38098_WALL, STEVE_20040408

❑CAMA / 7 DREDGE & FILL
GENERAL PERMIT
JNew '—Modification Complete Reissue Partial Reissue
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 le)"I
/ Lules attached.
Applicant Name Project Location: County
Address c, +pr% r1� Street Address/ State Road/ Lot #(s)
City X,e State ZIP 71 Derr,. , <r
Phone # (- ;2- V�>- (,5S t/ Fax # ()
Authorized Agent���,F
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
0 EW XPTA
❑ HHF ❑ IH
❑ FC:
❑ ES ❑ PTS
❑ USA ❑ N/A
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Subdivision
City �L/ ,,.r ' _ ZIP fS��lo
Phone # O River Basins
-1
Adj. Wtr. Body(nat /man /unkn)
Closest Maj. Wtr. Body & .I.,_
Type of Project/ Activity A�drT • r'� �i ` 'n� t '
4,6 Y ( „'.- •;-1- (Scale:
Pier (dock) length �j �X Zpd or
Platform(s)—
Finger pier(s)
Groin lengthnumber
Bulkhength
ead/
g dRtanceiprap loffshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ B:oatlifft b i
I
i
X.
_-
—
j
tt 1—
i
—
r
I
�-
--
---
i
i
I
Beach Bulldozing
Other_
i
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no a
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
`
r' % ?'
f 4•
-- —__J -
on back regarding River Basin rules.
!
i
/"l
/
Mee note
Agent or Applicant Printed Name a
i
Signature "Please read compliance statement on back of permit"
ApplicationFee(s) 6% Check#
._w
Permit Officer's Signature 7
1 r316 V
Issuing Date Expiration Date
Local PlanningJurisdiction 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 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 / 1-888-4RCOAST
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

„r 5 r r• h o i' A / (1
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PRESCOTT BROTHERS INC 2417
141 TARA TRL
ARAPAHOE, NC 28510
DATE _ _ (jJ( /C G ss-3o/47
PAYTO THE
- -
ORDER OF_
DOLLARS
FIRST CITIZENS 471
fA 1�1 �[ Firsl Cihrons 8a k & 7rus Company
[�1� a� Bayboro• N.0 15 p
1
FOR -
t�C 3�os� l�rr�
00 4 1 7u' i.0 5 100 3001:00L. 7 10 54 29ii'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
2(t'-f'(�"S—�-
I hereby certify that I own property adjacent to ��� ��� 's
property located
�l1
(Name of Property Owner)
rlv�1 '
(Lot, Block, Road, etc.)
2R467WAIC"don Z) ,in � , N.C.
(Wa erbody) (Town andYor 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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual pro osing development)�l�D� I
signature
/?,- /// L erg
Print or Type Name
7 - S-?-�Yz'
Telephone Number
Date: C� L�

4 . F
ADJACENT RIPARIAN PROPERTY OWNTER STATETZENT
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I hereby certify that I own property adjacent to 57�et'� CI S/"O' �
X;:
roperty w n e ) �'1._4
Property located at �(/
(i, t, 10 fi ,etc.)
On U , In ( �, I�.C•
(Waterbody) (To'wn and/or ounty)
He has described to me zs shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTJON ANTWOR DRAWING OF PROPOSED DEVELOPiMENT
(To be filled in by indii,idual proposing development)
6 7)LA44o -- qX 30
G
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c�0GJ
'-nature
Print o. Typ. name
a
Telepho.je Number
Date: