telephone humbe7
Date:

Jan 13 04 12:21p Jim & Linda Regal -Tharp 15969490606
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