46799_WICKMAN, TRACY_20071027

❑CAMA / ❑ Wk—EDGE & FILL
GENEhAL PERMIT Previ permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date/ 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
❑ Rules attached.
Applicant Name
Address
CityState ZIP
Phone # () Fax # ( )
Authorized Agent
❑ Cw ❑ Ew ❑ PTA
Affected
❑ OEA ElHHF ElIH
AEC(s):
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
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
Type of Project/ Activity
Pier (dock) length
Platform(s) Finger pier(s)
(Scale:
_ L�
? E
Groin length
number
Riprap length_
Bulkhead/ Ri ra len h
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
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Shoreline Length
SAM 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
--
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Nam_ e
Signature Please read compliance statement on back of permit*
Permit Officer's Signature
0'1 01
Issuing Date Expiration Date
Application Fee(s)
Check# Local PlanningJurisdiction
Rover File Name

I
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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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 06/29/05

TRACY WICKIZER-BROKER IN CHARGE
Cell: 252-342-1719
Fax: [phone]
Ema:,l: [e-mail]
P712 Live Oak Street
Beaufort Square
Beaufort, N.C. 28516
See My Homes At www.seHingcarteret.com
MLS. fl JOHN VESW
Sell Your Home For 4.5% Or Less .... .. —. .

hliJIWEIN 1 K1YAKIAIN YKVYLK.I'Y U WALK S'1'ATEMEN'1'
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to i--e
(Name of Property Owner or Applicant)
Mailing address if different from location address 1156) i6 rlI 5 S t r
(town, state and zip)
e;N, Al c , 2g�5s
phone numbers you can be reached at ` 2 2- SZ ' %1(e - :-3 / 3
property located at
.(Lot, Block, Road, etc.)
on 80C 'P— '--S7Q , in
(Wa body) N.C.
er
(Town and/or County)
He has described to me, as shown bellow, 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 of riparian access. unless
waived by me.
I do not wish to waive the setback requirement.
initials
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Print or Type Name
Telephone Number / f
Date;
www.nccoastalmanagement.net/Permits/ADJACENTRIPARIANPROPERTYO WNERSTATEMENT. Ddf

AUJ AUEN1 KWARIAN FKOMK'1' Y OWNER S'I'A'1'EMEN'1
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
(Narne of Property Owner or Applicant)
Mailing address if different from location address 150 f0aYngf 5f-
(town, state and zip)
phone numbers you can be reached at 25"2--3 yZ-1719 2-6i Z -7Z6- 3i 3"7 ,
property located at % J-7 dwwe-5 S-`6. 2-84 #r 71 hl"�c
(Lot, //Block, Road, etc.)
on ©� �a[G , in N.C.
( terbody) 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 of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
initials I do wish to waive that setback requirement. �� T�➢ ��0�
i initialsitv
-------------------------------------------------------------------------------Morehead-C---- DCNi
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To befilled in by individual proposing development)
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Signature
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Print or Type Name
Telephone Number
Date: Y- (y
www.nccoastalmanagement.net/Permits/ADJACENTRIPARIANPROPERTYOWNERSTATEMENT.ndf •

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Title Line 1
4'
OAI
Parcels
Roads
Aerial Photos
it Atkanix Bch
Lmrki We
Fort Macon
Indsan, Bch
p4no Knoll Shr
I in. = 184.3 feet