52163_BENNETT, BROOKS_20080107

Ll CAMA / Li DREDGE & FILL �J.J. ,
G E N � RAL PERMIT Previous permit #
❑New Modification DComplete Reissue ❑Partial Reissue � Date previous 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 I SA NCAC
D Rules attached.
Applicant Name r tl Project Location: County
i � :•,
Address ' t ? �'�., Street Address/ State Road/ Lot #(s)
City State r `C ZIP - y'
Phone # (`) Fax # () Subdivision
Authorized Agent City ZIP
Affected ❑ CW EW PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): OEA HHF 7 IH UBA ❑ N/A Adj. Wtr. Body (plat /man /unkn)
ElPWS: FC: "
ORW: yes / no PNA yes / no Crit.Hab. yes /, no. Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
;;;7
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp r
Boathouse/�Boatlift' 1
Beach Bulldozing
Other
�
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7�V
I
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Shoreline Length
SAV: 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: ` �. t ' r' regarding ❑ See note on back re ardin River Basin rules.
J
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s)
Check# Local Plan ningJurisdiction
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

/ Ila
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date
Appiicant.Name
Mailing Address
- I
PN1.41A
el 1'%kCA-\1YnAK) -Zka
I certify that I have authorized (agent) oto to act on my
behalf, for the purpose of applying for and obtaining all CANIA Permits necessary to
install or construct (activity)
at (location)"6-r /.§
This certifi
Signature
i
JAN 1 0 2008
Wreheaa Q1 U�M
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGSBOATLWFBOATHOUSE)
I hereby certify that I own property adjacent to Vroaf<S is
Name of Property Owner
property located at LA- 1 S se ►no l t 3 'a) oak. C—
Lot, block, road, etc.
on Yn}r,coat4o t Woke'4 , in Carictcei , NC
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 do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
Ste, exp;fcd �en•+��-
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Telephone number
JC,44 J0
Da)6 104 (�4�Aii
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JAN 4 2008
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Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to '8cook3 7e.nneW is
Name of Property Owner
property located at L o 15 Sea nai t 3 dock
Lot, block, road, etc.
on E44r&cvo-�( WaAerwa , in C Ar�Cti'-k , NC
Waterbody i 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.
JI do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
Stc. GzPirecs -fw rr.;�
Q.0 LLC—
P nt or ty name
Telephone number
Date - !
0� ,�`�A� AmyCA,
8 157
JAN 4 2008
Morehead City pCM

Title of the Map
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Dimensions
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Roads
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1/4/2008 10:30 AM
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