49066_WATERS EDGE MHP & CLINTON, DANNY_20070608

L,CJCAMA / O DREDGE & FILL v
GENERAL PERMIT Previous permit #
1AMWEINew ❑Modification []Complete Reissue ❑P rtial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Envir nment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
MRules attached.
Applicant Name t- ` ` / Project Location: County
Address` _ /'i" t.i /"J6 Street Address/ State Road/ Lot #(s)
City State ZIP / C
Phone # O % f `. Fax #
O
Authorized Agent,L /�[ (/�/f?'r S
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
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)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift `
Beach Bulldozing
Other
Shoreline Length Of
SAV: not sure yes no
Sandbags: not sure yes ino
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
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 &- .I / # c J
..�.J •- - �_..
City - ZIP i
Phone # ( �) River Basin ✓`'' �' ` `'
Adj. Wtr. Body l__-t (nat /man /unkn)
,c
Closest Maj. Wtr. Body
(Scales/rj'/; )
❑ See note on back regarding River Basin rules
Permit Officer's Signature
Issuing Date Expiration 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, certifythat 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 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

Ilea
ircb R
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 6 ?- 6)
Applicant Name T) 0 yu'1 5 o �—
Mailing Address
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)
L at (location) '' I' Z
This certification is valid thru (date)
Signature
141
t
I'R Tp- TUT-Pr---l'
Morehead City DCM
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'S
(Name of Property Owner}
property located at f,s k
ot, Block, Road, etc.)
on �_ oG .a
Jam` �yu �� , in f= v w c��� C , 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. ...
DESCRIPTION APM/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
0 9 A
„7_ F.:.
f
JUN 0 7 2001 F_
Morehead City DCM
Print or Type Name
'10 - -'3*S
Telephone Number
Date: 6— - Q 7
4 -29-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
� I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at (I )a T e f
, Block, Road, etc.)
I
0
on �oo,k a .�o« �,s� , in f= ev w `c� C' , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
A
N
Signature
Print or Type Name
//-? f2 � 35-9, 33��
Telephone Number
r
Date: 6 D
4 -29-

�FurrrFrFr� MAIL RETURN RECEI>a REQ ESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:. -
�2 ,-�C--
_
Address of Property: I
(Lot or Street #i, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached dray ing the development
thew e (proposing. A description or drawing, with dimensions, should be provided with this
I have no objections to this proposal.
If 3i��
have objections to what is being proposed, please write the Division of Coastal
fanrnent, Nestron Pla u II, 151-8, Flivy. 24, Morehead City, A'C, 28557 or call (252) 808-
2808 ithin 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
4igne Date
Print Name2�� �3 `�� - 9(�
Telephone Number With Area Code

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TO PAY THE DATE 66-30/531
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