49614_TOPP, MICHAEL_20070921

'F-1CAMA / ❑ DREDGE & FILL
6,GENERAL PERMIT
Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As auth{{orized by the State of North Carolina, Department of Environment and Natural Resources _
NCAC �� %
and the Coastal Resources Commission in an area of environmental concern pursuant
to 15A r
-Rules attached.
—p.-
Applicant Name rn 1 }}L !
Project Location: County
Address
AV
Street Address/ State Road/ Lot #(s)
City l Sf State ZlPA_3l�
s r aJ s�(� c
Phone # O Fax # (_)
Subdivision_ ((�, J� nl�jw V
Authorized Agent sk- �_r�
City '(� 1 C(`i `.. ZIP
Affected ❑CW PTA ❑ES ❑PTS
Phone # ( ) River Basin ft sa/!)T1[�'f,/r'
AEC(s): ❑ OEA HHF IH ❑ UBA ❑ N/A
Adj. Wtr. Body t` K
nat /unkn)
rr r`T.
❑ PWS: ❑ FC:
�•-''
�,
ORW: yes /' nd PNA yes / Crit.Hab. yes / �
Closest Maj. Wtr. Body�C� (�(f l�
1 ! °"
Type of Project/ Activity I t� LL. 1Xf 1 e a gj
i t r7 A& �/� ✓ �l f ,t , < Al�
(Scale:
Pier (dock) length
Platform(s)
r
Finer yie�s)�
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathousey o� t i�
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
yes
Sandbags: not sure
yes
(33
11�`
Moratorium: no
yes
no
Photos:
y s
no
_
Waiver Attached:
%ys
no
-Alrtfft
IF
Woeocv
eu� �O, Onct�
IVIDO
( t/ 6e p"' I _
if1l A:A
it),
v L
t
y� �
A building permit may be required by: Do „ ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions i�/ L t t' 1 � KT N 01 116;41 -wr
Agent or Applica t Pri ted Name
�L
Signatu Please read compliance statement on back of permit
ir114 ��h Di7 f
Application Feels) v Check #
Issuing Datd f ' t - , . ExIfiration Date
Local PfaA6iAgTdriscliction Rover Pile 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
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

Nov 1�,. 07 11:41a NNERBANKS MARINE CONSTRU 2524472429 p.2
J'
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUS'E)
I hereby cenify that I own property adjacenr to
(Name of Property Owner)
property located at 316-!� PI-Vz- :p-tom
(Lot, Block, Road, etc.)
on j ! 2 0,17ZC- l� , :R �1 t-t G;� 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/boatlifllboathouse
must be set back a rninimum distance of fifteen feet (IS') from my area of ripaxian access unless
waived b -w- e. --
I do not wish to waive the setback requirement.
1 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
j (To hefilled in by individual proposing development)
i
�- A,-r►=oz ,A
I
7LRv1
Pc, it FADAT
S r, 07 t !
o 0• J
Signature
Q,�
Print or Type Name
--� (D --qb
Telephone Number
Date:

Nov 1G, 07 11:41a INNERBANKS MARINE CONSTRU 2524472429 p.1
r
Fax
Tame:
Brad Connell
Organization:
DCM
Fax:
252-247-3330
Phone:
252-808-2808
From:
Len Rollman, VP
Innerbanks Marine Construction, Inc.
Date:
11 /19/2007
Subject:
Riparian Statement for Tomatore
Pages:
2
Comments: Here is a copy of the letter for permit number 52808C to add to your file. You
already have the card, but I told you that I would send it if it came in.