47035_RHYNE, WILLIAM_20061205

CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑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
❑ Rules attached.
Applicant Name '+, a", Project Location: County
Address Street Address/ State Road/ Lot #(s) v
City C State •''. ZIP `I
Phone # () Fax # (_)
Authorized Agent
Affected ❑ CW ❑ EW 57 PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ElN/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
� Type of Project/ Activity
Pier (dock) length
Platform(s) •1
Finger pier(s)
I
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
Subdivision
City ZIP i3
Phone # ( } River Basin i+-t CcA+�
Adj. Wtr. Body I r_ l t c c fnat�J /man /unkn)
Closest Maj. Wtr. Body
SAV: not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes.
f�o
Photos: yes
no
Waiver Attached: yes-.
no
A building permit may be required by:
Notes/ Special Conditions
n r--./_ - Innr
(Scale:
E See note on back regarding River Basin rules.
uCc .1_J cuVId /?fitr'
Agent or Applicant Printed Name �._ i Permit Officer's Signature
-AAor®h#ad City ®PM �7- -n
Signature Please read compliance statement on back of permit" Issuing Date Expiration Date
s 3c1 fa.�11 -0,, C°Y12 I
Application Fee(s) Check # 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, 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 (910-796-7215) 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 06/29/05

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to :1 . Cc rVL 's
property located at
(Name of Property Owner)
�v.S;e��
ff (Lot, Block, Road, etc.)
on Jlir lG�`�'( ; 2 C(�z k; _,in-C:M U Z , N.C.
(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/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
,d I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Cka
Print or Type Name
763-7V ?-N-38
Telephone Number
Date_ 4r?/9k 6
�C
- - - --- - -_ --_. - --J

* Aujacent niparldtl rt-VPGl Ly VWIAVI ►Jiaa.cIII'G12%,
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to V%afyl k � Jxe_ Is
Name of Property Owner
property located at ? ':52 S G' 2aas 10 10q
ot, block, road, etc
on _ Vu.,I & e (YAe(e fee. k , in PaJI J'C(o CGt r44 , 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 do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
Si
Print or type name
Date

PRESCOTT BROTHERS INC
141 TARA TRL
GRANTSBORO, NC 28529
PAY
TO THE �/ / -- /V
ORDER OF_.—__ L _
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DATE L 472
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FIRS-' CITIZENS 472
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On —1 N C 28571
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