32369_GREEN, PAUL_20020805

CAMA / DREDGE & FILL` �� '� 33 9c._
WGENERAL PERMIT Previous pe4it #
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 15A NCAC
Applicant Name
Address
City r r _ State If ZIP D
Phone # Fax # O
Authorized Agent
Affected ❑ CW CHEW ©.PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
_1 Rules attached.
Project Location: County _ __ _
Street Address/ State Road/ Lot #(s)
Subdivision
r
City k ZIP
Phone # (`) River Basin
Adj. Wtr. Body ''�:% r..r /; . (- Y (nat /man /unkn)
Closest Mal. Wtr. Body
Type of Project/ Activity
% i i ,- (Scale: )
Pier (dock) length
Platform(s)_
Finger piers)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other_
Shoreline Length t c-
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 requi
Notes/ Special Conditions
red by: See note on back regarding River Basin rules.
1.1 i �^
Agent or Applicant Printed N°d►'1e
Signature P ease reajgompliance state ent on back of permit"
Application Fee(s) Check #
Permit Officer's Signature `
lssuing Date,) Expiration Date
tl
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
landowners).
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 11
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

KAREN GREEN 2376
PAUL A. GREEN ��� `; 2�
PH. 252-444-2988
1012 PARADISE DR. 66-112/531
K, HAVELOCNC 28532-8883 male kw 02001
to !/c nn/cam
--D.'viomm
BB&T —Classic—
BRANCH BANKING AND TRUST COMPANY BANKING
HAVELOCK, NORTH CAROLINA
1:053LOLL2L1:5LL6798664110 2376 j

APR-23-2002 TUE 04:43 PM NO DIV OF COASTAL rGMNT FAX NO. 4 R 05
ADJACENT RLpARj_jjN PROPE2T'y t WNMER STA iENEY1'
(FOR A PIZ'R1R008ING P'LlYGS1BOA71IF7"IBOATNOC'5-£)
I hereby ce "Zify that I ovr, property ad.to L j� j�(¢�JG%/(,�
EP s
(Name of Property Owner`,
,� 11
(Lot. Eiociti, Road, etc,) ----'
on C("-'9 e i- I,
-- i;v0 ��
(Waterbody) (Town and/or County) �.C.
He ha.3 descrbcd to me, as s;,own below, the dcveloDme ;t he is praposi::_ a- t`�t location,
and, I have no objectons to his proposal. I anee:s-a�d Char a pie p
Fil;n�bo.dioathouse muss oe stir back a r �'limum dis�nce o ffreea fe:c . moorin`
of riparian access unless waived by me. )frog my arci
_. n n WIS1 t4 wa:4'd iht Setback requi~`menE.
e ,..Et setact require nenz_
DESCRIPTION A \D/pR DRAWLYG OF, pROPOSED DEVEI p0 Nr-z'\Yi;
(7'0 be filled k, by indiv&u,21 proposrrca devel�rmen:)
tr. mi or Type Na,ne
Tz;epcene ,\•umbe-
D1.cc. 1J - 3-- 1)71-

APR-23-2002 TUE 04:43 PM NC DIV OF COASTAL MGMNT FAX N0, 4 P. 05
ADJACEN7 IUPARL�,N PR.OPE-2T'k O VViti-ER STA T M E,I 7
(FOR A PILR/MOORING Pl lVGS/BOA7ZIFTIB0,4THOL"SF)
I hereby cc!'-dfy that I owr property ad1acent to
(Name Of Property Owner)
PrU^� 1cCC t, 27--L L) e.
(Lot; Block, Road, etc.)
� JJ// on J� � e ke v' er'ee j� , in I� l� OGI�
(tii'aterhadyj (Town and/or County) I.C.
He has describcd to me, as srtown below, the development he is propos-,.- a. G�,�t location,
and, I have no objections to his proposal, I uneers�d tha: ,
n�s�boa 4 71e., mooring
p tUf /boathouse must be m, back a rr nimLrn distance o f Treen fee,, !t � ') from my arm or riparian access unless waived by me.
W �t wis�ll to wg 6-Z the setback requirement.
7 L Wish to waive tut setback requirement.
DESCRIPTION AND/OR DRA'4'V �------____------�`_`_----_--__-_.
iG O)+ ,PROPOSED DEVELOP`.I��7:
(o be filled in by indtv&ucl proprsina devglovmenr)
���vic►� � �,lfis
I'<int or Type T7ame
Telapcone Numbe7 `—
Date: 5

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