32006_FOREHAND, GARY_20020710

-CAMA / 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
Address
City__ State _ ZIP =c_;
Phone # (_ ) Fax # O
Authorized Agent
Affected ❑ CW EW ❑ PTA ES PTS
AEC(s): ❑ OEA HHF ❑ 1H UBA N/A
❑ PWS: 'AFC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)_ _
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
I.
Previous permit #
Date previous permit issued
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
Phone # ( )
Adj. Wtr. Body
Closest Maj. Wtr. Body
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other \\
Shoreline Length
SAM not sure yes no _.
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 #
Rules attached.
ZIP
River Basin
2006- 61.1
(nat /man /unkn)
(Scale: )
See note on back regarding River Basin rules.
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, certifythatthis project is consistentwith 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 10/05/01

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Moraheatl City, N.C. 28557
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to GARY � amoo'q F0REHAIuD 's
(Name of Property Owner)
property located at 136 mow v sr. j.o r 73 J� 6 19 7.3 3 3 35
(Ut, Block, Road, etc.)
on CORE SOUND , in MARdNAG[BfRG Twp, CgQTERET Ce_ f 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/W DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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ADJACENT RYPAR AN PROPFRTY OWNEIR STA'TFMEINT
i hereby certify that I own proper-ty adjacent to GARY � W4WO F9_XsE 4W4
Name of Property Owner;
property 10ted at 1 �5 AROWAJ Sr- t of SFt. ! ? 3 3 3S
(I.od. Bloc 4c, Road; etc_)
on CDRf SOVAID , i[i l R.fEFLia Qlr Twf e44er F er ce, , N.C.
(Waterbody) (Town andfor Countp)
He has descriW to me as showfl below, he dcveioprnent he is proposing 3t that 10cati0n,
and, T ha-ve -n-0 objecdoIIS tO his PfOPOTal-
DESCRIPTION ANDAW MAWING OF PROPOSED tDi EWLOPMEIN" �`
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Print or 717�W Name
Telephone Number

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-ADJACENT RIPAPJAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjatxnt to !&ARY i Pf�RRA FOREfIAAID s
Nz ame of Property Owner)
proremylocated at 135 gRoclu sr. LoT 73Y'G15733335
(1,0t. Block. Road, etc.)
on Cope SOV+t/D in MA*Si/AU6ERG 7'l.lr, MRF4469et' ed- , N"C
(Waterbody) (Townand/or County)
He has described to me- as shown below, the development he is proposing at that location,
and, 3 have no objections to his proposal.
D_ ESCRIPUON AND4W DRAWING OF PROPOSED DEVELOPAI :N'T
M be fiDed in by individcufl proposing deyeloprnenO
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