53008_ROUSE, DWIGHT_20081107 (2)

CAMA / D DREDGE & FILLS�
GENERAL PERMIT Previous per ' #
❑New, �Moi�ification []Complete Reissue ❑Partial eissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resou es f
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC < lIf
❑ Rules attached.
Applicant Name Project Location: County _
Address
City ! r 1 "s -� State ZIP
Phone # '-Fax # O
Authorized Agent j
Affected ❑ CW ❑ EW I] PTA [�.ES C PTS
AEC(s): ElOEA ElHHF ❑ IH ElUBA -I N/A
❑ PWS: ❑i FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
t
Bulkhead/ Riprap length 7X }
avg distance offshore 2'
max distance offshore t I
Basin, channel �f
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
yes
no
Sandbags: not sure
yes
no
Moratorium: n/a
yes
no .
Photos:
yes
no ;
Waiver Attached:
yes
-no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed. Vame
L )l ,
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Street Address/ State Road/ Lot #(s)
1 ) .. r —4 f
Subdivision
City
ZIP
Phone # () 1 '� ver Basin, i f,
Adj. Wtr. Body f ''� (nat Jei n /unkn)
Closest Maj. Wtr. Body
(Scale: j )
❑ See note on back regarding River Basin rules.
Pe t -er s Sign e '
I i D2te E> iraiioiYDat
s
Local Planningjurisdiction iJ a

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
252-808-2808f 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 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

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE
LOCATION:
PHONE: O rl1— ``J --0
DATE OF INSPECTION
1)
MONITORED
DATE REPORTEDLY COMPLETE:
Do the asured dimensions of the development differ from those indicated in the permit and workplat?
YES/Vircle one].
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [circle one]
COMMENT: 1/ / / / /
3) FUTURE MO RING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YE / O [circle one].
COMMENT:

4 2008
Moreheitc j Gib► ®GM
l of Environment and kknffiral Resources
North la�nlira eparmef L ,yuulu1
o4 Coastal Rnaga ,
William G. Ross Jr. Secret Irk
. Q u
Nlichaei F Easley: Governor h�.�lac S. ��Jii�S, SIPa�'a~�i"
Mite I I- - -o
Applicant dame 4
Mailing Address ess P
I certify that I ha-ve autborized (agent)�
to act: on xHa'.-
behalf, for the purpose n� 3�Hxzg >rj a► -, Gl-+ ,� ;
applr._ I A. Permits-anece;9s��v o - — — - -
install or construe' (acti' it-v)
C—
at (location)`1t4b P—ly*6 fMA 14TI C.
This cerl
Siaaaatw

v_ r
5 v
40V
Zoos
_ YTi � 'y: 3T1C�-� ��1 '• :'� 3 h _�
--
(FOP, A PIERIUNTOVcRED EOAT �"' efi du �'� cm
I hereby C:r r [nat I own proper_;; adiactn[ to 's
BLbCJ4 of sroP_rtv 0+�Der;
prnrr`Ci'y IG'C2Ced a[ � �� !J
(Lot, Block, Road, etc.)
onMAt4 MAVE CArAL in r c i N.C.
(Waterbody) (To--n and/ori Co+ unty)
He has described to me, as shown belo',v, ti7e deve.'opr7ent he is proposing at Chat
lc,:ation, and, I have no obje: Lions to his proco&aj. I understand ghat a pier/uncover d boat L-
must be set back a minimum distant-t or iliU--n fit (I5') from my jar --a of npanan access unless
waived by me.
jo not wish to waive the setback re"uirement.
to wish to waive that setback reauLrement.
DESCRIP'TIOiti :k-ND/OR DRAWENG OF PROPOSED DEVELOP?vL�'. -I:
(To be,'Ued in by indivi.ducl proposing develbpmerzt)
I
o-( 3� 'S
u S
P A --
Signature
Pnn or Tye
Ttl?,hone i`lumc!
Date:

11/10/2008 09:48 12527262865 A B COOPER JR PAGE 02
2)[P" �' _� ^R�;1tA.; �!
�-+�,J C�•. .:{J. C'•.' 1t117...1,'1 T I l J , ;,,-�_.5 _ 0 0 1- E
FOR .4 PIER/UN'-0 VER D BOA7 LIM)
I
I nerety c.= ly t-;at ad ar,nr i',�v-1
proper y ic�catc at.
PIC-C'k-' _R;) cf, etc.) ---- -
(Vr3t�rbvdv) �70 AM a•ad ari Cructy
Ee has dCSc_,b ;1 10 me, as ,hown b•io�, �`:C i vc'r . r,
e �)�.+ cl<r he ;s �ropos�la at rt,;�
1CIC15Cttv1, arr, r h3v,_ o objz±�o,ys :c h:s �7IJy`Ur>. I I tl4�e"Si.?t1^ �f�c[ a FiCr.%u:7CJvera-d bc)ai L'
i.,GJI vC' jet ��:1 a :^;1 n purr, disc �G= br ili'C ':2 ice'.; (:]'� R-Gffl rily' jc' to
wI'Ved ":v Mc. aes�
' o not ubCk
^^ � I jI.Q wish to a2ivc L~ Z' setback ivc;siremenr.
l)ZSCRL'-'U0N A-YD/uR JDIRAV�-
DiG OF PROPOSED DEv LLID�'_
j � d b=;'..L'ed i!t b;: indivzd:k�1' c.-op�si.�,� dPv�l{�pmertl
C�5���7 d�.e
Received Time Nov, 9. 10:29AM

R & J GROUP
P. O. Box 1885
Morehead City, NC 28557
252-72b-1253
II-/,;I-09-
1153
66-112/531
feauas
u Delaiiz an
Beck.
1 BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT-com
1160000 L I S 3ii' 1:0 5 3 10 L L 2 0:000 5 2'9 7 68 7 9 2 3110