51555_CRUTCHFIELD, DAN_20071220

06
LICAMA / ❑ DREDGE & FILL �r ;a{ J w
WGENER#kL'r PERMIT
EINew ❑F'lodification ❑Complete Reissue Partial Reissue
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 I SA NCAC
Rules attached.
Applicant Name uiJtom3 Project Location: County
Address = `3��,�:5 '. => `.rt Street Address/ State Road/ Lot #(s)
City ; ;�s State ZIP ;� h
Phone # (') ' ` ' Fax # O Subdivision
Authorized Agent City �•• : ) ZIP
Previous permit #
Date previous permit issued
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body '< - < (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity:
(Scale:
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 Bulldozing
Other
slyC.
_
--
—
T
w
Shoreline Length _
SAV: not sure yes i no\
now
Moratorium: n/a yes
Sandbags: not sure yes L9n.
Photos: yes
Waiver Attached: yes _
H
A building permit may be required by: i• ' 'E' See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
-r
Application Fee(s) Check #
�-!/t'-fiiC/
Ree/ mitOfficer's Signature
A
Issuing Date Expiration Date
1 !wl
Local Planning Jurisdiction Rover File Name

w 0.
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 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:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(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: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

.81)JACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to OAiU/EL 6- G/�lJiGff�/EGy 's
(Name of Property Owner)
property located at LO T # 9 , /14!I;' r3401,-- Z ) %URGE & 7 CI-1- &ZL); ?Al IaIFF%)
(Lot, Block, Road, etc.)
on S C/ZEE/C An G/Zi�l/E�/ GOUiI/7"Y 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/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.
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 by individual proposing development)
Exl5rlaG !JOCK
NORTH
'Y
PROPOSED o
.BOAT/NOUSe .GOOF
t '
1
W11 L NAMS
PROPE.pTY 1
-
1 J�
(Applicant Information)
147, Di1G1G S
Mailing Address
NEw 9,`1ZA1 *&
City/State/Zip
6252) �,3G —33� v
Telephone Number
MOM
iil.�nn.c rr n„IA1tJ=AO
'OAT RAMP
I'L/.vGs
r 1
—<-
'
i
SAWYER
PROPERrY
(Riparian Property Owner
Information)
Signature
Print or Type Name
Telephone Number
Date

W/[ L tAMS
PROPERTY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certiA, that I own property adjacent to 0Wi1/E4- G, C, JTC�fG/EGI� 's
(Name of Property Owner)
property located at LOT ,r9, /1il p eaol—' 2 i�flG� /17 61-1, r3iLyyiV JFFy
(Lot, Block, Road, etc.)
on f ,�/C'E'S C /ZEEK in G/Zfr' 1/EiV COUNT;l' 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/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.
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 by indnidual proposing development)
1,0,?TH
o
�Y
PROPOSED �-�"' to i
BOATIMUSe ROOF
s
i
' � EX/STING DOCK
(Applicant Information)
147, Dul 'S WRr'
Wailing Address
,NEGt/ 061ZAI N6 2�S6Z
City/State/Zip
6?6- 1036 -33y
Telephone Number
L), C, 20, 2007
!Mn
(Riparian
— dVVODCA/ di/1-k11, 4V
— FX /ST/NG t3UAT RAMP
O - Ex/S—IiNG 011-1 (GS
SAWKER
PROPERTY
Information)
Signature
�-
Print or Type Name
-Z 5-2 6'io _
Telephone Number
/�z_ze -o7
Date

12/2012007 09:31
FROM :
618-346-7451 EHS DEPT PAGE 02102
FAX No. : Dec. 20 2007 09:16WM P2
PROA R7V
ADJACENT WPARI"A.N PROPERTY OWNER STATEMENT
(FOR AAMER/U00RIiNG,t'iUNG"G►ftTl.,7T ATOAMOUM)
I hereby certify that I own property adjacent to - 6 's
(Name of .>Prop"Iy Owner)
prop" located at .-or 2 � i��� �° 7 aKley),
(Lot, Mock, Rand, etc.)
�3,res G���C" in G'l!/,t! G'DUNY' N.C.
(Waf rbody) (Town andlor County)
He has described to mc, as shown below, the development he is proposing at that location,
and. I have no al je ons to his proposal, I understamd that a pier/mooring pili�ngs/boa6fVboathouse
must be set back a minimum diswce of fifteen feet (1.51) from my area of riparian access unless
waived by me-
- I da nat wish to waive the setback requirement,
149 wish to waive that setback requirement.
DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(ro be,f+'dled in by w&11P~,pnVm ft dava%pr mg)
1YOi2i'N
1349Ar9VY,7,-. ,OeVF
i
{
(Applicant Wnformation)
�47' Cvcx'5 w7s,
0WS'ra1a/7,tp
Talephorie Number
t�ntr ---
EXr MV6 twit'
C � �K15'Ti�trC-' �/C.i.VIrS
i
a. .. r SAWIeZOR
+�H
a� AMPERTY
r
(Riparian Property 0WMT bkftW tI Ai01A)
Print or 7jp Now
2.sy_ 64? - 3347
TWephow .Number
l 2- / 1-6 % G7
IJurr

Daniel G° CrutckfieCd 3128
NCDL 3173961 Ph. 252-636-3350 66-112/591
147 Ducks BRANCH 01901
ks WayNew Bern, NC 28562 �C ` Zo, ���
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BB&T
C L A S S S I C
BRANCH BANKING AND TRUST COMPANY
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