50765_STANLEY, RICHARD_20080606

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❑CAMA / ❑ DREDGE & FILL
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GENERAL PERMIT ��% ,i Previous permlt#
New ❑Modification El Complete Reissue El 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 i , '_. `,_ c t Jt. ! ,
Address
City . kc State Ni C" ZIP > `(
Phone # ( Fax # (�)
Authorized Agent / a z r__vJ ; ;,t:{cam t-
Affected ❑ CW ❑ EW ❑ PTA 0 ES ❑ PTS
AEC(s); ❑ OEA ❑ HHF ElIH ElUBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision`-
City - ZIP
Phone # () River Basin
Adj. Wtr. Body tic `�c,� t, (nat%/m�)
Closest Maj. Wtr. Body ` 1 � r—
J
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s) i
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
i
Shoreline Length -25
SAV: not sure yes no
Sandbags: not sure yes no -
Moratorium: n/a yes no
Photos: yes no -
Waiver Attached: yes Cno1
A building permit may be required by: �.� f : -- �. C-:: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions - rD
1,
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
/ /off
Pe�ran ti Officer's Signature
Issuing Date Expiration Date
t
Local Planningf urisdiction
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
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
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 08/09/06

....sue
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date '.
Applicant. Name
Mailing Address
zsZ - z 6 M9
I certify that I have authorized (agent) �C�� L� Leo tf to act on my
behalf, for the purpose of applying for and obtaining all CANIA Permits necessary to
install or construct (activity) -�VA\1 jy
at (location) ,�)( �i`t .Q\0 �
This c
5igna
1 1 7 2-ijO6
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to R"&kekrd S '+Odey is
(Name of Property Owner)
property located at � I I Eyvp
(Lot, Block, Road, etc.)
II
on cue 5o'A , in 1 era l? 1 e , 1V'6 z s� , N.C.
( aterbody) (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 ri arian access unless
waived by me.
VED
f�
I do not wish to waive the setback requirement.`
cAAt' 0 1 2008
I do wish to waive that setback requirement.
--------------------------------------------------------------- -MorprrP r6 DO
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-----------------------------
(Applicant Information)
Mailing Address
City/State/Zip
Telephone Number
Date
2-11 J �J
Telephone Number
!K off
Date
R

pep di©lij
IS
ICIE
MAY 0 1 Zoos
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: A n(Q, i bt �
Address of Property:
e
VIe
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this per it has described to me as shown on the attached drawing the development
the are description or drawing, with dimensions, should be provided with this letter.
have no objections to this proposal. 06Jto-
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, 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
P✓1AY 0 1 2008
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
must be set back a minimum distance of 15 from my area of riparian access unless waived by
me. (If y&VgM&b to waive the setback, you must initial the appropriate blank below.)
I do wish to wa
irement.
I do not wish to waive the 15' setback require
(Applicant Information)
0 N X ui`
Mailing Address
9
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City/State/Zip
Telephone Number
Date
Owner
Print or Type Name t
h TZ-
Te ephone Number
Date

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ANDREW BARBER 05-06
DBA THE YARD BARBER
252-241-6869
P.O. BOX 4931
EMERALD ISLE, NC 28594-4931
DATE
PAY ^ V ,/ ^ ,� N n
TO THE ` lei 1`
ORDER OF--
Y Bankof America �.�,
ACH R/T 053000196 '/�
FOR 1 5C1
11600 L 38 sill 1:0 s 3000 1961:
0006E
SO L 7 7u'
1385
66-19/530 NC
2002
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DOLLARS 8���5
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