49095_STANLEY, MICHAEL_20070702

rf''o1'6 -1 15,6
❑CAMA / ❑DREDGE &FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification []Complete Reissue ❑PartialreissueTResoes
Date previous permit issuedAs authorized by the State of North Carolina, Department of Environment aand the Coastal Resources Commission in an area of environmental concern
Applicant Name
�y :. `.-.�. `• r '��
Address
City
State
ZIP
Phone # (,)
Fax # ()
Authorized Agent
C �-
❑ Cw
❑ EW �E1 PTA ❑ ES
❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes /, no
PNA yes / no
Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s) ? J
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozi
Other
Shoreline Length
SAV: not sure yes '.
no.
Sandbags: not sure yes
no'
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
f`
A building permit may be required by:
Notes/ Special Conditions
O Rules attached.
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 L =^
(Scale:
-4.
❑ See note on back regarding River Basin rules.
(-X
Agent or Applicant Printed Name I ' In
Signature Please read compliance statement on back of permit
Permit Officer's Signature
2- .Z-- D i
Issuing Date Expiration Date
>�,63
Application Fee(s) Check # Local Planningf urisdiction 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/ 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

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Morehead City DCM
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05/17/2007 17:32
2527264092
INTRACOASTALMARINECO
PAGE 02/02
North Carolina Department �dOwnt and Natural Resources
Dtvlsion of Cidi Mina geInent
Michael F. Easley, Govemor Charles S. J66As, Director Wiiaam G. Ross Jr., Secretary
Date S .2.1 o-7
Applicant Name -- J. 1`1_t c�{A �L S� q ,JL t y
Mailing Address yd 3 I CNUL/l y Lti)
f certify that X have authorized (agent) 4 r s.r.Y sv77Z,A coA�TAr to act on my
behalf for the purpose of applying for and-obtalumi g ill CAMA Permits necessary to
install or construct (activity) B 0,4 i t- !%7J / "J � E z Pi F(Z.
at (location) 790 Z- Soy,,)_o DfLi o
cD ISL g 0.c . A
This certification is valid thra (date). _ Jr- 3 - o .
Signature
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J•UN 0 4 Z007
Morehead City DCM
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252=808-2808 t FAX: [phone]Internet www,nccoastalmanage.ment.net
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ADJACENT RYPARIAN PROPERTY OWNER STATEMENT
(,FOR A PIER/MOORING FILINGSIBOATLIFTIROATHOI/SE)
I hereby certify that I own property adjacent to _ j_ _✓11 cN4 i( >s
(Nnme of Property Owner or Applicant)
Mailing address if different from location address Y03 w<<o cll fk&Y [.N ,
(town, state and zip) FM ZkAcf) ! SC. t N, c. a$ S 9 y
phone numbers you can be reached at ). S Z - `/l - IS, <f S
property located at 79 oZ S oo k)D AW t ur FgM� 6D /Sc £� nN • ( . (6c CAP Fo2fsT �S9)
(Lot, Blocky Road, etc.)
on B06()�_ S00/JD _,in E/'1VZJ0 ISc.� y 6gPTUE , 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 propvsaL I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of ripazian access unless
waived by ,me. R9JUN
I do not wish to waive the setback requirement.initialsI dowish to waive that setback requirement. Q 4 Z007
initials
mofetgad City DCM
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be flled in by individual proposing development)
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Rita or Type Namc
Telephone Nu er
Date:

ADJACENT R1PARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOA.TLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to i' _✓ 1044 c—Is
(Nnme of Property owner or Applicant)
Mailing address if different from location address Y03 Lilco C/ iM/Zy W .
(town, state and zip) L=M ZRAcn 15C A.),--.
a �s/9 y
phone numbers you can be reached at -. S Z - y/ - 3 8 115 c C-E (C)
property located at 7902— SooND D/Zrvr- E8EV6D /-Se- N.(L. roCCAP e• 37- �So)
(Lot, Bloch, Road, etc.)
on &&)�- S0omo , in _ f"VZ1(D IsLL. y (A2TUE I , 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 o
waived by me.
S Icy
I do not wish to waive the setback requirement.
initials FfJUN 0 9 2007
I do wish to waive that setback requirement.
initial;
Morehead City DCM
------------------------------ ----- ---- Y
DESCRIPTION AND/Olt DRAWING OF PROPOSED DEVELOPMENT -
(To be filled in by individual proposing development)
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Date:

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INTRACOASTAL MARINE CONSTRUCTION
1512 SCOTTS LANDING
MOREHEAD CITY, NC 28557
Date
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66-112/531
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