60117_GAINEY, TOM_20120503

-1CAMA / DREDGE & FILL NO. 60117
GENERAL PERMIT Previous permit#
1:]New LLModification ❑Complete 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 15A NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City_ State ZIP
Phone # (_`) Fax # Subdivision
Authorized Agent CityZIP
Affected ❑ CW EW = PTA _ ES PTS Phone # (_ _) _ _ River Basin
❑ OEA HHF lH _
AEC(s): - UBA N/A Adj. Wtr. Body_____gnat man /unkn)
❑ PWS: __ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body
-
-
fType of Project/ Activity
Pier (dock) length
Platform(s) r X 67 f
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore ­
max _—
max distance offshore
Basin, channel
cubic yards
Boat ramp _ J
Boathouse/ Boatlift '
Beach Bulldozing_
Other
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:
Notes/ Special Conditions
f/ /
(Scale: I r 7U)
__ See note on back regarding River Basin rules.
Agent or Applicant Printed Name Permit Officer's Signature
Signature ' Please read compliance statement on back of permit Issuing Date
Expiration Date
Rover File Name
Application Fee(s) Check # Local Planning Jurisdiction

a
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:
El 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)

WiLLIAM s , G,AINEY 66-n04/2531 1207
NCDL 22679 08631994650
PH. 252-249-0130
506 CHINA GROVE RD. _% 3 -1A,
ARAPAHOE, NC 26510 F T E
AY TO THE ORDER Of
�4jO
State Em l�s' Credit Union®
Mew Bern, North Carolina
34 �
1:253 L770L.91:0863 L99d,650118 L 207

� 1
FE8-07-2012 14:53 From:DCK MHDCT,_Y_`
To:97454204 Pa9e:3e3
ADJACENI DIVISION OF COAS'
RIPARIAN PROPERTYtJ
-AL
NER MOTIF CATI�ONIWAiV ER FARM
Narne of i'ropert Owner: �t7 /!/�
f l!
- Address of Prop I rty;* 5-0 G f n�
(Let or Street #, St eet or Road, City &
/County)
Applicant phone �1 r! ��
Mailing Address:
I hereby certify at 1 own property adjacent to th
applying for' this rmit has described to me es
above rererenced property. The individual
they are proposi g. A4escription or drawing. wit
own on the attached drawing the development
dimensions,
I have no objections to this proposal.
must be provided with this letter.
is have objections to this
proposal.
If you havo objec 'orrs to what is being Proposed,
ou must notify thg Division of Coastal
(OCMf) in writing within to days of receipt of tb/s
available at www,�tCcoastalmangerrtentnedconta
lice. Can fact intormatian forOCM offices is
dCm.htm or by calling 1-889-dRCOAST. A/o
recpwtse is cans dered the same as no objection I yqu have been notified by Certified Mail.
WAIVER
ECTION
I understand that a pied, dock, mooring
pilings, b akwater, boathouse, or lift roust be set back a
minimum distant of 15' from my area of riparia access unie$s waived by me, (if you wish to
waive the setbac
, you must initial the appropri to blank below.)
F do ish to waive the 15' setback r
uirement.
4 I do not wish to waive the 15' selb
k requirement.
(P -TtY Ow Information) (Rip
'an Property Owner Information)
Si mature
�4- Sign txrre
PrintiVam � print r T
(� ype Narrre
Matting A rless MaAi g Address
Doric
tone Numbe ;
O-r
Number
Z•d
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{
1
1
FE$-er-2012 14:53 From:DCM MHOCTY
To:97454204
Paee:213
ADJACEN'
Name of Propert;
Address of Prope
(Lot or Street #, Sit
Applicant phone i
PIVISION OF COf
RIPArIAN PROPERTY
Owner O
or Road, City & County)
MANAGEMENT
RR NOTIFICATION/WAIVER FORM
C A,f)e,�( -
ing Address
1 hereby certify th9t
I own property adjacent to the
above referenced property. The individual
applying for this permit
h4s described to me as sh
Dwn on the attached drawing the development
they are proposing.
A description or drawing, with
dimensions, must be provided with this letter.
_ I have no i
bjectieos M this proposal.
). have objections to this proposal.
If you have ob/ectr
[is tv lyhat is being proposod,
u must notify Vte Division of Coastal
Management
(DCM) in wrfUng w,{
thin 104ays of receipt of this nc
flee. Contact information for DCM offices Is
availablo at www.n
ccoast mangprttenf.neVconfec
dcm.hbr► or by calling 1-888-4RCOAST. No
response is considered
tht same as no objection i
you have been notified by Certified Mail,
t
WAIVERS
CTION
I understand that a
pier, dock, mooring pilings, br(
akwater, boathouse. or lift must be set back a
minimum distance
of 15' ftom my area of riparian
1cms unless waived by me. (If you wish to
waive the setback,
you mast initial the appropriall
blank below.)
I do
sh to *give the 15' setback req
uirement.
I do tP
' otwish to waive the 15' se ba
t
requirement ,
(Pro erty pw nfor jpon) (Ripahan Property Owner Information)
Print or T pe Nae m
c r
U601,1V Addres
Ir?- a S
CrfylSta ry '
TRlephone Number
Dare
t
i
6 • d �OZtb1 Z9Z
Print Type Name
Maiting Address
City/s twzfp
Telep one Number
Dace
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