49821_YOUNG, DONALD_20071012

FiCAMqA / ❑DREDGE &FILL ,� `�98• ��� '1c
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue Jartial Reissue Date previous permit issued 1
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 I SA NCAC
C] Rules attached. �
Applicant Name Yf) I J I ,,,I Project Location: County
Address ' ► t ? Street Address/ State Road/ Lot #(s)
Cityi(�`l State-e- zip
Phone # Fax # O Subdivision
Authorized Agent City r i zip
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) '' ' River Basin
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 1 __
mw - this tacitity is located within a Primary Nursery
Basin, ch Area, and is not for boating use. No slips are
permitted for vessels -motorized, sail, or other. -
cut Any kicking or prop wash will be considered a
violation of this permit, and of the CAMA and
Boat ran D&F Act.
V/5B -r
Boathoua
Beach \mil►��ttg�
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
i
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit `
Application Fee(s) Check #
(Scale:
-4-
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date h Expiration Date
Local Planning Jurisdiction _,'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 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
❑ Neuse River Basin Buffer Rules
❑ Other:
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/ 1-888-4RCOAST
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

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM
Name of individual applying for the permit: a-7(l�
Address of property: 41 � /J</k/ � 1
(Lot or street#, street of road)
(city &
I hereby certify the 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 whit this letter.
V I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of the 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, ou must initial the
appropriate blank below.)'
I do wish to waive the 15' setback requirement A G 3�QOl
I do not wish to waive the 15" setback requirem.Vorig
head
Sign tore D to
Print Name
qaq 4t4 gSA�56
Telephone number with area code
M �
d
n

flUDJACENT RIPARL-kI PROPERTY OWNER STATEINIENT
(FOR A PIER/MOORING PII_INGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent toy:�Ow 's
/ ame of Property O ner)
property located at �(I 71 L1L'w , /
(Lot, Block, Road, etc.)
jett , N.C.
(Waterbo y) (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 se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waiv.- the setback requirement.
I dQ wish to wave tr.at setback requirement.
DESCRIPTIONoAIND/OR DRAWEiG OF PROPOSED DEVELO
T be filled is by individual proposin, development)
Ktv_--- -- - -
Print or Type Name
Telephone Number
AUG 3 0 2007
Morehead City DCM

08/22/2007 23:29 1-252-728-1410 J.LAWRENCE CONTR. PAGE 01
0�/22/2tt07 14:17 FAX 252; 23822'8 EASTERN GATEWAY IM001
ADjA,cENT RSPARLA.N PROPERTY 0"TER STA,TEMET
(FOR A PTERIMOORING MINGSIBOA7ZIFTIROATHOUSE)
I hereby certify Chat i own property adjacent to �JU � � 's
(Name of Property caner)
property located at � r � C—I LI-i /C1 ,cl 4 •
(Lot. Block, Road, etc.)
on S Y , in , K C-
( dy) (T'own artd[J County)
He has descnbe=l to me, as shown below, the development he is proposing at chat location,
and, I have no objections to his proposal. I understand that a pier; mooring
pi,lir).- /b„)adiftlboatnouse must be se: back a minimum disrance of fiftesn fact (15') from my area
of rips ian access unless waived by me. x
I d-U-C wish to waive the setback requirement-
I & wish to waive tr.at setback requirement_ �CrC 3 © 200j
I Vl oreh@,�
DESCRIPTION AIND/OR DRAWPiG OF PROPOSED DEVELOR,rE`'T:
(To he fitted in by ' d'vidual proposing development)
Q(
Jr-
0-aAw c�
Print or Typz Name
7 7d-F u 32-
Telephone (number r
Date: D � I
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Morehe City, NC 28557
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66-1246/531
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