32075_FREEMAN, CHARLES_20020711

JCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
New LJModification ❑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 I SA NCAC
Applicant Name
' r
Address
; ;r / o , ;
City
State Jf ZIP ? t
Phone # ( )
Fax # ( )
Authorized Agent
T
Affected L ! CW
El EW 0 PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
-1 HHF ❑ 11H 7—UBA ❑ N/A
PWS:
FC:
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
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
�Jv -
Previous permit #
Date previous permit issued
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body_ (nat /man /unkn)
Closest Maj. Wtr. Body
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 #
(Scale:
_; See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning)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
❑ Neuse River Basin Buffer Rules
❑ Other:
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: 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

-, �•� .,— wr I— UVUUMeN I CHANUE:5 COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
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NOT VALID OVER $1,000.00 61007440
ISSUING BRANCH
DATE 93-5-111920
PAY TO THE
ORDER OF
DRAWER: TRAVELERS EXPRESS COMPANY. INC.
55480
DR WEE: FIRST INTERSTATEINNEAPBAS. NK, HELENA. PSI t L
Cfl�� PF�m I-Ts� C. J---P-�mA tJ
W
DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
�,�►��,/--�i �/�- AND OTHER TERMS ON THE REVERSE SIDE.
TU p� (&-Pl HAFF F�IG`NER FOR W — - -
- -- - CITY STATE
II' 6 100 7 4 401Il 1:0 9 200 5 4 L L':O L 70 7 L0 4 5 L0 9 21r
■ THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF TI [ESE FEATURES WILL INDICATE A COPY. ■

• !iDJt?iG� 1'V'1 t� �.:': ir�x y'Y i ' % �' ' ii' ] O ��NI . S71_A ':,�,7.:
(FOR A PIERIUNCOVERE'D BOAT LIFT)
I hereby ce,; fy that I own property adjacent toc tl r_g f= 6-6 PAID 's
(i tme of Property Omer)
properry located at eC#WC>01) RUC
(? my Rlcxck, Road, etc.)
on YYl RN m DE Ln '�'11,1 E SfltAa c-i+gr62E'T , N.C.
(Waterbodv) (Town and/or) County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no obje~tions to his proposal. I understand chat a pieriuncovered boat Lilft
must be set back a minimum distance or rirL=,i refit (l5') from my,area of riparian acczss uniiess
waived b me.
I do not wish to waive the setback re.:uirement.
I do wish to waive that setback requirement.
ESCRIP 0N-N-D/OR DRANVD G OF PROPOSED DEVELOP-NMST:
(To be filled in by individual proposing deveLpPment)
C.£�
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Signature
PAUL -Fti(,)a4L L,
7Zt-�m�N Print or Tyx Na,-ne
ZSZ- 43q- S 3Z9
Telephone Numb"'
Date; iv Z I bZ
��TJ 13A

(FOR A P,7ER1LN pV'RED E0,4T LTy7,
I hereby cer-.ry that I awn prope,, y adiac4nt to C LC
(Name er Property Owner)
property locates; arJAC
126 �ifir
(Lot, Block, Raad, etc.) --
cn119W H DLL Sns
(Town amd/or Coun;r)
He has desc-ibed to r-ne, as shown be?aw, the develop.,jent he is proposing at c.„,a:
Ian don, arid, I nave no ob", �tTcns to his pr000sal. I unde:stard that apie-/uncovered boat
must be set bads a miatrr u^ distanC; of ririeen fe~t ITom rry zreb or spar an ac: ess unIe.,s
waived by e_
no W:S : to W't. the th >C:,back recur men.
I da wish to wi.ive that setback -ecui-ernent.
-----•----------------------------------- . — ----------- ---`------_------------------•------------------_:.
DESCRI rI-IOh -A-N-D/OR DRA D,;G OF PROPOSED DEVf:-LOPNMN ':
T(To be fWed in by indiYidr. prnpaszrsg dgvelCpmer:t)
Sa
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