53675_KRAMER, BRIAN_20090624

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l CAMA / ❑ DREDGE & FILL �' iS s
LLIGENERAL PERMIT
Previous permit #
CqNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ,, jj
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC % N. L2UQ
`g] Rules attached.
Applicant Name ( ` r of t Project Location: County L ari0 01
Address SO S. I r tvo � �—ar��r� Street Address/ State Road/ Lot #(s)
City L,wnr' ,oct?t t� _State IVC ZIP Z ciSO
Phone # ( ) '110-3`42-St+'?( Fax # ( ) Subdivision
Authorized Agent City ZIP
❑ CW Q EW PTA n ES ❑ PTS Phone # (' ) �? - Ci(�cflj River Basin o7 K
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A i
AEC(s): Adj. Wtr. Body 1 (that /man /unkn)
❑ PWS: ❑FC:
r'lncact Mai Wtr Rnrly '- r - C—s
ORW: yes / fo PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity f tyP�'fo�� �y� c
(Scale:
Pier (dock) length - —
Platfo
Finge
Groin
Bulkh
Basin,
Boat
Boath
Beach Bulldozing
Other
Shor
SAV:
Sand
Mora42
Phot
Waiver Attached. yes G o
A building permit may be required by: C_ Gt4p to l G v" f ❑ See note on back regarding River Basin rules.
i j
Notes/ Special Conditions 1C1c t A k -4
ti
Moratorium:
r pier(s)
length
number i
ead/ Riprap length L
avg distance offshore
max distance offshore
channel
cubic yards
ramp
ouse/ Boatlift
eline Length
not sure yes
bags: not sure yes
os: yes
I , ---
1
I
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%%% ••' _ � ��
-- -- --- — - --
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n/a Yes -�lr
+*t�� a
— A-, � , -
Permit
Agent or"pplicaan PH ted Name
Signature ` s` P e rasel dad compliance statement on back of permit **
Application Fee(s) Check #
Officer's,� ignature
Issuing Date i Expiration Date
Local Planningf urisdiction Rover File Name
Agent or"pplicaan PH ted Name
Signature ` s` P e rasel dad compliance statement on back of permit **
Application Fee(s) Check #
Officer's,� ignature
Issuing Date i Expiration Date
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, certifythatthis project is consistentwith 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

,1A ' ` ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILI'NGSBOATUFT180ATHOUSE)
I hereby certify that I own property adjacent to /e"l�roperty
s
(Name
property located at _°
(Lot, Black, Road, etc.)
on,/4d'V % (/r 1 in
(W aterbody)
(Town and/or County)
N.C.
Applicant's phone #; � 7�� ' d I Ma�7ing Address: 3, A lva4 tl -'�
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 (l Y) 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 not wish to waive
I do wish to waive that setback requirement -
DESCRIPTION Air DIOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individmd proposing dewloprneyd)
(information for Property Owner Applying
for Permit)
Mailing Address
ui4M S �0 r A,/- 2,8 5
City/State/Zip
(Riparian Property Owner Inf rmation)
ignature
Ve
Print or Type Name
Telephone Number
Date
TO 39ad aid 99EbLb71Z9z 69:Z0 6003/bZ/90

(� I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIER4VfOORING ,PILINGSBOATLIFTIBOATHOVSEj
} I hereby certify that I own property a4jacent to ! �i� T—Jr6l1 I^�- s
(Name of Property Owner)
property located at 2Wa
(Lot, Black, Road, etc.)
on Gffilt' U Vl , in N.C.
t
(Waterbody) (Town and/or County)
Applicant's phone #: Z 2 -f64 ^ L { Mailiing Address: , Lam{
d� - � 91 {� - 3g�. `.fib `�� a•+s 2��'
He has describeto 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 / bwdift / boathouse
must be set back a minimum distance of fifteen feet (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.)
_ Ingt wish to waive
I ft wish to waive that setback regrdrement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by in *raual proposing deevelapnwnt)
(Information for Property tamer Applying
for Permit)
dMd
Mailing Address
City/state/Zip
T e bar
sign
GTd
(RipN1an Property Owner Information)
S�tlatur8
Print or Type Name
TIWAone Number
A- zM-1
Date
556VLVZ357 ES :Z@ 6G3Z/bT/56

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