35238_CAUSEY, R_20031022

• !CAMA / ❑ DREDGE & FILL®
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑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
i❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone # ( ) Fax # (. )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s) _
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bul
Other
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
El ES ❑ PTS Phone # ( ) River Basin i' °-- '-.c
❑ UBA N/A Adj. Wtr. Body (rat /man /unkn)
Crit. Hab. yes / no Closest Maj. Wtr. Body
Shoreline Length /
SAM 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
Signature Ple read compliance statement on back of permit"
/( - �;�" r'V- 5o"
Application Fee(s) Check #
(Scale: )
See note on back regarding River Basin rules.
CC
"Permit Officer s Signature
Issuing Date Expiration Date
Local PlanningJurisdiction 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:
1P'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 / 1-888ARCOAST
Fax: [phone]
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

CLIFFORD BRALY III &PC `/ M/KE fd7Q�jS ,
DBA RIVER HOUSE DESIGN 504
52 BEST LANE
ARAPAHOE, NC 28510 r
Dille t�C� �66-30/53:
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to theder of i
fiRS-T CITIZENS
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Jy�l �l Byboro, N.C. 28515
www.firstcitizens.com
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AD,JA.CEN'r R- PARLMN PROPERTY OW 7ER STATEMENT
Bulkhead
I hereby certify that I own property adjacent to _' _ A�'`Si '� -s
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
onel L/� , in L CiC Z t'&1'7 N.C.
(Waterbody) (Town and/orCounty)
He has described to me, as si-own below, the development he is proposir.-- a_ t,iat location,
and, I have no objections to his proposal. I understand tha_ a pie:/mooring
piiings;boatlifrlboathouse must be se: back a minimum distance of fifte--n fee, (15') from my area
of riparian access unless waived by me. tiQ03
coo
r % I do not wish to wa:v.- the setback requirement.
I SI2 wish to waive tea.7 setback recuirement.
DESCRIPTION AN-D/OR DRAWLNG OF PROPOSED DEVELOPME-NT:
(To be filled in by individual proposim, development
The proposed bulkhead will connect to an existing bulkhead fronting
the Brogan property and will become a part of the proposed bulkhead
that will front the properties of Braly, Causey, and Harris and will
connect to an existing bulkhead that fronts the Lindenmeyer property.
See attached Sketch of properties and Typical construction detail dwg.
Signature
/y) t IBC PARRS
Print or Type Name
C e, L ; Sz - c-
L7c
Telephone Number
Date-

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AI)JACENI' RIPARIAN PROPERTY OWNER STATEMENT
Bulkhead
hereby cer-dfy that I own property adjacent to , �A� ' , yl `s
(Name of Property Owner)
proper located at 46_z -t An s
(Lot Block, Road, etc.)
on �1U;S RPy' /,- , m &AeDJ
dC-.R0)!LLC6.C�VAs&, N.C.
(Waterbody) (Town an or County)
He has described to me, as drown below, the development he is proposin:- ti at location,
and, I have no objections to his proposal. I understand tha: a pie: -/mooring
pii.ings;boadiftlboathouse must be se: back a minimum distance of fifte--n feet (15') from my area
of riparian access unless waived by me.
I do not wish to wa v.- the setback requirement.
I do wish to wave setback reuirement.
DESCRIPTION AND/OR DRAWE� G OF PROPOSED DEV`ELOP`MNT:
(To be filled in. by individual proposing developmeng
The proposed bulkhead will connect to an existing bulkhead fronting
the Brogan property and will become a part of the proposed bulkhead
that will front the properties of Braly, Causey, and Harris and will
connect to an existing bulkhead that fronts the Lindenmeyer property.
See attached Sketch of properties and Typical construction deli .
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S1_ re
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Print or Type Name
f - 7 -may C'
Telephone Number
Date- /dr61)

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