48430_SHARER, ROBERT_20070406

❑CAMA / ❑ DP"EDGE & FILL
GENEdRAL PERMIT - Previous mit #
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date pr us 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 Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. 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/ Boatlif;_�
Beach Bulldozing
Other
f'
Shoreline Length
1
SAV: not sure
yes (no —I—
Sandbags: not sure
yes I rt0
Moratorium: n/a
yes Tno
Photos:
yes .no
Waiver Attached:
yes 1no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed,Name
Signature' Please read compliance statement on back of permit
Subdivision
City ;'• ZIP i r
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: , )
❑ See note on back regarding River Basin rules.
PermitOfficer's Signature
Issuing Date &piration Date
Application Fee(s)
Check #
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:
❑ 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/ I-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

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date
AonlicantName \p-1'� �` ���Qr�;Y-
Mailing Address (�t S %,� ( ? Try
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location) 23
This certification is a ' thru (date) J V/' Q -.200
Signature
W0a Aj!0 peauajow
10H 6 I 8VA
5,.
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nrcoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled ! 10% Post Consumer Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEIN EVT
(FOR A PIER/MOORING PILIIVGSIBO,ITLIFTtBOATHOG'SE)
I hereby certify that [ own property adjacent to 7SY° Uc e ��7 Q-�'�1/ I
(Name of Property Owner)
property kx:ated at 2 3 E 4 t r I r-
�rr n - (Lot, Block, Road, etc.) _I �-
o n Pe- % `� d r—A l �- , in 0c� 0ctz-t'•`7'� r e t N.C.
(Waterbody) (To n 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 t:,at a pier, mooring
pilinbs/boathfuhoathouse must be set back a minimum dislance of Fifteen feet (15') from my area
of riparian access unless waived by me.
1 di) not wish to waive the setback requirement.
I .1i1 wish W waive that setback requirement.
-------------------- --- -- -----------------------------------------------------------------------------------------
DESCRIPTION ANWOR DRA«'ING OF PROPOSED DEVELOPNIFNT:
(To he filled in by individual proposing development)
C cw,n o'k
Z3�
cA n t 3-
Print or Type Name
- 1*')-
- 3
Telephone�ioil�
r �
Date: _I l l � �D'�

ADJACENT RIPARIAN PROPERTY ONWER. STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATNOUSE)
I hereby certify that I own property adjacent to >YUG��� I
(Nance of Property Owner)
nrooerty located at
(Lot, Block, Road, etc.)
_ __ __ ff nN.C.
(Waterbody) (ToA 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 ilat a pierlmooring
pilings/Wattiftlboathouse most be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
1 cio 11ot wish to waive the setback requirement.
I il-2 wish to waive that setback requirement.
---------------------- -------------------------------------------------------------------------------------------
DESCRIPT . . `1YOR DR: WFN'G OF PROPOSED DEVELOPME\T:
(To he ut y .rt ' n sirtg development)
Y
55
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Date:

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CAROL D SHARER 3032
615 Lake Boone Trail 66-21/530
Raleigh, NC 27607 BRANCH 77828
Date
Paytothe c;/T / //7 $ 'R 00,00
Order of
GsJ n Z/7 L( /17 Z; a- AI Dollars
WACHOVIA I
Wachovia Bank, N.A.
wachovia.com
For L'g'f
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