38064_BARRY, LOUISA_20040331

CICAMA / ❑ DREDGE & FILL /V I
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
El Rules attached.
Applicant Name
Address
City State ZIP�f'1
Phone # ( �') `i SSG Fax # ()
Authorized Agent i r
Affected CW El EW D PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA FJ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no-, Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Vey i �Y
Subdivision
ZIP
Phone # O River Basin
Adj. Wtr. Body ` `'``' P (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project,/ Activity
(Scale: Al,' A i - )
Pier (dock) length
Platform(s)
Finger
Groi
Bulk
Boat
Othe
Shor
SAV:
Mo
Waiver Attached. yes no
A building permit may be required by: ti -' ?0 JA
Notes/ Special Conditions ^, 1ti'
on back regarding River Basin rules.
r
� PA r t
El See note
v c%dl � e ion
a 1nF
n length
i
number
head/ Ri ra length
P P
avg distance offshore
max distance offshore
I
channel I � c0 �. p ! ,'
I i I i
I
cubic yards
ramp
-- ---' —�--�— � '
house/ Boatli
h Bulldozing - --- - - I.
eline Length 71� .y •-: —..
not sure yes no
- I I
bags: not sure yes r DQ _..: � —. ---• �vtt � f �� . _ - - - - - - •- -- t -
ratorium: n/a yes fno
os: yes
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
,. �... j pf I
Permit Officer's Signature
IssuingDate Expiration Date
Local Planning Jurisdiction Rover File Name
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
,. �... j pf I
Permit Officer's Signature
IssuingDate Expiration Date
Local Planning Jurisdiction 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
landowners).
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 (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888-411COAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-13 Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10105/01

!iDJ�''�.CENI� .E•cj-i:`i�3ti�ta.i� x �;' Js ��i Y O1�'VNtR S r `"�.i� *.�'�+ r
A. i t e
(FOR A -PIERIUMCO(ER.ED BOAT I;I
I hereby certify that I own property adjacent to s
(N the of Property O v uer) —
215 �oncQ �1 r+ve. A+la"c asI fin+ # IUck �� property located at �ecrCk- �
(Lot, Black, Road, etc.)
on u-e lWtc� , u, ��C"Y''e- M�'+ ri.C.
(Waterbody) (Town and;orj C'o nty)
He has described to me, as shown below, the deve!opment he is prop, -,sin; at that
location, and, I have no objections to his proposal. I undersu nd .hat a pier/uncovered boat lir
must be set back a minimum distance of fifteen fz~t (15') from my �ar,m of riparian ac-- s unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCR=IOIv A-N-D/OR DRAW-PiG OF PROPOSED DEVELOPMENTDEVELOPMENT:-
(To be filled in h, individu--1 E,r:,yosing 4e.el!�t+rnen0
Jks wl l� � CdY�tStg� CZ
P
r
f `� eart Lbw tmkr 4 i �1
Tllg--Par P(Ct rA'tK/M
1 h 1 s dock t5 6 }-- Irk 0 -� egn'4
f
k E3 Fri `HAe. P raFv- v-
b«
---------------------------------_------------------------------------------------I---------------------------------
Sl.pnarure�.
Print or -I-yp•2 T.1vie
Telephone Numc, r
Date:=1--._20� -�
01-
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E
A4%t;
ADJAC,EN7 kU_ ` ttitt%ir x x �• 1s ' -'' :�' X i7 y'VN-�- L- A R �' r
.U-\
(FOR A PIERIUNCOYERED BOAT f;IM
I hereby c--cafy that I own property adjacent to
(Mi (Ite or Proper -iv O <'uer)
property located at ��� 1"OI�C 11f�. �Cuv��iC�'Cacla �.S�e LO "Bloc 4
n (Lot, Black, Road, etc.) rr
on �k Sc�uMC ui�IC�2O�C n -�
(i�'V•aterbody) h�.C.
(Town ands or�_(-o
He has described to me, as shown below, the development he is prop%�stn; at that
location, and, I have no objections to his proposal. I underst<1,.nd that a pier/uncovered boat lift
j must be set back a minimum distance of nfte~;s F= (41.5') from my,aEm or riparian ac-,.,,s unless
waived by me.
i
I do not wish to wawa the seiback requirement.
I do wish to waive that setback requirement.
----------- ----- ----------------------------------
DESCRiPTI(DN A-ND/OR DRAWL G OF PROPOSED DEVELOPME,-T:
(To be J-Wed in by individual r;T.osirzg devel+)prnent)
I � 1 p' �- 16o X ng �D�4,j
1i s c or �5 Sep- back &- - t e064
J �
R
a to re — - ^ ^
c�GrLL-
Print or Typ•2 i•i"ple i
Telephone Nwnb';�r
Date:--
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