61133_HANNON, JOHN AND DIANE_20121208

LAMA / ❑ DREDGE & FILL
GENERAL PERMIT
Lll New ❑Modification ❑Complete Reissue IlPartial Reissue
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
1 i
n- No.
Previous permit #
Date previous permit issued
61133
Rules attached.
Applicant Name t ; , i, ,
i _,��,. , ,
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City
State ZIP `,S, � ;
j t 6 , o't
Phone # R
Fax # (-__)
``
Subdivision �'� � I Y' ( f at• eJ -rls`�
�' • r t>YI�-,' ' ?
Authorized Agent
City__ V\j,y-. LIr"t- ZIP
- CW 7 EW
PTAES PTS
Phone # (_ ) River Basin
i� ' rrr j`
Affected
_ -- -
AEC(s): Ll OEA - HHF
_ IH - UBA __. N/A
Adj. Wtr. Body
at (n. /man /unkn)
PWS:
FC:
`
-
ORW: yes / no PNA
yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body #'�" G1%/
Type of Project/ Activity
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
I�
y'
ti
Shoreline Length
'L'1
V,44 _
�-
SAV: not sure yes no -
Sandbags: not sure yes 'no j--
Moratorium: n/a yes no
Photos: yes no_
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
31
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permiit**
t
Application Fee(s) Check #
(Scale: )
❑ See note on back regarding River Basin rules.
1 t
Permit Officer's Signature
Issuing DateExpiration Date
Local Planning jurisdiction
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
❑ 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 (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)

(FUR A-PIEX/MMING PILINGSIBOATLIFT/BOATHO USE)
r
hcrcby certify that I own propeiiy adjacent to -Sc�qiJ hjf' 14V 1 � 1��L1 .
J� J
(Name of Property Owner or Applicant)
Mailing addre,,;s if different from location address 'j-Z�4
f (�: C
(town., state and zip) u-I
PI)OIAe numbers you can be reached at
Pf(TOrty locat(;d at
(Lot, Block, Road; ctc.)
Oil (;}f:�=��`��,L
in JAL,
(ti'i'aterbo�ty) (Town and/or Coynty) ' N.C.
He has described to me, as shown below, the development he is.proposing at tfiat location,
ands T have no objections to his proposal, I understand that spier/mooring pilings/boatlift/hoathouse
must be s-et back a minimum distance of fift�En feet (lS�rom my area of riparian access unl
waived by me. es s
-'--.. I Lo not wish to waive the setback requirement,
Lnikt_-'
I do wish to waive that setback requirement,
lnttio.ls
DESCRIPTION AND/OR DRAWING OF PROPOSED-- --------------------, ----------
(To be filled in by individual proposing developmeVELOPA ENT,
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285848572
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Sales Receipt
Sale Unit Final
Oty Price Price
10964 -Class $0. w:;
livery: Tue 11/13/12
(Green Card)
$2.35
701204700000701585$ 95
$5 75
$5.75
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Customer Copy

PECEIVRO
(FUR A FIENWORING PILINGS/BOATLIFT/ OATHOUSE)
DEC 0 R ?itt?_ Jr
I hereby cereify that I own property adjacent to , ;►�0 ,�
T?CMMHD CITY
(Name of Property Owner or Applicant)
Mailing address if different from location address 2 " ! G-6LC(` (L -
(town, state and zip)
phone numbers you can be reached at
property locatrd at `B' /4
(Lot, Block, Road; etc.)
�S
on �� k_/ in
;
(Waterbo4ly) (Town and/or Coynty) N.C•
He has described to me, as shown below, the development he is .proposing at that location,
and, I have no obi ections to his proposal, I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fdffdbr feet (IMom my area of riparian access unles,5
waived by me,
A I do not wish to waive the setback requirement,
I do wish to waive that setback requirement,
-
DESCRIPTION AND/OR DRAWINGOF PROPOSED DEV --L--------:--•-------------
ELOPMENT;
(To be filled in by Individual proposing development)
Signature
itn
Print or Type Name
Telephone [lumber

JOHN EDWARD HANNON ol-o9
l DIANA L. HANNON
910-325-7611
327 CLAM DIGGER CT.
SWANSBORO, NC 28584-9643
Pay to the Order of
Paguese a la Orden de
573
66-19/530 NC
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Date 62
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