34593_SLOAN, TIM AND KARA_20030805

7 CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
-'Nevi 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
`; Rules attached.
Applicant
Address
City--- State ZIP
Phone # (_) Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(.,): ❑ OEA ElHHF ElIH ❑ UBA C N/A
❑ PWs: ❑FC:
ORW: yes /r PNA yes t'no ! Crit. Hab. yes / no
Project Location: County_-___-___--_
Street Address/ State Road/ Lot #(s)
Subdivision
City---------- ----
Phone #
Adj. Wtr. Body
Closest Maj. Wtr. Body --
ZIP
River Basin
(nat /man /unkn)
Type of Project/ Activity
(Scale: `i ; i e— )
Pier (dock) length C1C�,� --
Platform(s)_(a5'j4' �-_.._ I I • _i ,.i .� -�— � -`�
4
Finger pier(.,)- 3,X&
Groin length
numbeP P length
Bulkhead/ Ri ra len h
av distance offshore
g
max distance offshore
Basin, channel
—
cubic yards
Boat ramp
/
Baatke�a{BoatlifG .2� wZ �K //Z-�
Ury'eyeA- e-
I;_
L6
A
l
JIG
;
- -
J
r
!
1— 1
-
--
_
... �.
--
- --1-
—. _.
I
h • .,
I
-- --
-
I
----- -
--
�P
Beach Bulldozing
Other
Shoreline Length
gt
SAV: y not sure yes n
Sandbags: not sure es n
Moratorium: n/ yes no
Photos: yes
Waiver Attached: yesj Pnl
A building permit may be required by:
Notes/ Special Conditions�t
-'
-
i
--
-
10I
I
rules.
Y!
on back regarding
❑ See note
River Basin
Agent or Applicant Printed Vonle
Signature Please read compliance statement on back of permit e
Application ee(s) Check #
eI--
tcx' ./ A
Issuing Da /_ / t Expiration 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 Other:
i 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax:[phone]
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)
Morehead City District
151-B Hwy. 24
Hestron Plaza 11
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

ERIC B. ELLIS NGDL 65047 2502fi
JASA M. ELLIS PH [phone] 66-30/531
205 NOTTINGHAM DR. 133
MOREHEAD CITY, NC 28557 Date
Pay to the $ /00,60
Oi-derof—.N,/—
r/''�j-Ai //a Dollars
FIRST CITIZEN5133
Bank B Trust CompanyBANK Atlanuc Boach. N C. N5 2
www.firstcitizens.com
4�,� NP
Fol 35�5
,:053100300':001317448780I1- 02502
L—m.!— — — — — ---- GUAFUTANM SAFETY BLUE ESOL

JUL. -?8' 03 (MM 09:53 KENNON GRAVER ET A TEL:[phone] P. 001
ADJACENT RVARIAN -PjtopERTy OwNEEIt S rXrE1vI :NT
(FOR A PIRRI'NfOON&G PII;ING,S1II0ATLIF-r1B0ATl'IOUSF,)
F LIG 0 1. 2003
1 hereby certify that I own property adjacent to ko r« 5 o 's
(Name of Properly Owner)
proixrty located at O o. L' e
(Lot, Stock, Road, ctc.)
on �-- �� `� -"` � �o u.'� in _ � �r ^ c-
(Waterl�ody) (Town and/or County)
He has described to me, as shown below, the dcvelopment he is proposing at that location,
and, i have no objections to his proposal. I undersuind that a pier/mooring
pilings/boatlift/bolthouse must be set hack a minimum distance of Fifteen feet (15') from ►ny area
of riparian access unless waived by inc.
— V11*0 I do not wish to waive the setback requirement.
1 dQ with to waive that setback rcguiremCnt_
--------------------------------------------------------------------------------------------------------------
WESCT IFFION AND/OR DRAWING: OF PROPOSED DEVELOPMENT:
(l'o lie filled is by indivirlual proposing development)
Iwo bTPk 0-^
11 i.
------------------------------------ ----------
nature
Print or Type Name
(It!/ ps - eys-1 &t
Telephone Number
1)3ta:� e r 14 03

