32306_SHERMAN, GEORGE_20020726

❑CAMA / ❑ DREDGE & FILLs'.
GENERAL PERMIT Previous permit#
ENew []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 I SA NCAC
❑ Rules attached.
Applicant NameT2 �� J��}{c_; �„ ,<:, Project Location: County
Address Street Address/ State Road/ Lot #(s)
f +
City �i ,J L State ZIP
Phone # (�) l C-i Fax # (`) Subdivision
Authorized Agent _ �� ;, s-'�, i r_ c ti City . ZIP
Affected El❑'� CW W VPTA ❑ ES ElPTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA 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 1
Boat ramp —I
Boathouse/ oatlift� - -
Beach Bulldozing
Other
i
5
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no ++
Photos: yes no
Waiver Attached: t yes no
A building permit may be required by:
Notes/ Special Conditions
(Scale: ) I
I
See note on back regarding River Basin rules.
J l /.
i . I- i
Agent or Applicant Printed Namb
Signature Pleasp read compliance statement on back of permit
I
Application Fee(s) Check #
UP
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction 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 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 10/05/01

UN'TEDSTATES POSTAL �IOiVEY ORDER ,5 eoo
aI _POSTE SERVICE® 000
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90788356012 020726 28 5161 * 10 0 * 0 0
SERIAL NUMBER YEAR. MONTH, DAY POST OFFICE U.S. DOLLARS AND CENTS
PAY TO CHECKWRITER
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IMPRINT AREA
ADDRE S FROM _ /
c.o.D. No. oR�r �/3L3d�v (f6! CyAs✓ II /% %2.b-1/�/e,� �/ C'`2
USED FOR C[�7fi��
SEE REVERSE WARNING NEGOTIABLE ONLY IN HE U.S. AND POSSESSIONS
1:00000800 21: 90 788 3 S 60 L 2um
�1lNTEDST/JTES POSTAL'NION ORDER 15 800
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90788356001, 0L:-� 0 7 E]6 c 8 5161 * 1� 0 0* 0 0
SERIAL NUMBER YFAa ..,.,.
PAY TO
CHECKWRITER
IMPRINT AREA
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ADDRESS L
FROM
ADD RES �
not
OR
USED FOR
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':)LE MLA ERSE WARNING ' NEGOTIABLE ONLY IN -THE U.S. AND POSSESSIONS
1:00000800 21: 90 788 3 S600 LIi'
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YI�UY TY OWNER STA
I hereby certify that I own property adimc nt to _ ,s
(N e of Property Gw-ae:,)
proper ty located at �����-,� � � �
(Lot, Block, Road, etc.)
on D
in
(WatYihody) (Town and/or Couaty)
He has dPsciibed to me �j q shown be'.ow, the developme-t he is ;<t that location,
and, I have no to hiS hroposal.
AND/OR DRAWING OF PROPOSED
i`illed in by individual propon
GX r,rT �
n
Pro f�Nl
p36A -r
Signature
I LAwaj
Print or Type Name
Telephone Number
Date: 7 22
Vil'I'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED OAT LIFT) �! -Z0% 1,J -1
I hereby certify that I own property adjacent to Al,,� 's
(Name A Property caner)
property located at 3
(Lot, Block, Road, etc.)
on in �U, f4 4� , 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.
I do not wish to waive the setback requirement.
VI do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in individual proposing devel ment)
Profvs v F s
-r
j /ter I
NQ
Lkwag
Signature Print or Type Nam
Telephone Number Date

07/20/2002 11:40 7047200728 J THURMAN HORNE PAGE 01
Jul-26-2002 11:30om From-SBANDT 2SZ240324B T-I41 P.001"S
ADJACENT RIPARIAN PRO ERT Y OWNER _ x El'v1' ENT
(FOR A PIER/UNC
I hereby certify that I own property adj
property locntedl at _3
(Lot,
/20
on in
(WA�terbody)
ent to / G� ✓ xS
(Name of property caner)
n v ,
ck, Road, e.ti:.)
k) _, NC.
,Lom-n and/or County)
He has dioscribed to me, as shown below the development he is proposing it t nation,
and I have no objections to his propo,5al. I and stand that a pier/uncove_ .. ._- .t lift mu .t be set
back at a minimum of fifteen (15') from nay are of ri-p -' - n ;access unless waived by me.
I dq not wish to waive the set ck requirement.
I ag wish to waive thalt Setbaic requirement.
DESCRIPTION AND/OR DRAWIN
(To be filled in.,L>�indivic
f 4- 1,r
J�
Telephone Number
OF PRO1103ED DE'VEL.OPN/1,
all ao,posing, ieycl ment)
T • Frofzkr [
A" � I
Print or Type Name
�oZ
Date

07/20/2002 11:40 7047200728 J THURMAN HORNE PAGE 02
Jul-25-2002 11:51am From-BBANDT 6112409242 T-141 P.002/002 P-366
I hereby certify that i avert propc. adlacant to ,S
(N a of opm ty ow
property located at 44tl� erp,.q 3
(Lot, B ickv Road, etc,) -- -!
on c r
'n N.C.
3' _ wn and/or County)
He has dPscii:j(-d cc., me W �f;.own be'_ W, the deveIopme:_r he 15 l,,,rl ;r<<u ;,t tl•,� an,
and, I have nr) ,,�'.,- ;..,i,,a to tiffs J,roposal.
m
•�INT AND/OR DRY -G OF PROPOSED .� t '• V`
Dsl ,filled in by in di ual propoM
4N
,/--x/se-"
• /A V+
maser
B:oA r
Prim or Type Name
.Jnt; NumbeT-
Date: D Z.
1
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