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❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
ONnw ,OModification El 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 rl _
�—klRules attached.
Applicant Name tw- 'V , > Project Location: County
Address. Street Address/ State Road/ Lot #(s) !,1 it
CiState ZIP - i }
Phone # (�) e } 4lf `i Fax # Subdivision
Authorized Agent' } t " "" " '""I ;, „ " ,�. �. ( ^ ^City J r-4 ZIP
ElCW ❑ EW ❑ PTA ES [IPTS i t ' +` 'Y�hone #(( ) River Basin
e i ' +
Aff cted ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body : '; i (nat /man /unkn)
❑ PWS: ❑ FC:
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit.Hab. yes / no ---�-
Type of Project/ Activity
Pier (dock) length
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes = a;
A building permit may be required by:
Notes/ Special Conditions
(Scale:
A �-
i y
I
T e
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
117 2��`
Application Fee(s) Check #
Y_ _ 1
❑ See note on back regarding River Basin rules.
F
Permit Officer's Signature Ui
Issuing D to ( Expiration Date
F
i17
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
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythat 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 (910-796-7215) 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:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(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:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
MONITORING & COMPLETION REPORT
[LAMA Major Development & State Dredge & Fill Permits]
PERMITTEE'S NAME: ,vim \ is CU l� 0v� PERMIT # y G `b 22C,,
LOCATION
1M l � d • FIELD REP.
MONITORED BY C>
PHONE: 70- � - qUt� $
DATE OF INSPECTION � I � �b$
DATE REPORTEDLY COMPLETE: ()%
1) e measured dimensions of the development differ from those indicated in the permit and workplat?
YES O [circle one].
COMMENT: Iwo E
2) SEDIMENTATION & ELWSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES 6) [circle one]
COMMENT: N I{�
3) FUTUREMONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? NO [circle one].
COMMENT:
1E1,CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
QNew El 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
P.Rules attached.
Applicant Name � 1_ (� - P 41,4 Project Location: County
�. • Street Address/ State Road/ Lot #(s)
Address ).• ! �� � I�
y
r-
City � 1� s ue te9 ZIP
-
^-4,,
Phone # f q '\ Fax`# (_)) Subdivision
Authorized Agent }-'f' i"f` >� per` City �'? f t' ? ZIP 1
❑ CW s ❑*W PTA nDES yr ❑ PTS `Phone # (�) River Basin
r;
Affected
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Bod•4_4 .�hat
/man /unkn )
ORW: ryes / no PNA yes / no i Crit.Hab. yes / no Closest Maj. Vim Body_
Type of Project/ Activity
Pier (dock) length it `•i ) , '
Platf
Finge
Groin
Bulk
Basin
Boat
Boat
Beac
Othe
Shor
SAV:
Sand
Mon
Phoi
WaiN
_ (Scale:
rml IS)
head/
-
- -�I
-E - -- - i -
r pier(s)
length
i-
number
Riprap length-
avg distance offshore _
�_-T
i-
-
f
_
°L
!
_.__ _ ! _ i ,
I ;
i
max distance offshore
-_
_
,Channel
.
-
AJ
cubic yards
ramp
house/ Boatlift
JI
I
- _---
h Bulldozing
�-1_
I
T-
Imo_
-
,, � �� , I
- -- ---•-L-_ - -
L - - - - �� �..= •°
- -
i
J
7 '-
-
aline Length 1 , �.
not es no
- --
-- - . - --
I
-
r
! -�
sure
bags: not sure yes no.,-
r-
itorium: n/a yes no
as: yes 4:H
II
-
- - - - - - i - --
wr Attached: rwnd
—
-- - - -- --- - - -- --- -
i'
A building permit may be required by: i- ,gib >✓i.
Notes/ Special Conditions
CV
1 1 � �j�{ �• � C r ;ter � �-�, ' � - � � (,i. � � � • ..}{ . ;. {J � -,- j
i1
ft ji i l.�_ .✓
Agent or Applicant Printed Name
Signature, Please read compliance statement on back of permit17
Permit
❑ See note on back regarding River Basin rules.
