53023_WATERWAY RV PARK_20081114

CAMA 1 LI 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 ! r
Rules attached.
Applicant Name -1}� `} Project Location: County; _
v �vPcF-qda � �r �•
Addresstk r��`, n��� Street Address/ State Road/ Lot #(s)�r�
—I,„�.
City �,C') c �4. State _ZIP---� � ao��'
Phone # (r? c,) +i3— !�-1+s Fax # ( ) Subdivision��
Authorized Agent City ;�� .T l
Iv� ZIP
=iCWEW PTA ❑ES ❑PTS Phone # River Basin
Affected -1 OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body ,E (fiat.. /man /unkn)
❑ PWS: ❑ FC:— t
ORW: ryes,/ no PNA yes /,'no, Crit.Hab. yes /,Ao,}
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: �`—�J )
Pier (dock) length ' V
Platform(s)— -
Finger pier(s)
Groin length
number —
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel— 1,1,v 30 Y -i(
cubic yards ti!4
Boat ramp T"
Boathouse/ Boatlift
Beach Bulldozing
Other
�j
r -. -
Shoreline Length
SAV: not sure \') no
Sandbags: not sure yes �`iib �
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes n O --
A building permit may be required by: l-6-41 9 F.. } _ - ElSee note on back regarding River Basin rules.
Notes/ Special Conditions n9,Tak fall NIJ �l�n
Agent 4-r
pphca Primed Na
ignature nnip1' cef staa
tement on back of permit"
Application Fee(s) Check #
+
1 1 t,
�a i It,' � n�
Issu n atte Expi tion Date
(-",-1 I I I'i In A
LocaFPla'iI �Ai'hj)ursdiction Rover ileName

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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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

ri
IM
w
r
vy)��gR WA.y -R I/ F-a�
.:5c4Le- «�
r,.
NOV i 9 2DD8
Moreheatl City i�Glvl
IQ #Y4
5., of WOv6 5
3-3

4.
WOCA WA-V
RK -P*A
0
INCEI
N01/ d 4 2608
MOP@:1gaU' Cl%l 0C:Iv
a`/56 'X Ids
vewlnfnf

C2
-Cal
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 4 �008
(FOR A PIER/MOORING PILINGSIBOATUMBOATHO ,E) _
I hereby certify that I own property adjacent to 4 's
(Name of Propert Owner)
property located at
2� (Lot, Block, Road, etc.)
-
on od :tU.e_ in dk6K R118-- G.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.
I do not wish to waive the setback requirement.
I dD wish to waive that setback requirement,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
RevR 14 Xei.- 4/-&ReIYOAY i .r. W *� �
pblK#"yl
-------------------- ------- ------------------- ------- 2....--------------__.------. -----
Signature
Print or Type Name
9 315
Telephone Number
Date; —

n7iorRv
ADJACENT RIPARIAN PROPERTY OWNER STA'TEMEN'T'
(FOR A PIER/MOO)?ING PILINGSIBOATLIFFIBOATHOUSE) 0V 1 2.0.0 d
VV
I hereby certify that I own property adjacent to —, .
(Nance of Propert Owner)
property located at
(Lot, Block, Road, etc.)
on L(tfin 6j&�e gop� r r , 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,
I do not wish to waive the setback requirement, �.
'• I dD wish to waive that setback requirement,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
doe c1,5 e. ©a po4k ;64iiN *I- Owrlm-L
S
Print r Type Name
777 Of/0
Telephone Number
Date; V

162724645451
Memo}
® 2008 United Steles Postal Sendee. All Righte Reserved
1:00000800 21:
�6 27 2464545i�'
Ilars and Cents _
Clerk