27017_RUSH, CHARLES K_20001129

CAMA and DREDGE AND FILL i D C
G E N E R A L
27017
P E R M I T Lcow'—
C U 6 z°°° 1
as authorized by the State of North Carolina T LA `,y�ANACaEMENT
Department of Environment and Natural ResourceL s Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
Zip
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
1
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(SCALE:
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-
1
1
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Groin Length
number
Bulkhead Length
max. distance offshore
i z,
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Basin, channel dimensions
cubic yards777
7-7—
Boat ramp dimensions
.... ..... _...
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Other
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, imprisonment 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 of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
+
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF COASTAL MANAGEMENT
November 28, 2000
A�$;;8.'iiUNT JR.
_�- 6VERNOR
Mr. Charles K. Rush
103 Norman Circle
Fili I�1-1 [ll MAN
Oriental, NC 28571
Dear Mr. Rush:
Attached is General Permit #C-27017 to maintain excavate a 12' x 100' x -2' below NWL
adjacent to existing dock (maximum depth not to exceed -6' NWL ) in Pamlico County
adjacent to Tarpon Canal at 103 Norman Circle off Ragan Drive in Oriental, NC .
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white
copy for your files and return the yellow and pink signed copies to us in the enclosed, self-
addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
M. Scott Jones
Coastal Management Representative
MSJ/src
Enclosures
1N AMERlCA
MOREHEAD CITY OFFICE
HESTRON PLAZA 11, 151-B HIGHWAY 24, MOREHEAD CITY NC 28557
PHONE: ZSZ-808-2808 FAX: [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10% POST -CONSUMER PAPER
DENR TOLL FREE HOTLINE: [phone]

CHARLES K RUSH 6P-#-d761 7
CAROLYN S RUSH
103 NORMAN CIRCLE
ORIENTAL, NC 28571 .
Pay to the %
Order of L l (�j in �1� /
IRS CITIZENS 472
BANK First Citizens Bank 8 Tr j Company
Criantal, N.0 28571
For
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Q, 8361
Date U� ,4-7Z 66-30/531
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �� 14 L I S vS �� 's
(Name of Property Owner)
property located at il- Pt P- 0-
(Lot, Block, Road, etc.)
on PVi 0L'yV10 o/ �' CvG4 /U"A , in C �- I icy / k4-t , 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. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
x I d-Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
r
L y` r
u
--------------------------------------------------------
---------------------
____ _____________
FL_ ignature
Print or Type Name
72-S 2--- -)-y 9- s
Telephone Number
Date: 02

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATUMBOATHOUSE)
I hereby certify that I own property adjacent to �s
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on 1%U lir 1L, 611 is, /, 4 (- , in `- i C �, C , 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. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
y I dD wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
0
`tC
�/! nature
Print or Type Name
2 Telephone Number
(� Date: 2-,
P