53321_RAWLS_20090219

❑CAMA / ❑ DREDGE & FILL �' -�ci
GENERAL PERMIT Previous permit # "i r
ONew -:]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural ResouP.s
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
'F l Rules attached.
Applicant Name C{} hatl$ 3 9-aw{{) Y
Address I 7 hnn a,rwAf �� r h O nJ
City � %1ve. r State W ZIP 28 $q
Phone # lgtl'6 Fax # (
Authorized Agent
AffectedLl CW ❑ EW El PTA 0 ES ❑ PTS
AEC(s): ❑ OEA ElHHF ElIH ElUBA ElN/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County OA,)�C w
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP `�ySS �y
Phone # (� ) 124- H d4, River Basin y'\1 "'o bt,
Adj. Wtr. Body >^ S nat man unkn
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platforms 1{n x 21a ---- -- - �._.__.
O
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 �d if1 '
SAV: not sure yes
Sandbags: not sure yes no
Moratorium: n/a yes i nq t'
-a -
Photos: yes ,no I
Waiver Attached: yes' no --
A building permit may be required by:
Notes/ Special Conditions
This facility is located within a Primary
Nursery Area, and is not for boating use.
No slips are permitted for vessels-
motorized, sale, or other. Any kicking or
prop wash will be considered a violation of
this ermit, and of the CAMA and D&F
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River Basin rules.
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on back regarding
Al
Agent o' ^ plicariL,Printed,Name
Signature Please read compliance statement on back of permit
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Application Fee(s) Check #
Permit Officer's Signature
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Issuing Datell
Expiration Date
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Local'Pfanning Jurisdiction f
Rover File Name

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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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:[phone]
Elizabeth Citv 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

LIq
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORINGPILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Char-ict '4r't It Is
(Name of Property Owner)
property located at L.of• 4, Croek. Side- l eedl CtL&ks%A.a wood brNe-
(Lot, Block, Road, etc.)
on ©��r.�s CfG�C ,in sic Asboto In..aCO ,N.C.
(Waterbody) (Town and/or County)
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 (1 S) from my area of riparian access unless
aived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To Ise filled in by individual proposing development)
Sea A.46ac6a
IT 1�a2ivq
FEB 2 3 2009
Morehead L;i-ly DChA
S
Print or Type Name
Telephone Number
Date: Q

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to C�grles Arc,olcl 's
(Name of Property Owner)
property located at_Lo+ 41 Creek 5-Je, woods Crook5;4s. v.)vodt
(Lot, Block, Road, etc.)
on QV e,er, s C �e.tk. , to Swans bvro 'Ta�unsi��� Dns �o� Co , N.C.
(Waterbody) (Town and/or County)
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 (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
�_ I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
FEB 2 3 2009
Morehead City [)t ',1 '
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CAgo L T s/ nA PS10 J
Print or Type Name
qro- 5705
Telephone Number
Date: z 0g

FIRST CITIZENS 13ANK 12452
firstcltizens.com
CHIARLES A. RAWLS AND ASSOCIATES
1117 HAMMOCK BEACH RD. 326-1408
2/18/2009
66-30/531
341
P.O. BOX 1126
SWANSBORO, NC 28584 m
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c3
PAY TO THE NCDENR **200.00
ORDER OF $ o+
Two Hundred and 00/100****************,**,**************************************************,****************************�
DOLLAR'S B
NCDENR
91
400 Commerce Ave.
Morehead City, NC 28557
s
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MEMO �� J�, Nr
Charles Waterfront Lot
III L 245 2,11 1:053 L003001:0034 L 2 254 2071,
p TjFFb1�
FEB 2 3 2009
Morehead City ()CM

Pier �
n
4
S 76'19'05' W
273.29 '
Lot 6
N/F
James W. Sally
DB. 1293, Pg. 343
CERTIFICATION
I, CHARLES A. RAWLS, PROFESSIONAL LAND
SURVEYOR, do hereby certify that I have
surveyed the property as shown hereon in
accordance with THE STANDARDS OF
PRACTICE FOR LAND SURVEYING IN
NORTH CAROLINA.
Charles A. Rawls, P.L.S. Ir2491
Lot 3
N/F
Randall B. Simpson
DB. 2043, Pg. 1
N 76°29'05' E
333.59 '
37558.81 sq. ft
0.86 Acres
VICINITY MAP
NOT TO SCALE
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FEB 2 3 2009 O
Morehead City
S 76°19'05' W EIP
166.80 '
Lot 5
N/F
Anthony F. Ciamillo
DB. 2042, Pg. 1
LEGEND: REFERENCE:
EIP ... Existing Iron Pipe MB. 20, Pg. 51
CP ... Computed Point Onslow County Registry
40 0 40 80 120
Scale: l' = 40'
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