45787_OLD GOOSE BAY S/D & BRADY, WAYNE_20060621

-IO-cu106
❑LAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Previous permit #
ONew ❑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 15A NCAC_
(.
D Rules attached.
Applicant Name j; , tKiy'7'-►
Project Location: County
Address '" 3 ,r °'�. .A, -,. : ._.` r ,
Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) Fax # (_)
Subdivision
Authorized Agent
City
ZIP
Affected LI CW ❑ EW -IrD PTA ❑ ES ❑ PTS
Phone # ( ) River
Basin
AEC s : ElOEA ElHHF ElIH ElUBA El N/A
()
Adj. Wtr. Body
(nat /man /unkn)
ElPWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab.
Closest Maj. Wtr. Body
yes / no
Type of Project/ Activity
(Scale:
l
)
Pier (dock) length
Platform(s)
j
Finger pier(s)
Groin length
number
-F
Bulkhead/ Riprap length _
avg distance offshore
max distance offshore ❑
Basin, channel
I
cubic yards I--
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
-
Shoreline Length �
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
—
- - -
�� a _
I I ❑ j
-
y+"
+`
-
'
-i
.,•
I
i
I
I
.
-
_
❑ See note
—
on back regarding River Basin
rules.
(A.1�
Agent or Applicant Prin;ecl l
Signature - F (*e read
Permit OfficeKsSi ature
% Dath Expiration Date
r Y �
Application Fee(s) Check #
Rover File Name

A
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 [)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 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 (910-796-7215) 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/ 1-888ARCOAST
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/OS

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME
: O I r�� oo SPA
1 " LOCATION: N. �p� g � i� 0 1 Wog.
�ea-4,Kt NC �8
PHONE:
DATE OF INSPECTION����© /
60
LIMIT #
FIELD REP.
DATE REPORTEDLY COMPLETE: A
//h
1) Do the measured dimensions of the development differ from those indicated in the permit and workplat?
YES/NO [circle one].
COMMENT: / v ,
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [[circle one]
COMMENT: 'V 1A
3)
FUTURE TORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? Y O [circle one].

ip
4iFE
GE & FILL rRAL PERMIT ��` Previous permit #
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 infn area of environme tal concern pursuant to 15A NCAC
5 : ules attached.
Applicant Name J, Project Location: County-f—
Address c Street Address/ State Road/ Lot #(s) �, ` f
►A —
City Sta4j� U ZIP � S k f)-�r
Phone # g� Fax # ) �?{��_ ��� Subdivision
Authorized Agent �Ci) i ZI'
CW EEl TA PTS Phone # —•--- iver Basin
Affected X � • () ?- ;%��`��
s ❑ OEA ElHHF ❑ iH 'El USA ❑ N/A
AEC: Ad'. Wtr. Body s r
❑��no
S. ❑FC: i y ; na man unkn
ORW: yes PNA. yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body �*
Type of Project/ Activity
Pier (dock) length
, r
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length j
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing _ ---
Other
Shoreline Length _
SAM not sure yes o
Sandbags: not sure yes o
Moratorium: n/a yes o
Photos: yes _
Waiver Attached: yes
A building permit may be required by:
Notes/ Special Conditions �4 ;
(Scale:
❑ See note on back regarding River Basin rules.
�i ik C_ iAXttk . . ,,, C�,r ;' L,o,1Z.f i•./.J-"'
Permit
read
I
on back of permit
f� 9K
bl h)6
)atb— I Epiriti.n Date

UNITED STATES POSTAL SERVICE
1 V L
.: V r r
First -Class Mail
Postage & Fads Paid
USPS
Permit No. G-10
Sender: Please print your name, address, and ZIP+4 in this box •
C, LL�
5 2 It) e6 i LAB �
-4RAP4NCE �,) Q 2.S�5sc�
it IIIi1$111fIIIIf}i}1!1!ill:fII I I l 1 11 11 i I I i 111 f I l 17 E f 1: 1 111 111

