32452_DAGUTIS, PETE AND SCHALENE_20020821

LAMA / DREDGE & FILL
GENERAL PERMIT
New Modification Complete Reissue Partial 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 15A NCAC
Applicant Name
/J
Address _. ii 3 3 ctx-1'
City , r k State- \i �A ZIP :. ,) Q �Q
Phone # (—) ��' C{,," Fax # ( )
Authorized Agent
Affected CW DEW -PTA [DES F!
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
PWS: I —I FC:
OW yes f no PNA yes / no Crit. Hab. yes ! no
Type of Project/ Activity
Pier (dock) length
Platform(s) i
Finger pier(s)
Groin length I
number *—
Bulkhead/ Riprap length-
avg distance offshore x
max distance offshore
Basin, channel
cubic yards
Boat ramp --- - ---------
Boathouse/ Boathft
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes
no T
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Previous permit #
Date previous permit issued
I Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City - - --- - ZIP -
Phone # ( ) River Basin
Adj. Wtr. Body t _12 t.1 ��,; C 4 C-Z— (nat /man /unkn)
Closest Maj. Wtr. Body t�C4 I-,(- 'Jr
I
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planningf 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 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 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

CHARLES T. JENNINGS
588 DOROEH P A CE OAD 52 249-0563 6528
ARAPAHOE, NC 28510 5
Pay To The Otde,of- Al,�-' t;
—WA=
Wachovia Bank, N.A.
1k)twm, NC 28515
�/y ^—152/531 CC
C/ Date
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Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)-745-3861
A jac ,n Riparian Property Owner Statement Epn#
r ,� , ��.r d�c�FlS_`S
I hereby certify that I own property adjacent to Name of landowner proposing development
on J A "A L K.L D in/near Lot# l of
Community Subdivision, if applicable
Tax Parcel # �; 2 I q off SR 1 O .
Complete description of how to locate this properly:
This proposed project, a 1y A4 L +G� D , and the location has been described to me as
shown in the drawing below and I have no objections to the proposal.
For a Pier, check one of the Following:
✓I wish to waive the 15' minimum setback from my riparian access.
I do not wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size of the structure and
property,
measured distances from the adjacent property lines, other structures on the and the
road, water, etc.
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After this form is completed by the landowner proposing the project, a copy is given to the adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan and other applicable required information, to the Building
Inspections Office for building permit application/processing.
-�-I -
Signature { ,A� r t7 f y~� Date S b

Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)-745-3861
ner A Epn#__.._
en[ ice^'-riA►, Pco_oert� 4vs_
.
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I hereby certify that I own property adjacent to.-m proposing development
Name of landowner prop g
on �'`b �='�� `in/near Lot#_� of
.1
Subdivision, if applicable
Community
Tax Parcel #�2 I a — off SRt © .
Complete description of how to locateP this ppropea , —
This proposed project, a
„ , , , ,1 � L-�i�_, and the location has been described to me as
proposal.
shown in the drawing below and I have no objections to the
For a Pier, check one of the Following'.
✓ I wish to waive the 15' minimum setback from my riparian access.
I do not wish to waive the 15' minimum setback requirement.
e and
Draw the proposed structure in the space provided below. List ctures onothe property,rand he
D p lines, other
measured distances from the adjacent property
road, water, etc. ri
�nws�M t�
p c, LL) �d 7'rzic �
r.�to2 Q/S
pit C)Pase 9
0v-k4eA �) 2a0'
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leted by the landowner proposing the project, a copy is given to the adjaecnt landowners for then consent and
After this form is comp ble required information, to the Building
signatures. The forms are then returned along with a building plan and other applica
Inspections office for building permit application/processmg.
y Date
Signature-
j� �