`r;
> i � f4 o r-i.t.
'S'��'4j,-;
I il —
i
Issuing D e r ExpirafionDate
t
(k,-f):r, • -t
Loca�Plannine lurisdidion Rover File Name
D v'i 0N!;T��-�.l°d
ADJACENT RIPAMAN PROP BATY OWNER IiO"I'IFICATIONJWAIV-C'R 'ORtVI
Name of Individual applying for Permit: /
Address of. Property: 14�747
(Lot or Street #, Street or Road, City & County)
.I hereby certify that 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 with this letter.
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 Avenue, Morehead City, NC, 28557 or call (252)
808-2808 within 10 days of receipt of this 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, boat house, 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, you must initial the appropriate blank
below.)
^ / I do wish to waive the 15' setback requirement.
l� I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
Telephone Number With Area Code
Fg(CF011YED
Morehead
-a-'
city iDGM
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIAIOORINGPILINGS/BOATLIFTIBOATHOUSE)
I hereby :ertify that 1. ow:i property ac'.;accat'.o
property located at
(Lot, Block, Road, etc.)
LV� F
1F-'"fVq
on �bVe 5����P ,in/4 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. 1 understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
/ I do not wish to waive
v I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
T� 6*410J�
!Morehead City DCM
----------------------------------- -
1
Signnature
Print or Type Name
-1/0ai
Telephone Number
Date: q ljg-Ie. z:_
QUv i L/ 74-
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OCT E zoo,
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Title of the Map
0
1t
Parcels
IV
Roads
Aerial Photos
BeachAccess_L-
aper
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Atkulk 9ch
EmrkS
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10/24/2007 10:09 AM
Untitled Page
AREA 16022.69774
PERIMETER 513,10291
PARCEL83 47102
PARCEL83 I 47108
WHAT 0
PIN 73352096
MAP NUM 7335
BLOCK 90
PDOT 3885
^CONDO
MOTHER110
MAP NAM 733520
I PRID110800400129 I
I PIN1511733520903885000 I
OWNERIIBARDENAN,EVA G ETVIR
DBOOK 0583
DP AGE 00174
DDATE
I SALE PRICE110 I
TAX VALUE 523676
LAND VALUE 502861
STRUC VAL 20815
OTHER VAL 0
BLT CONDO 0
HOUSE 10001476
DIRECTION
ST NAME ISLAND
Page 1 of 1
ST TYPE RD
CITY HARKERS ISLAND
ZIP 28531
MAIL HOUSE 3202
MAIL DIR
MAIL ST11COUNTRY CLUB RD
MAIL STTYP
MAIL CITY MOREHEAD CITY
MAIL ST INC
MAIL ZIP 28557
VIAIL POBOX
TOWNSHIP HARKERS ISLAND
CITY LIMIT
NBHD 80010
FIRE DIST HARKERS ISLAND FIRE
RESCUE DST
LEGAL DSC LOT BACK SOUND
— ��HARKERS ISLAND
TOTAL 10.369
Y BLT HOUS 1901
TOT SQ FT 1131
ROLL TYPE R
BATHROOMS 1
BEDROOMS 2
NOISE LVL
RISK LEVEL
LACUIZ
http://maps.co.carteret.nc.us/Details.aspx?ID=47157 10/24/2007
• NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date
Applicant. Name r lI �.r ��
Mailing Address
I certify that I have authorized (agent)
to act on my
behalf, for the purpose of applying for and obtaining all CAINIA Permits necessary to
install or construct (activity)
at (location)
This certification is valid thru (date)
Signature 0,4-h.
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper
VARNER BROS. CONSTRUCTION, INC.
GENERAL CONTRACTOR
P O BOX 1652
MOREHEAD CITY, NC 28557
(252) 726-5689
PAY TO THE � CA/ /�
ORDER OF _ ! `l /
',c//ecy
11'0 1776811■ 1:053 L L 21,GD:
SOUND BANKING COMPANY
MOREHEAD CITY, NC 28557
66-1246/531
000 12 I88u'
17768
2 v
DOLLARS B