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
IN Print your name and address on the reverse
A. S'
X
[ature
❑ Agent
❑ Addressee
B. Received by n ed Ala Rftte
IL Inj
of Delivery
so that -we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address NfferO
If YES, enter delivery add
❑ Yes
❑ No
1. Article Addressed to:
r
it v V l I I E r W
3. Se a Type
a�C�
lX
Certified Mail
❑ Express Mail
❑ Registered
❑ Return Receipt for Merchandise
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7 0 0 2
2 410 0002
1133 8538
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-1540

0
DIVISION OF COASTAL. NIANAGENIEi\
ADJACENT RIPARIAN PROPERTY OWNER NOTIFIC.ATI
-.Name of Ind iysdual applying for pr,rmit: Y�tt`�►�3 4,Fn
Address of Property:—d C9"c ` fLJi
-s ty`
/WAIVER FORA
(Lot or Street ##, Street of Road, City &ICOurty)
I hereby certify that I own property adjacent to the above referenced ,roperty. The individual
applying for this permit has described to me as shown on the attached ra-�vinp the developrrmcnt
they ate 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 Jhe Division of Coastal
Management, Hestron Plaza 11, 151-B. tl►ty. 24, Aforehead City, NC, 8557 or call (252) 808-
2808 ►vithia 10 days of receipt of this notice. No response is consider•erl fee same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house lift or sandbags tTiust be
set back a minimum distance of 15' from my area of riparian access unle s ,Laived by me- (If you
wish to waive the setback., you must initial the appropriate blank below.
I do .v sh to Naive the 15' setback requirement.
I do_u-e� to Waive the t 5' setback: requirement.
Date
7�! en 45 64?6
P int Name J
Telephone Number With Area Code
!
c©/N SN9I53G 3S1-10H aRr)Jd 'C� -7 :'31 9iC7_. ISO/t•'4_1

B : of M:►. J 0 :-•1Maw1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FORM
wo, 14 'M
Name of Individual applying for Permtt:_
�.�
Address of Property:
G, 1l
(Lot or
t"et
Street or Road, 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.
lA I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plain II, 151-B, flivy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Alaff.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, 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.
Print Name J
471q - 0703
Telephone Number With Area Code

f
ZL 0--..
L07 'a
2,S '
s
� I
137
tot `
CIW Bealy
owner
Development
52 Beq Lane
with a
AmPahoe•NC 28510
Conscience
Phone,. 252-813 683
Fax [phone]
Email obratyf wasWInetoom
C® m®n Area Da p*eR,
--- ���se � v Subdivision
'Crowe Hill Rd. Strait
r

RIVER: HOUSE D£VELOPEIYYENT
52 Best Lane
Arapahoe,NC 28510
Phone_ 252-813-9683
Fax [phone]
Email:cbraly�sta Inetcom
Description of Old Goose Bay Resident's Day Pier
• Length of pier---- 200 ft. with approximately 110 ft. over the water
• Length of ramp--- 10 ft.
• Width of pier--- 6 ft.
• Dimension of "tee" at seaward end of structure------- 10 ft. X 20 ft.
• All piles 8 ft. on center driven to a minimum depth of 8 ft.
• All headers 2" X 8" bolted to piles
• Outboard stringers shall be 2" X 8" bolted to piles.
• Center Stringer shall be 2" X 8" hurricane blocked to headers
• Decking shall be 2" X 6" nailed with 3-1/2" glued spiral shank triple dipped
galvanized nails
• 2" X 2" edging nailed to outside edges of decking
• All bolts to be galvanized 5/8" Dia.

CLIFFORD BRALY III
DBA RIVER HOUSE DESIGNS
52 BEST LANE
ARAPAHOE, NC 28510
Date
685
66-30/531
471
Dollars 8
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0 r�.�1�Tr/ B.yb., .N. eank srrusc company
BA rj� ,,y-Cro. N.C.-8 I
www.firstcitizens.com
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