31675_CLEGG, PHILLIP G_20020514

`CAMA
i / DREDGE & FILLS
313iin_e
GENERAL PERMIT
Previous permit #
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 I SA NCAC
2 Rules attached.
Applicant Name M �' �s. ��� tr^ - --_ -
Project Location: County /a/ 6, ( 1
Address f: hlEx 30 9 _
Street Address/ State Road/ Lot #(s) I
_
City u, 6M State tJ( ZIP 277I5-63f q
2 /6 %,✓,( /�uWfiJdK P,�-- _--_—
f
Phone # (q?`)) �{i"f' i2�1 Fax # O
Subdivision
Authorized Agent qj
/
City ZIP ZCs,12
Affected a CW Qfl EW ® PTA K ES .0 PTS
Phone # ( ) River Basin Wd 'f ,- k-
❑ OEA ElHHF ❑ IH ❑ UBA El N/A AEC(s):
Adj. Wtr. Body_ M�f M Q l�f•��� �A nN j (nat — /unkn)
� PWS: ❑FC:
—
ORW: yes / no PNA yes / Crit. Hab. yes / no
Closest Mai. Wtr. Body
Type of Project/ Activity t t t v ,�.'. Vo i!j `0 S0
1 1.
(Scale: )
Pier (dock) length _ _
Platform(s) _
Finger piers)
Groin length
number
Bulkhead/ Riprap length >o
avg distance offshore 7
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAY: not sure yes no --. !J . r*� — --- - r
Sandbags: not sure yes no I /
f .!
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no — ) — ------ -
A building permit may be required by: }� ! �[,R �• h{ A L See note on back regarding River Basin rules.
Notes/ Special Conditions ( u l` k (t n �� v ' r 41 u0ji ►vlu f �(i �< � v' � m� , ' ; � �' S(u Itr
I 2) N'c lM6,1/1 i� Md1r� au c,, i't� ( �t �} K { ►� k ��1 r,�1.0 ,
Agent or Applicant Printed N
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
i
Permit Officer's Signature
f' ''il Cis
Issuing Date
Expiration Date
,44tunilT�i,,-,,-4
ics(31tpF
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, 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 / 1-888-4RCOAST
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)
Revised 10/C

OUTER BANKS MARINE CONSTRUCTION Bear 5400
1501 FIRST AVE BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY, NC 28557 MOREHEAD CITY, NC 28557
[phone] e6-112/531
5/ 14/2002
PAY TO THE
ORDER OF D.E.N.R. 1 $ **100.00
One Hundred and 00/100****************************************************************DOLLARS 8
D.E.N.R.
MEMO �t 3i(o7S l I�hFI LL444--
II'005400no 1:053101120:123101529511'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent t
(Name of Property Owner)
property located at J. I /-/
(Lot, Block, Road, etc.)
on in >4 fiL�W7�� � A"'.0 i C..:�,.7'ce-'� Cc�y ,. 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP.MF—N'T
(To be filled in by individual proposing development)
Signature Gi
Rom, � 0 7 �.
Print or Type Name
,a,�-J- ,7 �'(' _ G. 7 -s-
Telephone Number
Date: 3 "2 4 -y �?

03/25,12002 09:15 9197727804 PAGE 02
ADJACENT RITARIAN pRopER Y OWNER STATEMENT,
Ile z
I hereby certify that I own property adjacent to
s
Aamef operty Owner)
ro loud at
property
(Lot, Block, Road, etc.)
r
on =
N.C.
(Water ody) (Ta n andlor County)r/ ,1 �
He has described to min
ranbelow, the development he is proposing at that location,
and, I have no objections to his prcposal.
DESCRHYI'IONl AND/OR DRAWING OF PROPOSED DEVELOPMF—'4T
(To be jllled in by individual-proposingdevelopment)
1,C (✓ C }J S�r G• C J tt J < '+ L</ h /� ��'L` / ! 1 Gt c r o S T4 fly A ��r l
4' a /r...r. y c 4v k i/ \`4✓ ! % �I t C 0 G .v C !� G/ r 71 T,- v Fe I-` /)
al
Signature
Dcro���
Print or Type ame
Telephone Number
Date: `� . g �- b