51013_CUNNINGHAM, TOM_20070905

❑ CAMA / ❑ DREDGE & FILL )
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
❑ Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
ry
City State , ZIP
Phone # ( ) Fax # ()
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Subdivision
51. 11, t 31-
City i I ZIP
Phone # ( ) River Basin I t ! f
Adj. Wtr. Body ` j ` t t• I(nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
(Scale:: )
I
R _
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
4-
J
I
� I
Shoreline Length
SAV: not sure yes i nq� {
• - i...�,
Sandbags: not sure yes ino t
Moratorium: n/a yes Ao _
Photos: yes 1'io
Waiver Attached: yes ,no)
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions ^^`
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
b� ri I
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date .
r ;1
L cal PlanningJunsdiction Rover File Name

r
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, certifythat this project is consistentwith 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/ 1-888-4RCOAST
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

S' Jon c!cior
July 5, 2007
Tom Cunningham
1184 Arboretum Dr -
Wilmington, NC 28405
Broad Creek Construction
oa
o h 43 �J2" i,f v. a of n rot" Un j C ­:'71-ling znh C.-"
concrete dock
102 Bay Shores North
o�r-C -;CID July 5. 2008
28-
2p
."..":rrw Arfic-n ITT. f . ';:t.

• ADJACENT RPAR &N-PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILEVGSIBOA TLIFTIBOA THOUSE)
I hereby certify that I own property adjacent to Tom Cunningham is
(Name of Property Owner)
property located at 102 Bay River Shores North
(Lot, Block, Road, etc.)
on 9� , in Pamlico County , N.C_
( Iaterlbody) (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
i' I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-------- ----------------- ------------------------------------------- —---
------- ---
AiESC `I'ION AND/ORDRAWING OFPROPOSEDDE-E�, E1'
(To be filled in by individual proposing development) Pl�-
i
pLZKT T:09 M
Signature
Ge.a— T/S ,G - min / 7-Al--
Print or Type Name
9/0-ax9 7-
Telephone Number
Date: 2��/©

ADJACENT ENT puFARIAN Fr-,0 G /BD ®LIN BOATI�OUSEENT
(FOR A PIERIMOORING PILIN
Tom Cunningham 's
I hereby certify that I own property adjacent to (Name of Property Owner)
property located at
102 Bay River Shores North
(Lot, Block, Road, etc.)
--- Pamlico County N.C_
on � ( ,in
(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/boatliftiboathouse
must be set back a minimum distance of fifteen feet (] T) 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.
DESC- 11�'IfiION. P�PID/�3►14 DJ �FIItI'dG OF IPI2®�POSED DID IL IP
Q i (To be filled in by individual proposing development) P�L
/� • ao� r�C,s��� I
Signature
�FLbC-
Print or Type Name
Telephone Number
Datc:

BROAD CREEK CONSTRUCTION
PH.252-745-4252
11 CREEKVIEW CT
MERRITT, NC 28556-9572
Ipm-
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5487
66-112/531
BRANCH 01901
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1:0531011211:0 0529278 II'05487