36795_CANNON, WILLIAM_20040316

CICAMA / ❑DREDGE &FILL
GENERAL PERMIT Previous permit # `
New ElModification -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
❑ Rules attached.
Applicant Name
Address
i •
V,i
City
State ZIP r�
Phone # ( )
I f
Fax # (� )
Authorized Agent
Affected —1 CW
❑ EW
Z PTA ❑ ES ❑ PTS
AEC(s): -1 OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s) _
Finger pier(ss)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body - i nat /man unkn
Closest Maj. Wtr. Body
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no I ,.
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: ` )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date
i!
Expiration Date
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 ilmingto
Regional Office (910-395-3900) for more information on how to comply with 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 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)
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

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1863
CANNON SEAFOOD
1424 SOUTH RIVER RD. 66-30/531
BEAUFORT, NC 28516 131
DATE
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HRS-r CITIZENS -
y, N.C. 28557
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APR-25-2001 WED 11:46 AM NC DIV OF COASTAL MGMNT FAX NO. 2522473330 P. 02
ADJACENT Ri ARIAI'N pROPER'Ty OW,4F STA'I"EIVXEIy'I
I hereby certify that I own property adjaceit to
'S
(Name of Property Owner)
property Iocated at -/ SCa S 7. . 0,, ,����y- f
xv C
(Lot, Block, Road, etc.) '
on di-/ y�l v/'
•— , in v c (V�aterbodv) (Town andlor County) C.
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OIL DRAWING OF PROPOSED DEVELOPMF4N-T
(To be filled in by individual propoAng development)
sign ure
�—
ennt or Type Name
a25—a 3 CW 7 3 y 7
Telephone Number
Date: 3 7-

DIVISION OF COASTAL MANAGEMENT
ADJACE- T RIPARI.AN PROPERTY OWNER NOTIFICATION/WAIVER FORM
?game of Individual applying for Permit: � �•�-�
Address of Property: /c/
(Lot or Street », Str2zt or Road, City & County)
i .ereby cerzdfr that I own property adjacent to the above referenced property. The individual
a��lving for this permit has described to me as shown on the attached d�atng velopment
wthe de
1'ey a-e proposing. A desonpdon or drawing, with dir„ensions, should be provided with this
e-er
I have no obiections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
��lanagement, Hestron Plate II, I51-B, Hwy. 24, ,Morehead Citv, NC, 28557 or call �� �
2808 within 10 days o receipt o the notice-1-(�-) 808-
E f is . 110 re.;ponse is considered tine same as no objection
if You have been notified by Cerri ed Mail.
WAIVER SECTION
I ':nde-s:?nd that a pier, dock, rnoorin2 pilings, break -ater, boat house, Ii.—L, or sandbags must be
se. pack a minimum distance of 15' L om my area of riparian access uniess waived o me.
y A (If you
v•:s^, to waive the setback, you must initial the appropriate blank below.)
*L I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 15' setback requirement.
z l6 cc
z �,
israture Date
Pr int Name
2SZ-72-
Telephone Number With Area Code