58363_HESMER, W RUSSELL_20110929

' r
❑CAMA / ❑DREDGE &FILL a
GENERAL PERMIT Previous permit#
[]New []Modification ❑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
Applicant Name p Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (`) Fax # () Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW PTA ❑ ES ❑ PTS Phone # { ) River Basin
[IOEA ❑ HHF IH ❑ UBA El NIA AEC(s): Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑ FC:
ORW: es / no PNA es / no Crit,Hab. es / no
Closest Maj. Wtr. Body
Y Y Y
❑ Rules attached.
Type of Project/ Activity
(Scale: J )
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
I
_
-
Ii
?
'
'
;
I'
II.
!
,
Beach Bulldozing
Other
iI
-
'j.
1
Shoreline Length r^•.
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no i
Photos: yes no _
Waiver Attached; yes no
A building permit may be required by:
Notes/ Special Conditions
I
r
I'
❑
See
note
on back
regarding
River
Basin
rules.
Agent or Applicant Printed Name
r�
Signature ** Please read compliance statement on back of permit
PermitOfficer's Signature j
Issuing Date
Expiration Date
Application Fee(s)
Check #
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 ❑ 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
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

CERTIFIED MAIL, RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
/// /`li d:fi(" '{?//1e —
;7 6 t
(Lot or Street #,
or Road, City & County)
Applicant phone #f: (-7 jEr Mailing Address:) i
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A'descriptiori or drawing, wth dimensions, must be 0rovided with this letter.
I have no objections to this proposal. I have objections to this proposal.
ff you have objections to whatis being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 90 days of receipt of this notice, Contact information for DCM offices is
available at www.nccoastalmangernent.neticontact—dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if Lou have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
u8these€bc you must initial the appropriate blank below.)
y\
I do with to waive the 15' setback requirement.
do not wish'to waive the 15' setback requirement.
(Prop 7m;::7 )
Signature
Print or Type Name �(
Mailing Addre s
City/State2'
L2,'Q,
Telephone Number
�--%LA /
Dale
Date

Styron, Heather M.
From: russell hesmer [[e-mail]]
Sent: Thursday, September 29, 2011 12:13 PM
To: Styron, Heather M.
Subject: Re:
Attachments: DENR Wsiver.pdf
Thanks for your help, Heather. John Brooks has my permission to sign and pick up the permit.
Thanks, Russell
From: "Styron, Heather M." <heather. m.styron@ncden r.gov>
To: "[e-mail]" <[e-mail]>
Sent: Thursday, September 29, 2011 10:54 AM
Subject:
Hello Mr. Hesmer,
Per our phone conversation from earlier I have attached an adjacent riparian property owner statement
for your neighbor to waive (15' setback) if they choose to. They would need to initial and date this
section (waiver section) in order for your floating dock to encroach within this setback. If you could
also send a statement authorizing John brooks as your agent this would allow for him to sign and pick
up your permit. If you have questions please feel free to contact me.
Thanks, Heather
Heather M. Styron
Field Representative, Morehead City District Office
NCDENR
NC Division of Coastal Management
400 Commerce Ave
Morehead City, NC 28557
[phone] ext. 216
heather.m. styrongncdenngov
E-Mail correspondence to and from this address is subject to the North Carolina Public Records
Law and may be disclosed to third parties unless the content is exempt by statue or other
regulation.