43428_MOON, JOHN_20051019

CAMA / f J DREDGE & FILL /
GENE RAL PERMIT
❑New C'Modification f -1Complete Reissue El Partial Reissue
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
A1
Previous permit
Date previous permit issued
Applicant Name J 4 �'-V r +',' 1 Project Location: County
Address 9 ( � " %.!' ,. ,G 4, ,,o9 Street Address/ State Road/ Lot #(s)
❑ Ru
rState.-'
City . ZIP
Phone # (} ,' c .l coax # ( ) Subdivision
Authorized Agent
Affected ,j�] CW ❑ EW ❑ PTA tS ❑ PTS
AEC(s): ❑ OEA I HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
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
Shoreline Length
SAM not sure
yes n
Sandbags: not sure
yes
Moratorium: n/a
y n
Photos:
ye
Waiver Attached:
yes � n
A building permit may be required by
Notes/ Special Conditions
City— ZIP ` ` 7
Phone # ( ) — River Basin
Adj. Wtr. Body , _ hat /man_ unkn
Closest Maj. Wtr. Body
(Scale:tr )
V ❑ See note on back regarding River Basin rules.
o 4A4 Mmo 4
Agent r Ap licant Printed Nam .
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
(t i /�/1 0
Issuing Date �j Expiriion' ate
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, certifythat 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 (252-946-648 I) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer 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
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Oct-17-05 12:33P
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P_01
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Oct-17-05 12:33P P.02
' ADJACENT I?:I.Y'ARTAN TyA(-)l:ITIRTY (A)INI-It SI'A"I.1,Ii�i.l?I'�I'�,
(FOR A !'1i;fiIMOORINC; ! III��tC;S/I3UA1"1.11'T/11().A7'IfUt.l,Sf )
F hc:rc.by certify chill I own prispeity aclj,jcf nt to 5-014A/_ V.afl1Q --62 1 J
(Nartic. of Property Ocaner)
prop wrty located at �Z-� h-- �.✓ � __. ..---------'
— --- (Lot, I3`loc{i, T{os 1(1, etc.)
oil eYA
( t:rbody) (Town and/or County) .
Fie has describod to me, as shown below, the development he is prolx)sing at that location,
and, I hive no Obje.ctitxns to his proposal. I understand that a pier/mooring
pilings/boatliftll;0athoclse must be kt back a minimum distance: of fifteen fcct (15') from my area
of riparian access unless waived by me.
I tI.o tlpZ wish Lo waivw,. the seLhack regwrzinc�nt.
I J_Q ` lsl) to waive that sctbaA rcquircnicAt.
DESC RIFTION AND/OR DRANVING OFPROPOSE]' 01':VF.l.OP.%1EN'1:
(Tc) be filled in by irtilivi(jual proposing d�,velopment)
u�
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X or
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Print or Type Name
Ttlephone Number
7V-061r
Dale,/� r r�

Oct-17-05 12:33P P.03
(I,'OR A PIERIMOORING 1'ILIrVGSII�OATLI1,)BO2iy7fOriS!'.)
l itcrcby (,.Citify that I cnvn Errohc:rty iidjac:ent to J ►S �• f G.��a ld.rt, ..1!100_ 's
(Name of 11roperrty ONVIlet')
proix.rty located at .�0 1. <C C C ni e ✓ �__.. L�w�.. — - - --- - - '
(Lot, Mock, K03d, etc.) / /l
and �Gu._ 5 dVv�Ol , in --�► ✓a►lG� ,isle:.,_..---- ....._._+ N.C.
(Wat��rb„dy) (Town and/or County)
He has described to mc, as shown below, the development he is proposing at that location,
and, I have no objections to his I)roposal, Z understand that a pier/mooring
pilings/boatlifUhoathousc must bo set hack a minimurn distimce of fifteen fret (15') from my area
of riparian am -.Ss unless waived by me.
I dsztl�.t wish LO waive the setback rcquiremnit.
X, E d_Q wiSlti to «-;rive that setback regwrcmznt.
Ai IXOR DRAM l.N(I OF PROPOSU) r�r�'I LUYtiIt'\T:
(To be filled in by individual proposinc, development)
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MA&,s, - i2Ql6f' Sr1d__
Print or Type Namne
Z!711
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Tel��nzn um—be.r
Ditc: / c J Sr 0 .

RIM,
Sohn V. Moon
Eleanor , y. Moon
ph. 919- 04-3363
935 Riverx Rd§,e 9V
7302 JZ,>
PAY TO
THEORDIR01:
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POR
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DOLLARS
DIRECTOR
BANK DIRECTOR
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