01/01/1995 00:02' 8499711777 TIM SLOAN PAGE 02
ADJACEW RIPAR UN PIZOPERTY OWNER STATEMENT
(FOX A PlEWIMOORING P1f jNGS/ItOAT jF'r130AT11'OU5F,)
+° 2003
I hereby certify that Z own property adjacent to .$
(Nanie or Property Owner)
proixrty foeatcd at l `� 00, L= e ci - �y ,
(Lot, Block, Road, etc.)
on �3o vie— Sov,V-�k , in Q nC- Y-
y (Town Andlor County)
He has described to otre, as shown below, the deveioprilcitt he is proposing at chat loca(ion,
ancl, 1 have no objections to his proposa)_ I understand that a pier/mooring
pilinguburltlift/bonthouse must be set back a ritinimum distance of fifteen feet (15-) from my Arta
of riparian access tinfoss waived by me.
I da rnt wish to waive the setback requirement.
1 110 wish to waive that setback requiremcm.
----- ------------------------------------------
DUSCit1MION AND/OR DRAWJNt: OF PROPOSED DEVE1'.OI+iViEN : �f
r (Ta be filled in by individual proposing development)
3
.0 C
Tb?%hn,IJ V, A-crec
Print or Type Name
s -2, 7-7-3
Telephone Number

IMPORTANT MESSAGE
FOR
DATE
M, ' f 01\ O�,Ltiei
TIME
A. M.
P.M.
OF
PHONE
AREA CODE
O FAX
0 MOBILE
AREA CODE
NUMBER EXTENSION
NUMBER TIME TO CALL
r, ..tugs
SIGNED
TELEPHONED
PLEASE CALL
CAME TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
RUSH
RETURNED YOUR CALL
SPECIAL ATTENTION
FORM 3002P
MADE IN U.S.A.

MAY. 2.2003 8:42AM CRAVEN DIAGNOSTIC NO.846 P. 1
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MAY. 2. 2003 8:42AM CRAVEN DIAGNOSTIC NO- 846 P. 2
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MAY. 2. 2003 8: 42AM
NO. 846 P. 3
CRAVEN DIAGNOSTIC
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JUL. -10' 03 (THU) 08:37 KENNON CRATER ET A TEL:[phone]'3 P. 002
01/01/1995 88:88 8439711777 TTM SLOAN PAGE 03
ADJACENT RrPARLAN PROPERTY OWNER STATENEINT
(FOR A PIERIMOORING P1L1NGS1BOA77 F7YEOA
,go C 517
I hereby certify that I own property adjacent to=N)^ 1%V& ke-m S (OQh .S
(Name of Property Owner)
prolx:ty lasted at © 6a�%Q+ Dr
(Lot, Mack, Road, ete
J� �r►o 1( S�errS
on sbuj^l , in a �d k v1
N.C_
( atcrbody) (Town and/or County)
He has described to me, as shown below, the development he is propos;r.� at that location,
and. I have no objections to his proposal, I undera pie;lmoorinQ
stand that a
piiin'MmatliMoathouse must be se; back a. minimum distance of fifteen fee_ t from my area
of riparian access unless waived by me.
I ant wish to waive the setback requirement.
I SLR u-ish to w 'ttat setback re;tiirernenc_
~•._- DESCRrMON ANDIOR DRAWZPG OF PROPOSED DEYELOPNfEN-r; ' ----- IV
(To be filled in by IndiYidual proposing development)
fir— kl--A
�ftS\I�� �8c�'�" �e T'T a1n W`�g'4' S; � • e i ` f � �
5;� S;a-[( 3 A a; w :
3 Veec�
Sign turre
A)
�o
�y
Print or Type Name
7ticphonc Numbc:

01/01/1995 00:02 8499711777 TIM SLOAN PAGE 01
ADJACENT RIPAR-AN PROPERTY OWNER STATEN EN'fi
(FOR A PIER/MOORING PILINGSIBOATI, MBOATNOC,SE)
I hereby certify Char I own property adjacent to I - M "k
1, &*-a �
(Name of Property Owner)
prope, Ly located at 8 �� 1 C �� 'Dr Q l
\ +� ^-n t 1 5��
(Lot, Block, Road, etc_)
on S!�, LA in Ca r- �ri c-.- tn N.C.
(Waterbodv) (Town and/or County)
He has descroed to me, as shown below, the development he is proposin.1 a- that location,
and, I have no objections to his proposal. I understand tha: a pier/mooring
pilings(boadifdboathouse must be se --back a minimum distance or fifteen fee: (15') from my area
of rioa_*ian access unless waived by me.
I dn—n2t wish to waive the setback requircmenc_
I d1 wish to waive L! at setback recuirernent_
------------------------------------ —---- ------------ -----------�,
DESCRIETION A.ND/OR DRAWLrG OF PROPOSED DEVELOP>rEN-T: /\ N
(To be filled in by indiv&ual proposing development) 11
. 11
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I O
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Signature
V A-e-r-ee-
Print or Type Name
Z5 Z - z-q7- _3
Telephone Number
J
Date: z JLZ