38067_THOMPSON, FLOYD_20040331

=JCAMA / . DREDGE & FILL
GENERAL PERMIT
❑New Modification ❑Complete Reissue Tartial 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 1 'cti.A it. I ;norm roh Project Location: County- _
Address i'1 i(0v 5PW& VJ Street Address/ State Road/ Lot # s
City v. yc �'vt �. State IJt ZIP 2�rplt. ei v le
Phone # (�) E - ti'� �� Fax # ( ) Subdivision
Authorized Agent cc ?(", A City_ - _ ZIP
CW O EW X PTA ❑ ES ❑ PTS Phone # (_-_) River Basin 4 f (v k-
Affected
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
AEC(s): Adj. Wtr. Body M 0 r FA& i 1p N a I (nat /ram' /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / i�) Crit. Hab. yes / no
'T
Closest Maj. Wtr. Body✓� -JOB "1!
Type of Project/ Activity �- d
� r
Pier (dock) length
Platf
Finge
Groin
Bulk
Basin
Boat
Boat
Beac
Othe
Shor
SAV:
Sand
Mora
Phot
Waiv
Previous permit #
Date previous permit issued_
C Rules
(Scale: ti'u,oi f )
orm(s)-
r piers) —r
length M
number i r I
havddRltancelengt re -+— —1 -
P P gt ! —
g r !-Ej - P
— - —
max distance offshore
i
channel 2
cubic yards
ramp —
AM
house/ Boatlift
- --
h Bulldozing—
i r v -
r
eline Length
not sure yes no
bags: not sure yes no -
torium: n/a yes no
os: yes no
er Attached: es no ------ ---- - - -
y
A building permit may be required by: Iah�t
Notes/ Special Conditions �I 4 My%1 1 6rc WA. l
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Jr- I I P
Local Planning]urisdiction Rover File Name
y
A building permit may be required by: Iah�t
Notes/ Special Conditions �I 4 My%1 1 6rc WA. l
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Jr- I I P
Local Planning]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, 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
151-8 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.nccoastaimanagement.net
Revised 10/05/01

SHORELINE MARINE CONST.
ASHLEY BROOKS NCDL 7666496
PH (252)-646-3212
99 CENTURY COURT
SWANSBORO, NC 28584
PAY
TO THE
ORDER OF
C
WACHOVIA
Wachovia Bank, N.A.
www.wachoAa.com
FOR
11301142011' 1:053000 2191:20546700 25579110
28011420
66-21 /530
DATE BRANCH 77814
A
Nr

ADJACENT RIPARLAN PROPERTY OWNER STATE,-YMN"T
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ZKal � (�?�.��r�41 's
(Name of Property Owner)
Property located at C'q (-`4 Uj -<:: �. y (� r
(Lot, Block, Road, etc.)
L � i
on , in 1-, %� `� ���C "i , N.C.
(Waterbody) (Town and/or County)
He has 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 pier/mooring
pilinQs/boadift/boathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
k I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP`IE.N T:
(To he fiUed in by individual proposing development)
Signature
i
Print or Type Name
.-/4 s 7
Telephone Number
Dare: j
E'd Cass-92E-016 s"Joojg Rajysu des,:ol 40 16 Jew

ADJACENT R.IPARLAN PROPERTY OWNER STATEMNIENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to -�'C--— I� �: ��r�Sc.•y 's
(Name of Property Owner)
property located at 3� `� G' % C C- c a C(
(Lot, Block, Road, etc.)
on , in 7`(�. �t f; % j Gt , N.C.
(Waterbody) (Town and/or County)
He has 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 pierlmooring
piiings/boatliftJboathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
!/ I do not wish to waive the setback requirement.
I da wish to waive ti:at setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature l
Ir" ,-.J 1
Print or Type Name
7. -- 6 0
Telephone Number
Date: _ a
b'd Case-926-016 5"100jg Ratysu dGb=ZT b0 16 JeW

Mar 31 04 12:47p Ashled Brooks 910-326-8523 p.2
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