48406_ROGERS, CLARENCE_20070402

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❑CAMA / ❑ DREDGE & FILL 48 406
GENERAL PERMIT Pr viouspermit #
EINew ❑Modification Complete Reissue []Partial Reissue D e revious 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 Pwtfcar�'
EgRules attached.
Applicant Name - Project Location: C unty
Address r % `� i'• t' " ` Street Address/ St a Road/ Lot #(s) -> .
City c, State ( ZIP j` a_c.f -• '0
Phone # {) Fax # O Subdivision
Authorized Agent City ZIP -�
Affected El ® EW 0 PTA ❑ ES ❑ PTS Phone # O c River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A �'`
AEC(s): Adj. Wtr. Body C ° gnat ,/man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body L - c ='0,'
Type of Project/ Activity
Pier (dock) length
Platform(s)
, r
Finger pier(s) , 7 t_, V . P
Groin length
number - -----------'- -- - - ----- ---- - -
i
Bulkhead/ Riprap length -
avg distance offshore
. .
max distance offshore
Basin, channel-
�',Ir I
cubic yards
Boat ramp
i
's
Boathouse! Boatlift
v
- — - --- - --- — -- --= ---__.
Beach Bulldozing
-
Other
r'
1
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
0
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: %to .5c Gtl c )
See note on back regarding River Basin rules.
Permit Officer's Signature
V-.2-o% J f�
Issuing Date Expiration Date
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, 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 complywith 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/ 1-888-4RCOAST
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

2007-03-2821:02 5405488051» 2522473330 P113
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200.7-03-28 21:02 5405488451» 2522473330 P 213
■ Complete kerns 1, 2, and 3. Also complete
Item 4 If Restricted Delivery la desired.
Print your name end addreba an the reverse
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■ Attach th;s card to the back of the mallplece,
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or on the front if space permits.
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Artlola Addressed to:
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■ ComPlate t*na 1, 2, and 3. Also complete
hem 4 It Restricted DOIWiy Is desired.
■ Print your name and address on the reverse
so that we Mn rotum the card to you.
■ Attach this card to the hook of the malipface,
or on the front It space p rMhs.
1, Ankle Addressed to:
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PS Form 3811, February 2004 Domeetic Ratan PAOMpt to15a6oz�•isr�

J FTf-'t! �IaO 1(S3L `J7"54"n4t"aDI
2007-03-28 21:02 5405488051 a> 2522473330 P 313
ADJACENT RWARM PROPERTY OWNER STATEMENT
ENlY
(FOR A PIER/MOMING PrLiNVGSiBoATLdF"vHoATR'aUse)
01d
I hereby certify that I own property adjact It to 'c3%
of PrWrty ow aer or AppUs.UQt)
Mailing address if different fts>tn ku:atiutt;jddrrss
(town, StittG and Zip) L'_
l
phone numbers you cats be tc:achul at ---')Vic: l�`' / 5 `j �' J�
pruperty located at �� ` z�
t Ut, block, Ron4 dr-)
Oil Yti �11 �- ' �% '�I 11 u.s;t t-, in �� -1, ! (' o c y, +- - N.C.
at�r�7) rrovrn a filer CONW-J)
�Ie7i�escrt edt� me, as shownbelow, the development he is proposing at that location,
and, I Nava no objections to his proposal. i undcmEarttt thAt a piaYnworing pilinpftittlifuboathouse
must beset back a minimum distance of fifteeat feet (15) from my area of riparian accas uziless
waives by me,
I &— Z wish to waive the setback requirement.
1 do Kish to waive that setback requirement.
;meet
-------------------•------------------------------
DESCRIMON AND/OR DRAWING ON PROPMD DMLOPME147:
►-t C I �t (To be f Ued in by is YUu& proposing devekpmgnt)
Pint or Type mama
't'clephotia Number
llare
2007-Ot1704,63 MC STATEGOVER 2S2M473330
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`'``�'' a C�.e� �C aver` � .

J MY-1 f -0019 f
f ADJACENT RTPA.IUA.N PROPERTY OWNER STAMWENT
(FOR A PIERlMnORING PIL714'GS/130.9,7ZIF'1%1lUATHoUSE)
I hereby certify that I own property adjacent to i r1 N /?
ice„ �C1 �L-3 C
(NrInK of Property Owaer or Applkvm)
Mailing address if different fi-on) local icon address_ , aC^ j4,
(town state and zip) ;/1!'
phone numbers you can be reacluxi at__`> Yc 7 `/
property located at ^
C c
(Lot, Block, Roa(t, etc.)
Oil _ �1 ! I _c 9�L- ; VLL in L t-1 y01ice, j �l Gti �., E - N.C.
(waterbody) (Town anftr County)
He has described to rile, 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 pilingslboatlift/boatbotitie
rrtuSt beset back a minimtun distance of fifteen feet (755 from my area of ri
waived by me. Ito
ulw& I do not wish to waive the setback requirement MAR 2 6 h u r
_k"'RC -- 1 do wish to waive that setback requirement.
��1s Morehead City DCM
----------------------- -------------_.�____--
]DESCRIPTION AND/OR DRA'Vi-'ING OF pROPOSED DEVELOPMENT:
(I o be filled in by individual proposing development) t
o.
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7
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?Tint or Type Name
?C-) 3di�7
'telephone Number
2007-Ot-17 Q4.53 N C STATE GOM 2522473330
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PH. [phone] 66-112/531
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NEW BERN, NO 28562
DATE (3 0 :2
TPOY
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FOR 'F'o
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