37563_CANNON, CONRAD_20040308

CSCAMA / ❑ DREDGE & FILL C"
GENERAL PERMIT Previous permit#
❑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 C r_I ! LC, 2
[W] Rules attached.
Applicant Name �`"' ° << �a N c r, Project Location: County lC, � i f , -+
Address `j t"1 /� i+� �t r Street Address/ State Road/ Lot #(s)
,
City r 4eo r State
Phone # ( ) %E.. `/ 2 Z Fax # ( )
Authorized Agent ` m 4 �
Affected ❑ CW ❑ EW KI PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ElHHF ElIH ElUBA ElN/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / ,no Crit. Hab. yes / no
Subdivision
City ZIP
Phone # ( ) River Basin VIJ G + Ga I(
Adj. Wtr. Body '' 'YyVI o, I, G H s ! (nat / Gan /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: 1vc N )
,
Pier (dock) length
Platform(s)
Finger
Boat
SAV:
Phot
A building permit may be required by:
Notes/ Special Conditions ��
' '
IG
a r
Rev
e
El See note
on back regarding River Basin rules.
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r/,
ier s
Agent or Applicant Printed Name•-
� '
Signature Please read compliance statement on back of permit
?
Application Fee(s) Check #
{1�- LC
Permit Officer's Signature
4
Issuing Date Expiration Date
Local Planningf urisdiction Rover File Name

• 4 41L
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 [)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 -i Other:
El 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 howto complywith thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
Elizabeth Citv 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)
Morehead City District
151-B 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 10/05/01

BOGUE BANKS MARINE CONSTRUCTION
PH 252-247-4428
800 NORTH GATE RD
MOREHEAD CITY, NC 28557
x TO THE
PAY
ORDER QF—
5{ a v
77 G'C>
1997
9 66-21/530
DATE S ��J '6� BAH 77615
l 'X?. oc.
y DOLLARS �;;e1a��
WACHOVIA
Wachovia Bank, N.A.
www.wachov' .com
FOR �1F�00-) 6(f it
11,00199711. .053000 2 191. 205468000666911'

FROM : ED NELSW FAX NO. : 25Z-247-6429
Mar- �f-
.: 02: loPm Fl
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MAR 0 5
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LUo4
1 Mr-asy Ce-SfY tali ; own property adjacent to 642n AP-4a1 C A A,., vtx--j s
(Name of property 0,:ne
ptgpezr 10=6 u /Y � i? S /A � .
(Lot, Back, Road, etc.)
��
on /ffAn 11)4 6 in - �f /1 y� c /_ r`
(Waterbody) (Town and/or (fou- ntr
NO W da.—da t to um, as shown bwow, tre deve'.apme't he i5 prapac;-.= w. tocaa�n,
t PVC no objetdodl to his FNP021. I uS1i4CaV.1d tuei a :iri1o0^iik
piiw� sra:�G�Jaoi �a4ise must be se: ba: x rninirnum dis'mce of Ahm-, f&--: -a my ue
of rlpaa � &ccass Imless w4"A by rile,
I Alma wisi to w2i'vt the setback rgvirement.
I da wish to w;4 ve: G._t setback re ,uit&.-,%vl.
DESCRMION A`VOR RRAW')NG OF PROPOSED DEVELOPrl T:
(To bte fillled it b; iadividu:!�Sropost'
i"adayfi!opmen4
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Print: or T)v Namc -
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(runn I I.L.l1/IYlVV I\lI TV 1 !LlITVJ/UV/��� •��+via•••v �--/
I heresy ce'liry that I own property adiacent to 60s1 ✓�co� �� ����"�� 's
(Name of Property Omer)
prom.. �y locatedat 7 / Y /n� � �� S �/'� � s AR 0 2-u04
(Lot; Block, Road, etc.)
on _ �1����'Aa Lt , in
(Waterbody) (Town and/or County)
He has desc«oe`i to me, as shown below, tl e deve'.opmen: he is propos -_ a_ t�ai locaiion,
and, I have no objections to his proposal. I une:sia_:d t�:_: a pie:-lmoorinR
piiins:srcoa:liffooaih,ouse musi be s:.: back a mininum distance of riret-i fey.: Fom my are—,
of rpa-ian access unless waived by me.
I dn nnt wish to ware the setback requireme:,i.
I �Ln wish to wa!,ve t: Rr s.ibaCk- rcC�!ire.Tie i.
DESCR=ION AND/OR DRAWVL`G OF PROPOSED DEVELO .%fE\-T:
(To be filled i = by inditi&ual pr000srg ce�cToprnent)
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P" �-.
ex Is f,I
Signature
Print or Tvoe Name
Te!ephone Number

' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/tiiOORING PILIIVGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to h �4� u o� ,s
(Name of Property Owner)
property located at y I / w 5 Yo ty �V6.
(Lot, Block, Road, etc.) p
/ Ni�r� 0 � �u04
on ti u-C 7Q--4(�i� 1�3e� �Gt
ivtA,� e Ls� 'in n
(Waterbodti) N.C.
(Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
arid, I have no objections to his proposal. I understand that a pier/mooring pilin�s�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 do wish to waive that setback requirement.
------------------------------- - --- - -
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in bl, individual proposiii; development)
r
____________________________________________________________
Si�natur
L? I l
t\, e
Print or T
e Name
Telephone Number
Date:
,. r.uF�sns�.hxa,i!..[>i,c.�.h^.a.k.'. ��,�'�..�vv��_.e�7.nr... _e- ......,. ...,.'�<�... .,-.i �,'u .. __„__..r .... .... a..:.,.... _s?,'�.e .. � �;u?its��. s7ileiu`r✓�'�e.�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIAIOORLVG PILLYGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to xyc e/ 00-A- Vc- 's
ee'' (Name of Property Owner)
property located at q (`{ f� j�cyc S. Ue .
(Lot, Block, Road, etc.)
%
on - CL4 Cu- , i n
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/nioorin.-pilinRslboatlift/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 do wish to waive that setback requirement.
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DESCRIPTION AND/OR DRA«'ING OF PROPOSED DEVELOPMENT:
►ems
-------------------------------------------------------------------------------------------------------------------
Signatur
Print or Type Frame
019 :34 Z L I IS
Telephone Number
Date: '3 ^ q- - 6 q-