31605_HAYNES, ROBERT AND DEBORAH_20020426

CAMA / DREDGE & FILL
W/
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 � Occ
Project Location:
County
Address r it " Crt
Street Address/ State Road/ Lot #(s)
City . `-, ' State •:A ZIP
r
Phone # ( _ ) ic'I C " ; , Fax # (_ _)
Subdivision
Authorized Agent i
City
ZIP
Affected ElCW EN-EW 3-PTAElES [IPTS
Phone # ( )
_ River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ' N/A
Adj. Wtr. Body_
` , ...� , r ! ; c'<' r _gnat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab.
Closest Maj. Wtr.
yes / no
Body
Type of Project/ Activity
ZD
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
_.
number
Bulkhead/ Riprap length - -
avg distance offshore
max distance offshore
Basin, channel
cubic yards
I i
Boat ramp
Boathouse/ Boatlift --
I j
Beach Bulldozing
Other
- _ ----- - —
Shoreline Length ~ _
SAM not sure yes no
Sandbags: not sure yes no
w�
v
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
a,
Signatures Please read compliance statement on back of permit
Application Fee(s) Check #
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-888-4RCOAST
Fax:[phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
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

1Zaberi S. }fares ,yr. 66-30/53 1 -- ------ _—_ _ _
Dckralr A Apes 811 1086
P1101le 252 249 0585
6,1Wsqu&o,D iae- DATE
—
Arriif, 28556 riVL'
PAY TO THE
ORDER Of
-DOLLARS
Look for:
Mi"o Print signature ne. gray type and Iinmork. First Citizens Bank logo on hack. If not p esenl. do nut cash.
FIRST CITIZENS B„
Apoxitizena Bank B Trust Company
Apax, N.C, 27502
(iRt .tl ttcklzens.com
FOR_ . ��.'. E��Y` nr
,:0 5 3 L00 300':008 L 4 7 L 3 3 3 59n' 0 L08 6

RPR 26 2002 8:30AM DBM 919 303 9090 p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMIEN T
I hereby certify that I own property adjacent to ,,)Zffq� S , A� A�4\ni\Sn,S
(Name of Property Owner)
170- . �3�_r. - -1
Block, Road, etc.)
0
on J��, C Q 4 4 k , in `L , N.C.
(Waterbody) (Town and/orCounty)
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/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Q -- S'kPLIL
0 = k4aye '�)�
_zzo'
-Dock
Signature
a� acr'W c
P:;nt or Tyge Name
Telephone Number
Date:

APR 26 2002 8:30RM DBM
919 303 Soso P.3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S, a� �� �.�,,�'s
(Name of Property Owner)
property looted at
Block, Road, etc.)
on ?>�L N & Lu's � , in 4 Q . 2A-M�� c 0 , 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.
DESCREMON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
N -` S
UJ CAAM- L-
r
Signature
fr2��Z� IPA RPez�
Print or Type Name
ZSZ 5 Z3 - 3 3 7
Telephone Number
Dare; 2 Q 2
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R?R 26 2002 8:30RM DBM
919 303 9090 p.1
To: Tracey Wheeler - NCDENR
Fax: [phone]
From: Debbie Haynes Date: 4/262002
Phone: [phone]
Fax: [phone]
Re: Letters for Permit for property at Pages: 3-inlcuding cover page
6 Mosquito Dr. Merritt, NC 28556
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