31598_LOWTHER, JOHN_20020517

• ' 'CAMA/ `DREDGE & FILL
GENERAL PERMIT mi
Previous permit #
!New Modification Complete Reissue CPartial 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 _ L /76,r Project Location: County __
Address Street Address/ State Road/ Lot #(s)
City -_ State' ZIP -
Phone # ( ) ;''4 .` >- 30 Fax # ( ) Subdivision
Authorized Agent f S E=r City - - _ _ _ _ _ _ _ -_ ZIP
Affected ❑ CW ❑ EW 5J P A ❑ ES ❑ PTS Phone # ( ) _- River Basin -
{ AEC(s): ❑ OEA L HHF ❑ IH ❑ USA r N/A Adj. Wtr. Body (naf /man /unkn)
1 ❑ PWS: ❑FC:
ORW: yes / no PIMA yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body —
Type of Project/ Activity
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
Beach Bulldozing
Other
l
Shoreline Length
F
SAV: 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 required by:
Notes/ Special Conditions
I
41
L
I
�
i
i
i
7-
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
i
C See note) on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
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 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 / 1-888ARCOAST
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/C

2935
MARK EASTER DL 6298958 �P a 66-7704/2531
MARY ANN EASTER b�
PO BOX 979 ate
ORIENTAL, LNC21805711
Pay to the
Order of Dollars
State Employees' Credit Union
gmilh%veld North Carolina
i2
For
i:253 L770491:kbr.�-O—G50 L65811' 2935
w

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to J0i7 1 / 0 (A/V'
(Name of Property Owner)
property located at
(Lot, Ulogk, Road, etc.)
15
on in _ ?I r ri , NC.
(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/uncovered boat lift must be set
back at a minimum of fifteen (15') from my area of riparian access unless waived by me.
- X ! do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION ANIVOR DRAWING OF PROPOSED DEVELOPMENT:
(To be tilled in by individual proposing development)
any Pf v e f--
Signature
Print or Type Name
Telephone Number Date
Ed WdSZ:TO Z00Z zt 'hpW 29LZ829ZSZ : 'ON Xtid 3In�13S NOIion61SNOJ 1NO6A63iUM : W06A

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/YJNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent toV71) 11p �ow jQr ,s
(Name of Property Owoer)
property located at Aq jq oAe F rn�z
(Lot, B18ck, Road, etc-)
on RQY - Ki V e r' itl r n j -/71-- , NC.
(Waterbody) (Town and/or County)
lie 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/uncovered boat lift must be set
back at a minimum of fifteen (15') from my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
1 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Print or Type Name
/10� -i A- C� -505 S - A —
Telepho c Number Date
Ed WdZZ:TO Z00Z zZ 'FeW Z9ZZ8£9ZSZ : 'ON Xdd OIna3S NOIionaiSNOJ 1NOaJa3iUM : 1406A