32041_CAMPBELL, GEORGE M_20020617

►❑LAMA / ❑ DREDGE & FILL
Ca • r� c' �' , ' I
C '3zQ4i
GENERAL PERMIT
i
1 9 2002 Previous permit#
❑ New ❑Modification ❑Complete Reissue
❑ �IUN
Partial leis u patQ 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 I SA NCAC"iT'\iT I ' ` '? "
- --A ❑ Rules attached.
Applicant Name �-,rcicf 1l • r. w Tj» (�
Project Location: County /n,
Address
Street Address/ State Road/ Lot #(s)
City 14pJee tI State 14C ZIP
Phone # (:-52) s °i It! t L Fax # ( )
Subdivision
Authorized Agent c nA t
City Nl n t • 1 �hr' r ZIP
❑ CW ❑ EW ® PTA ❑ ES ❑ PTS
Affected
Phone # ( ) River Basin
ElOEA ❑ HHF ElIH ❑ UBA El N/A
AEC(s):
y
Adj. Wtr. Body �' �i`�<j � ` at 6inan /unkn)
❑ PWS: ❑FC:
Closest Maj. Wtr. Body
ORW: yes /,no PNA yes / Co, Crit.Hab.
yes / no
Type of Project/ Activity ..
l3. Yid 11 rt f c (• .A �;ic•+ ! ! it . (Scale: /1/�•NE
Pier (dock) length
Platform(s)
1
Finger pier(s) •
Groin length
number --
Bulkhead/ Riprap length-
avg distance offshore
max distance offshore
Basin, channel ATJ
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other - _ _ T
' � f
}
IF
3.
Shoreline Length % , 2 t q
}} JJ ! -
SAM not sure yes no. f-( tt � �. t �� fr:�� iJr-}��iiv��
Sandbags: not sure yes ono, -
Moratorium: n/a yes ,n_o
Photos: yes no
Waiver Attached: yes no I `
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions >r
Agent or Applicant Printed Name
Signature Please read compliance statement
to�onback of permit
.. �� Cl
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date 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 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, certifythat 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 complywith 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
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 10/05/01

ADJACENT RIPARLAN PROPERTY OWNER STATENIE-•T
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I herebycertify that I own property adjacent to ���� �/, 4 J
fY P P Y J � � F s
(Name of Property Own r)
property located at
(LWt, Block, Road, etc.)''..
on �z �� , in l� e 4CC�` 14 TWOS ' , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shtown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pierimoonng
pilings/boatlift/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.
I d-Q wish to waive trat setback requirement.
DESCRIPTION AND/OR DRAWD G OF PROPOSED DEVELOP.NIENT:
(To be filled in by individualproposing, development)
J14MUeL o
Print or Type Name
Telephone Number
Date: / LO ZI

'rya�'bor
y
yicl� c�
'iErd .r �� filily�r
i ,F,.i ''ffi
F C,i.
Er,M, -
--r �:•s�it*ac:a
90° to 02�eX?f2C�5�2� 2x2 F
_q' {_; h looting pilings how ratany' 0
and N here
Hcansl Lowz, 3ier
Ripanan Corridor
Ns -m-Lcp
10 Rip al lan !L
Dimensions oft"T"ofU
or other platfb�ns jfinger
pier
k
i�-zdth
Distance over I'vlarsh
i
900
td'iatxdi'lit'�d�
lsfoot,Vbaa
(, DT
Istarlce from helarh or
ater Level v luch ever
plies or both
r V%I,NM�or NLW
L» t tiirldt ll
Propert,T Owher
Marne I72dicati? }ii ht' n? the st uefuy •' ii it i „} l , L }'Y. o•
Ptppetty Chimer Na.� ie, Addres ocat-ipi
Pcy WO
Fri i jr--itTi Lille L.,ytr r,T, T_�tit11,
Sirtiple North AnDw
i Spot Mrater
Depths
7 �Ripa dii Corridor
3
��p
Ot

ADJACENT RJ[PARLAN PROPERTY OWNTR STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby cer`'ify that I own property adjacent to 676Ct e- //?, — 172 0 's
(Name o Property Owner
Property located at /�� /� , cJi���� �r /�d Z 1A.1 Z_
ot. Block, Road, etc.)
on in ,/ il , 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 pie:/mooring
pilings/boatlift/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 recuirement.
1� I d-Q wish to waive that setback re uirement.
DESCRIPTION AND/OR DRAWLN-G OF PROPOSED DEVELOPtifE\-I':
(To be filled in by individual proposin; development)
Signature
A"/Zxv
Print or Type Name
Te;ephone Number
Date:li/