31573_ALLSBROOK, AUDRY_20020418

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AMA / ❑ DREDGE & FILL ®�
GENERAL PERMIT Previous permit#--1
New 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 15A NCAC 0 :? q 12cc
rEl Rules attached.
Applicant Name !I VAji t 3 Gr aff Project Location: County
Address 2T11 11'1 P►!Ix QJ Street Address/ State Road/ Lot #(s)
City State !✓! ZIP -`b977C `-("IV!t
Phone # (_ _ ) ' ' ir' �,c 1 Fax # O Subdivision
Authorized Agent P t ' c IJ City ZIP
Affected `]CW INEW 0PTA DES ❑PTS Phone # ( _) River Basin V4 /r bolt
❑ OEA ❑ HHF ❑ IH ❑ UBA C N/A
AEC(s): Adj. Wtr. Body � Pr4 _ (^at /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / ho Crit. Hab. yes / no Closest Maj. Wtr. Body
31573
Type of Project/ Activity p of C p-, Llu {r.
11 !{ (Scale: /!/; v )
Pier (dock) length i
Platform(s)Finger pier(s) f {tttiljt 11 �'r� Qpcl '2' Jq/ta�ilcQd V3,
ii�� ` r k h OL rwci I( Groin length :,��;; f hliS
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number i , ♦ � � - �� Wd�� at�un�1
Bulkhead/ Riprap length f1 -
avg distance offshoreVi—
max distance offshore I FlJII Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift _ - -- - — - ---
Beach Bulldozing-i-
Other
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Shoreline Length
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SAV: not sure yes
no �_�_—_
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--- ----------- --
Sandbags: not sure yes
no
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Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required
by:
C See note on back regarding River Basin rules.
Notes/Special Conditions
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Agent or Applicant Printed Name Permit Officer's Signature
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Signature Please read compliance statement on back of permit Issuing Date
Application Fee(s) Check # Local Planningjurisdiction
Expiration Date
771
Rover File Name

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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-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)
Revised 10/C

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/VN'C'OVERE1) BOA'r tlu-r}.jo/ e
I hereby certify that I own property adjacent to
(?lame f Property Owner)
property located at T_ _,A7
(Lot, Block, Road, etc.)
mot..;
NC.
on.,__
( aterbady) (Town and/or County)
Fie has described to me, as shown below, the development he is proposing at 01a1 location.
and I have no objections to his proposal. I understand that a pier/uncovered float lift mast be set
back at a minimum of fifteen (15') from my area of riparian access unless waived by me.
I do not wish to waive the setback requirenent.
I do wish to %"rive taut setback requirement.
DESCRIPTION AND/OR DRANVING OF PROPOSED DEVELOPMENT.
(To be filled in h� oosi g, developn;ent)
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Signature
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A. PIER/UNCOVERED BOAT LIFT)
:� :ry . 1467--361
I hereby certify that I own property adjacent to �Ct.LG
(Name f Property Owner)
property located at —�_ _ ----_----____-- - -- — -
(Lot, Block, Road etc.)
Oil
( aterbody) (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 prol)osal. t understand that a pier/uncovered boat lift must be set
Wck at a minimum of fifteen (15') from my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVLLOPMENT:
(To be filled in hN fr>ro psi development)
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