34747_RICHARDS, ROBERT JR_20030827

iCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
❑New ClModification LiComplete Reissue DPartial 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
Applicant Name i,k'J Yr'``t IC.i P:t0,�
Address t 1 { <
City_ S t' {-(s at_t Jf T_-State ,. A ZIP
Phone # (�P:X� `-'kXt' } - << X) Fax # ( )
Authorized Agent (�
Affected O CW O EW tjIPTA 0 ES ElPTS
AEC(s): OEA C HHF 0 IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
ORW: /yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platfo
Finge
Groin
Bulkh
Basin,
Boat
Boath
Beac
Othe
Shore
SAV:
Sand
Mora
Photo
Waiv
Waive
Previous permit #
Date previous permit issued
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision(
Gry r' • ZIP
Phone # () ',+�C River Basin
Adj. Wtr. Body ' star I Yf� _ (nat /man /unkn)
Closest Maj. Wtr. Bodyr' )r
(Scale:
h
r
rm(s)
r piers)
length - -
number --------
ead/ Riprap length [w 4 L
L�W t
avg distance offshore
i
max distance offshore
channel - 1 - - -- -
I {
Cf
cubic yards
rampe/ Boatlift
--- - - - - . - - — -
ous I
I L
I I I 1
Bulldozing PtA-r $ _
j I i I I C I
line Length
--- •-- � - ,c �'�``. ; �!"� .ri.. -.� , - - � may. �.._ �! _ �,..
not sure yes no »- -
bags: not sure yes `'no
torium: n/a yes no L` ~�kY
s: Q'e3 no4t�t__
Attached: yes no
A building permit may be required by:
Notes/ Special Conditions ( `t
} L-T-) ) 1 /4
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
E See note on back regarding River Basin rules.
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
�. 1�-_.�.�i��"„R,__�s.'.�3 p ._. �._��-�`Y ��z--r•�l`�,.�-a.^' �,'�'�`A3S�`+'"t".':t�`�''"��i�'��Mr .Y7' 1 v �.�,�°
A building permit may be required by:
Notes/ Special Conditions ( `t
} L-T-) ) 1 /4
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
E See note on back regarding River Basin rules.
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
�. 1�-_.�.�i��"„R,__�s.'.�3 p ._. �._��-�`Y ��z--r•�l`�,.�-a.^' �,'�'�`A3S�`+'"t".':t�`�''"��i�'��Mr .Y7' 1 v �.�,�°

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 L__ 1 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

MELISE CAGLE
p.& BOX 296 NC 28531
HARKERS ISIl ND,
PAY TO THE
ORDER OF
IJBS PaineWebber 591
Resoure Mana
ement Account 25_80/440
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DnTE<'� t
1
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A g C D E F G
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BANK ONE, N.A. / D
Ohio 43271
s
Columbu,
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Sent By: W BYRD or T DRAKE; 9194671842; Jul-10-03 16:18;
juG-iu-eUUJ tnu t1J;41 en NC VlV OF COASTAL MGMNT FAX NO. 4
Page 6/8
P. 06
ADJACENT RIPARL-kS PROPERTY OW-,NT-R STATEMENT
(FOR A PIER/MOORING PtLINCS/BUATUFTIBOATHoc'SF)
f hereby cer'�Py that I own property adiaccnt to A.t,Q,
(Name of Property 0% ner)
prooe.-y located at 1-7 5— f<\ks 1^ fp iyi-i-_
(Lot. Vock, Road, etc_)
On_ D0.C1C S`GuW51 , in r "-s i-5 leiA4
,Z
(Waterbody) (Town and/or County)
CAY-+-ex c+ Op
He has described to me, as sl-iown below, the dive?opme:1: he is proposa' (.J;c Iocal
and. I have no objecdons to hir propose. I u:idc:s:�nd tra: c piv'
J .-� moo
piliiS5;'Wa:1ift/boathouse muse be K. back a minimurn distance of fifteen fc._ {:5) from my
Of T-mmH2n access unless waived by, me.
I 9__n t wish to u. ;ve the setback raauirecnenc.
I dD wish to wave t:_at setback rt_uire;neyc.
-____
DESCRIPTION AN-WOR DRAWLNG OF PROPOSED DEtiELOP [E ,T.
(7'o be filled in by individual proposing development)
0.ftal C k_�_ Ck. ,
5i_!faCure
vpd Name -
a- - 0cA
Tc!�p�,ona number
s
C.
n,
NF!

Sent By; W BYRD or T DRAKE; 9194671842; Jul-10-03 16:18;
JUL-iu-cuuo tnu UJ;41 Fn NG VIV OF COASTAL MGHNT FAX NO. 4
Page 7/8
R 07
76► L Fors)
y
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTI1l;ICATION/WAIVER
Name of Individual applying 1 ifor Permit_
Address of Property:
r )CZTS
us In IPA'14+ (tea
lJ , C ,
(Lot or Street #, Strw t or Road. City & County)
T hereby certify that I own property adjacent to the above referenced property. The indiv' ual
applying for this permit has described to me as shown on the attached drawing the developr iont
they are proposing- A description or drawing, with dimensions, should be provided with this
letter. /
I have no objections to this proposal.
If you have objections to tviiat is being proposed, please write the Division of Coastal
Marwgeme►tt, flestrnn Plaza 11, 151-1I, Ifivy. 24, Morehead City, NC, 28557 or call (252) 08-
2808 withirt 10 days of receipt of this notice. No response is considered the same as no objec rion
if you have been noted by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must
set back a minimum distance of 15' from my area of riparian access unless waived by me, (Tf y
wish to waive the setback, you ntust initial the appropriate blank below.)
1 do wish to waive the IS' setback requirement,
I do not wish to waive the 15' setback requirement.
Signature Date
—_('f- : 6&/L4
A—r7—
Print Narne
S
Tolophone Number With Area Codc

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/03