32040_HERNDON, KEN_20020612

ElCAMA / C DREDGE & FILL
32040 -<,
GENERAL PERMIT Previous permit# j
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources i
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC (17' /?Cd
KI Rules attached.
Applicant Name jlF µ �I F+n�t+, Project Location: County t", h. r �
Address I 0 2. r 11^ I 1 n a < Street Address/ State Road/ Lot #(s)
CityState ZIP 7 V3 VrnT4(r ✓�
Phone # (��+�) ��� ` �� 1 I Fax # O Subdivision
Authorized Agent ►Nr City fi�ldn k,Fn�� ZIP UZ
Affected ❑ CW Cl EW JR PTA ❑ ES ❑ PTS Phone # ( ) River Basin k
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body ry'l0 r f►ty we- /a No i (nat %Qa /unkn)
❑ PWS: ❑FC:
ORW: yes /'no PNA yes /o Crit. Hab. yes / no Closest Maj. Wtr. BodyC`CVt %t�vl�%
Type of Project/ Activity
I��YI� U►`ifn�i.�•S
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 r ( ' , fil
i! 141 061 rIa' •j : k, -(,r'N
�,Ir {,I,Ito. %iif-.
(Scale: n/clv£ )
- -------
Beach Bulldozing --yQ
Other i(
Shoreline Length
SAV: not sure yes no
i
~ 6 r
f
-i`
^
eyes no,Morato--
Sandbags: notsura
e s
6
Photos: yes trVo
gip-
r) ►t
r
Vill
Waiver Attached: yes no
—__
A building permit may be required by:
❑ See note on back regarding River Basin rules.
1!�`
Notes/ Special Conditions (` i M(-V
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
%IC5�y1tj
Application Fee(s) Check #
-Q_J F4kA
Permit Officer's Signature
Issuing Date Expiration Date
„ I?rctt ` T I?SI C t-7,,4'
Local PlanningJurisdiction 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 complywith 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 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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Personal Money Order
66-30/531 Branch No. f
1�00 FIRST CITIZENS 4058474
BANK
First -Citizens Bank & Trust Company
Raleigh, North Carolina Date dufir�'
Pay to the
order of—
li MWD' R $1,000.00 -
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Memo �_r
klep 4—t P-W 0- W)
190 DAYS
Dollars
Remitter -T'lJ &jN6 C-bN ST.
1i'04058471,11, 1:053L003001:9807994990110
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t1 ,. - TIT) r -% Y� ►• }� i� �VNX' R �� ?;. i s...:_�7
(FOR A PIERIUN' OVER-LD BOAT L,IM
I hereby ce,a`y that I o,.4n property adiacent to �,�me
Arjlro�perly*uer)
property Icc-aced at --
J-3---1U--,--&L"A---A ✓,
(Lot, Block, Road, etc.)
�a
inL h N.C.
on
aterbody) Clown and/or�County)
He has descnbd to me, as shown below, othatthis rosing at a peer/uncopered boat Lift
location, and, I have no objz~tions to his proposal. I understand
must be set back a minimum distance of ftftern fit (:5) trOr► mylar' or npan� ac"`ss unless
waived by me.
I do not wish to waive the se'bacls requirement.
I do wish to waive that setback requirement.
-----------A------------------' ----------------
DESCRIP7'I�h ati-D/OR DRAW-D G OF PROPOSED DEVELOP-NMN-T: 6
(I'o be filled in b� indAi�{i�u�gl prn d pment) S-��
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13 _yam' $
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P ri n t or T ypz Naun e
T--11�-phone Numb r
Date:
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(FOR it PIEERIUNCOVER ID BOAT LjIM 1,
o—
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N �-
I hereby cet�iy that I o,.yn property adjaG'nt to �cn,h ee n
(N:. Me of property Omer)
property located at ------,Q.� L�L kL1o� ----- ✓�-� ---- (Lot, Block, Block, Road, etc.)
�a v in �y Ism s�-`x-`� N.C.
on aterbody)' (Town and/or) County)
He has desc.-ibed to me, as shown below, the deve'.oprInent he is proposin0 at that
location, and, I have no objections to his propos«l. I understand ijhat a pier/uncovered boat lift
of riftern fit (15') from my urea of riparian a=ss ❑nless
must be set back a minimum distance
waived b me.
• I
I do not wish to waive the setback re;iuirernent.
I do wish to waive that setback reauir�ment.
------- -----------------------
- - DESCRIPTION a-N-DOOR DRAW-+ G OF PRO POSED�'DEVELOP'�LE.`N-T:�
(To be�jITHed in by iAVi uczl prnp, sing SveLppment)
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4�riature
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