52101_HARPER, DANIEL_20071130

❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
11New El Modification ❑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
City
State
ZIP ) 1
Phone # (`)
Fax # (^ )
Authorized Agent
Affected ❑ CW
❑ EW M P'f%!, ❑ ES
❑ PTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA
❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
/
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Permit Officer's Signature
Issuing ate` Expiration Date
Application Fee(s)
Check #
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, certifythatthis 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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

OSPREY
MARINE CONSTRUCTION
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Marine Repairs ROGER CONNER

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ADJAC kAf K1YA-KL3N PROPERTY OW/NER STATF'ViLN
(FOR A PIERIMOORING PILINGSIBOATUFT/BOATHOUSE)
I hereby certify that I own property adjacent to
0 ame of Property Omer
Property located at �! S
(Lot, Block, Road, etc_)
on L:�-4 �z n cL t? �'-'� 'k N.C.
aterbody) (To and/or County}
He has descnned to me, as shown below, the development he is proposer.: a. teat location,
and, I have no objections to his proposal. I understand tha: a pier/mooring
pilin?Jboatiddboathouse must be se: back a minimum distance of fifteen fee (i f') from my area
of riparian access unless waived by me.
I dil not wish to waive the setback requirement.
I da wish to wive tat setback requirement.
DESCRIPTION ANI M/OR DRAWLPiG OF PROPOSED DEVELOMENT:
(To be filled in by individual proposing development)
/D �11 rL) '6 e- PS ro
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NOV 2 7 2007
MOreheed City DCM
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Signature
Print or Type Name

AuJACEI T ElrA.KL-IN PROPERTY OWNER STATLNLLNT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOCSE)
I hereby certify that I own property adjacent to =�
ame of Property O ner
property located at e4y i�_
(Lot. Block, Road, etc_)
on
( aterbody) (To and/or County) N.C.
He has descnoed to me, as shown below, the development he is proposs:._ a: thiat location,
and, I have no objections to his proposal. I understand tha: a Pier/mooring
pilings/boadift/boathouse must be se_ back a minimum distance of fifteen feet (I�') from my area
of riparian access unless waived by me.
I do not wish to ware the setback requirement.
I da wish to wa:"ve tat setback recuirement.
DESCRIPTION AND/OR DRAWLN. G OF PROPOSED DEVELOPNIEN-T:
(To be JWed in by individual propasina development)
S'c kI _/gay. /j- c_,-
NOV 2 7 9007
Morehead City [)CM
SiQnaty
Print or Typ Name
3_�_ a�©

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 / -�Z' - �3 - G r-)
Applicant. Name \') x c 19 tir�'
Mailing Address
Ste`4 " v 5�
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CANIA Permits necessary to
install or construct (activity)
at (location) \)-k 4--, n �,-j \ C ti.
This certifications valid thru (date)
Signature al
b
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10". Post Consumer Paper

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