59342_HAGGAR, ALLEN AND JEAN_20111013

11CAMA / ❑ DREDGE & FILL
! ,,
GENERAL PERMIT
Previous permit #
❑New ❑Modification ❑Complete Reissue
El Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
l
and the Coastal Resources Commission in an area of environmental
concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name
Project Location:
County
Address
Street Address/ State Road/ Lot #(s)
/
City State ZIP
Phone # (�) Fax # O
Subdivision
Authorized Agent
City
ZIP
Affected ❑ Cw ❑ EW ❑ PTA DES ❑ PTS
Phone # ( )
River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
fat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr.
Body
Type of Project/ Activity
r
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 -'
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
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
(Scale:
❑ 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
landowners).
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
❑ Neuse River Basin Buffer Rules
❑ Other:
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 (9 l 0-796-7215) 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

l
1
NCO NR
North Carolina Department of Environment and Natural k�Sc�tlrt:N ;
Division of Coastal Management
A4idlau. P. i_vslay, Govemol Charlss S. Jones, Mentor Utl4hain G Rosy; .)r. `iRrralai
•1 j�l�licant i4.t�t�t� -Q���--_-�---
'Madifig Address
1 certify that .t have authurircd (sigent) `70 � j���t/' eFd.��— to act on my
hchall" for (lie purpose of applying for aut! ubtaining :111 CA Permits necessary lu
iusta!l or runstr(` uct icti` it} i G x i S� �oor ,� n/
at. (fu..titinn)tO-ck.-�
�i• C.
'1.his ccrtifiv,mion is valid thru t(latr}
S,ignatII
RECEIVED
OCT 12 2011
DCM-MHD CITY
400 i;otnmeica .Avitnue, Aflo ehe,id G►ty, N(.0h (Aruhrid
Phone. 252-80$-1$0H t FAX- 252-24T.3:3101 lntemet: www.mcoastalmanayuAnu3l;t.nNt
a.. i- . ,il •'+ ,.,.�,.,, l„ .+, rf; •„ •,d...: 9.•6nn I;mnlr.vr•r . q1% R'rii tor! l iil^, E?; .•t ,
�: •111utttw f . nnr

OCT-10-11 MON 05:40 PM 94J426.28753 .......
9195221876 P.01
Oct 10 11 03:06p j... Stephenson
2522475290 P.1
A1),i.AC'}':'NT�%UP_nc)ZOJ:1VrP�)1 G�1�7i�?,A71xI�� �1�FI()lEl,sL,NT
l rr IL 1)
t.ereby cCrLily l .,,�L1 prt)pehy adJa,.� r. =c Dame of Property Uwxler)
in"n{�erty ;i)c2t�d at _-!_�--�1�� a / ociv d, et�� �' --
t31 1
kt!
c,). _%n• "`� tTown attdlol• �liltv)
m_
(1Vaterborty) � �y,/
O ��
y7 s� :kjailitth Address: � 3/7
p
Applicarlt'sphone ": — — u.
---
? h:)s described to me; 7 slaoua� ?)e'.a :". -'.lc �ievejo":ne=Jt he is [ iopcsing at th�1 1 ovation, e{�-j; i
have) c objections to laic iazaposai. 1 w��i*Frft�nd thc� . a pie,; mooring, pilings ! boatlitl ! baatf7ouse
lily are
Hirst be set oCck:ICmo litinum sh tostance �vai c of e setback, `you tcell (cc, /mttstainitial the :jppcopifate Wank}css
�v�ived l•y m
bCI0tt•)
! do trot wiNh [c
I do v.ish LC waive t!"Ja sc(baek t'eout!'e^•ZLI, .
gC171P'f[()N A.ND/RJR D1t-k1�rING OF kCtOkOS�D I)CYLI,()YI\[LNl':
%!u be filled in by individual proposing develolmlent)
�-
i'
Cam" f)w G-
(,rlfornaaiion for kroperty Owner Applyjug
For t'ermit)
i:iailn"Jg Ac:dress _ ----
(itiparian Propert Owner IIl(ormHu0n)
r' e
vi
OCT 122Tl'1'
DCM-MFID CITY

FROM RJFS <WO>OCT 10 2011 14:2S/ST.14.16/NO_7S40351020 P
Oct 10 11 02:13p Jean Stephenson 2522475298 p.1
ADJACENT' .RT.PARTAN PROPER'TY OWNER STATEMENT
(r,OR,j PIT:ItIU00RINGPLI.INGS1B0"91LIFTIBOAMO►iSl:)
I hereby certify that 1 own property adjaccat to _AlleAl tJtgA✓ �Y��
(Name of Property Owner)
property located at —V3 17- Co, --a / 40-If k"l' —
(Lot, BIock, Road, etc.)
on
(Waterbody) (Town and/or C "ty) --
Applicant's phone #l: SZ % Mailing Address: Y3MAl c
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 beset back a minimum distance of fifteen feet (IS,) 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 AND/OR DRAWINC OFPROPOSED DEVELOPiv1LIV1':
(To be filled in by individual proposing develnpuie"O
(..Information for Property Owner Applyinn
for Permit)
Mailing
//Address ,/
orpi{2�aot 6)•�AIj C 2tY.�-r7
"Telephone Number
._-__..____________________ ___.
(Riparia toper wne nfort'Co)
- --- —J—
\,,., V'N D G . i, v M # K % 0
HONES -
Telephone i:un,t;cr
"CEWH,
OCT 12 201)
DCM-A?HD CITY

LI

WMF-I.
I
'iif