44503_MOSES, JOHN_20060321

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CAMA / Jj DREDGE & FILL
GENERAL PERMIT Previous 'p mit# -
-!New LJModification OComplete 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 15A NCAC
El Rules attached.
Applicant Name _ ��� 1�'1(2 Project Location: County _
Address 'l i r A Street Address/ State Road/ Lot #(s)
City State NC ZIP
Phone # (9) {'O) I ION Fax # ( ) Subdivision
Authorized Agent CityZIP
Affected ❑ CW K.EW kPTA Ll ES ❑ PTS Phone # (_-_-) - ' _ River Basink-
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
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozing_
Other
Shoreline Length
SAM not sure yes no _-
Sandbags: not sure yes (ho
Moratorium: n/a yes $o
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
}
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
(Scale: )
Q � I
C See note on back regarding River Basin rules.
Permit Officer'sVitur MAR 2 1 2006 7
.G ( /
C.•��
Issuing Date ion Date
- Morehead City em) IV A
Application Fee(s) Check # 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:
r Tar - Pamlico River Basin Buffer Rules Other:
_ _i 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 (910-796-7215) 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

January 23, 2006
Dear Mark Hardeman,
Enclosed are materials to complete my application for a permit for a w%%4Q.V
` r�ft
into Nelson Bay from my property at 530 Shell Hill Rd. in Sea Level, NC. I have ocM
previously sent you an application.
As you will see in the enclosed materials, I am sending a signed agreement from one
adjoining landowner and a return receipt from the other adjoining landowner.
Please let me know if you have any questions or if I have to do anything further to secure
the permit.
Sincerely,
John
5612 Buckhorn Rd.
Efland, NC 27243
Phone: [phone]
1-4feIn4k f
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CERTIFIED MAIL -- RETURIN RECEIPT REQUESTED
DIVISION OF COASTAI, -M--V AGEIIE T
ADJACENT RIPARIAN PROPERTY OW.-NER NOTIFICATIOti 4
^�
FORM
FEg M
\ II ` ' 2
Name
ame of individual applying for permit: w
J 0 n h _ M 0
Address of 53 O S`kt 11 H 1 l ( kd •
property: ------ -----
(!ot or scree[ #, street or road)
e,v2�L , NG 285�7
(city & County)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me'(as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
J11anagement, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement.
!--' I do not wish to waive the 15' setback requirement.
Signature Date
i
Print Name
Telephone Number with Area Code

r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHO `{/f�df�/j�p7
I hereby certify that I own property adjacent to h M
FFF 3ki
(Name of Property Owh�r)" 2 2006
property located at
Sao '5fie,(( 0 1 I I kJ.
050n (Street Address, Lot, Block, Road, etc.)on , in sea L &J �X- , N.C.
(Waterbody) IJ (Town and/or County)
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections to this proposal- I understand that a pier/mooring
pilings/boatliftfboathouse must be set back a minimum distance of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
I do not agree to waive the 15' setback requirement.
(initials
I do agree to waive the 15' setback requirement.
s�
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
5�l
ee. 0'4Gc'�ek +LOG PUe.5
-------------------- I --------------------- -----------------------------------------
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Print or Type Name
Te,ephone Ntunbe
Date:
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Nov 16 05 01:07p
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November 16, 2005
Dear Mark Hardeman,
Thanks for visiting my property at 530 Shell Hill Rd. in Sea Level to
consider my plan to extend my existing walkway in to Nelson Bay. See
attached documents. I have yet to secure the adjoining landowners
consent but will do so asap and will also mail you the application fee for
$100.
When you visit my property tomorrow, will you also observe the erosion
at the end of my existing walkway and make any recommendations you
think appropriate for erosion mitigation?
Thanks!
John Moses
Cell phone: [phone]

Nov 1G 05 01:07p p.3
Permit Number
Locality
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER 0 . ,
Name—
Add- ssd SkA 1 ( `
City
')() A V,
Slate +" C. zip 2 g'S-'7 —)Phone
ru rrr .��, sr ntT S CAA 4r, C
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Name M 0-52
Address � (0 / Z � � C/�.. ��� �� -
City l Q� � State /" C' Lip .� Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site. if not oceanfront, what is the name of the
adjacent waterbody.)
DESCRIPTION OF
SIZE OF LOT/PARCEL:
(List all proposed constriction and land disturbance.)
2�C 1 S �h •-', 4 u�a�-fc c�J c� c�1+� /lj Zis a� - Q�
square feet .00 acres
(Sin lz famil L` Multi -family ) Commercial/Industrial
PROPOSED USE: Residential g Y
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON-
MENTAL CONCERN (AEC): square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN Q a re H feet
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC)
(Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc.. that are within the applicable AEC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(Z)within 575 feet of Nornial High Water for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local. Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality?
YES NO_
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

Nov 16 05 01:07p
p.4
OTHER PERNMITS MAYBE REQUIRED: The activity you are planning may require permits other than the CAMAminor development
permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list Nrith
your LPO to determine if any ofthese apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treat-
ment system). Building, ElcetricaI, plumbing, Heating and Air Conditioning, Insulation and Encrgy Conscrvati on. FIA Certification. Sand
Dune, Sediment Control, Subdivision Approval, :Mobile l4omePark Approval, 1 lighwap Connection. and others.
STATEMENT OF OWNERSHIP: property in an AEC or a
p
1. the undersigned, an applicant for a CAMA minor development permit, being either the owner of p
s of applying for a CAMA minor development permit, certify that the
person authorized to act as an agent for purposesignificant interest in the real property described therein. This interest
person listed as landowner on this application has a
can be described as: (check one) T
Lil
owner or recor title. Title is vested i
page in the �or— /-- County Registry' of Deeds. see Deed Book
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest. such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that 1 have given
my intent to develop this property and to apply for a CAMA
ACTUAL NOTICE to each of them concerning
(1)
(2)
(3)
(4)
(Name) {{
VILIa.Dn P-3I I �Ir-
(Address)
g D ��► e-t i i-�
cam;C0 pr'o 7K8 t 03
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible
to erosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems
associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproof ng
techniques.
PERMISSION TO ENTER ON LAND:
i furthermore certify that 1 am authorized to grant and do in tact grant permission to the local permit officer and his agents
to enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard notice where necessary, a cheek for $100.00 made payable to the locality, and any
information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action. ✓
This of
JL)&W b�
his the day 20 _
Landowner or person auth nzed)to act as his agent for purpose of filing a CpW permit application.

Nov 16 05 ol:oap
p.5
Pr���sed oat
Neil R�. BIZ
eA �5

Nov 16 05 01:08p
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JOHN W MOSES JR MD 5525
5612 Buckhom Rd
Efland, NC 27243
Pay to the
Order of
/7>� l'e-�c1�aQ
66-21/530
ewwcH nsse
Date
Dollars 8
WACHOVIA
Wachovia Bank, N.A.
wachovia.com For ,
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I:0 30002L91:i02373609&62 5525