30646_HARRINGTON, LINDA_20020405

CAMA / DREDGE & FILL � ' D�4�►<
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 15A NCAC
Rules attached.
Applicant Name
City t _- State ZIP :?&Z,/
Phone # ( )_ + Fax # ( ,))
Authorized Agent _ �c�,r r— syt f I`)
Affected ❑ CW O EW O PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ W ❑ UBA n N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Project Location: County
Street Address/ State Road/ Lot #(s) 2-10C),1�k—L
Subdivision
ity p r4E K ou.. zIP2a('S"/ Z
Phone # O_ River Basin
Adj. Wtr. Body (haf /man /unkn�
Closest Mai. Wtr. Body
Pier (dock) length
Platform(s)_
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
�f
Basin, channel
Ty -
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
I
Other
j
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no "
Moratorium: n/a yes no I.
Photos: yes no I.,
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
Fee(s) Check #
(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, certifythat 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-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/C

MACK E. McLEOD NCDL #2069502
GLENDA F. McLEOD NCDL #2262090
[phone]
P.O. BOX 120
19256 HIGHWAY 210 E.
ANGIER, NC 27501
DATE INVOICE AMOUNT 66-30/531
2011
DOLLARS
FIRSIP CITIZENS -Pr` BANK
II500 20 1 111' 1:0 5 3 100 3001:0000 17 24 3 3 3911'
',EC[IRITV FEA IURESMICRO PRINT SORDERS - COLORED BRICK P A I IFfiN WA MWARK P. (,A[Ml'IJ Y!;1".II "'

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: ``7 1� A A Z t N GTo
Address of Property: 614K �EZAE
—i t N E '75f4o I`' C S ll� C1
(Lot or Street ll, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please ►vrite the Division of Coastal
Management, Hestrvn Plaza II, 151-B, Hivy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
AJ
Print Name
Telephone Number With Area Code

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: LV tJ b A H 6-W. Z 1 KJ GTO
Address of Property. OAK I-E-AE —DP-
-PiNE ki�0 (✓(J '5I+0 F-CS t')C--,
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
Jf you have objections to what is being proposed, please ►vriie the Division of Coastal
Management, Hestron Plaza H, 151-B, H►vy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 wilhin 10 days of receipt of this notice. No response is considered the same as no objection
if you ha.,,- been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbaes must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Si Wat re Date
Ilia K Iv L-e
Prin Name
lq-9-a-`7C;
Telephone Number With Area Code