49757_DAVIS, CLIP_20070716

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❑CAMA / ❑ DREDGE & FILL 4975
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue El 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 I SA NCAC
❑Rules attached.
Applicant Name Project Location: County
Address ' r:. h Street Address/ State Road/ Lot #(s)
City (` State ZIP
Phone # (',) .` € �� Fax # (�) Subdivision
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ElOEA ❑ HHF ❑ IH ElUSA ElN/A
❑ PWS: ❑ FC:
ORW: yes / no PNA •eyes / no Crit.Hab. yes / no
City ZIP /l
Phone # ( ) River Basin
Adj. Wtr. Body ('nat. /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)—
Finger pier(s)
Groin length
number
Bulkhead/ Ripraplength
av distance offshore
g
max distance offshore —
— —
Basin, channel ---_—
— T----
�-
cubic yards
Boat ramp
_
i
Boathouse/ Boatlifv
Beach Bulldozing
—
Other
Shoreline Length
SAV: not sure yes no _�
Sandbags: not sure yesiio
Moratorium: n/a yes no
Photos: yes no
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"
Application Fee(s) Check #
Permit Officer's Signature
(f`
Issuing Date Exprration'Date
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:
❑ 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

JUN-11-2007(MON) 15:05 SEE,GARS FENCE COMPANY
Px Date/Time MHY-17-2007(THII) 10:45
09/17/2007 09:48 2S27264897
t
(FAX)910 3d3 8d75
2527264D92
INTRACOASTALMARINECO
Narth Carolina Departmtant:oi>`E'i OR;I r
1]ivisfon o>F;Gd��'��I��III�
Michael F. Easley, Governor CharIBS' S..�bll'S,
'Date
eht and Natural Resources
Applicant Name
M90iing Address _ 3 a-
P.0021004
P 002
PAGE RM?
William G. ROSS 4, Secretary
I certify that I hive aothoeix : 2 •: t to act on my
be'hal[f,'for the purpose of Applying for and obtaining all CAMA Permits 4ecesad#y to
install or canstruct (activity)
at 00catlon)
oc'Y A,)Lez u�
This certifiieation is varid th u (date) �
Signature
06 41�
4PQ Commerce Avenue, Morehead City, Morth Carolina 28557
Phone: [phone] FAX: [phone] C Intamet wwwxcooastalmanagernent.riet

JU,N-11-2007(MON) 15:05 SEECRRS FENCE COMPANY
(FAX)910 3a3 8a75 P.003/00a
gate/Time Mf19-17-2007(THU) I0:65 i?527264n92
1/2007 6�3:ap 2U272S4e92 P.ON
INTRACOASfALMARINECO PAGE 0I/e2
ADJACENT RI'AMN PROPERTY OWNER STA TEIYE]VT
(FO,RA PrE'R1U00R�JNGPrLLNG"OAWPMOATgoIjSC,)
X hereby CIVVy that I own propc ty adjacent to
i
(Name of i'ropexty Owrtr or Applicant)
.
Mailing flddress if different fcart� ioca[iott address D {� Qcfy!
(fawn, scare and zip) _UAmw •.��,.r �� * -1 r. '
phone n=bers you can be reached at q Q 3 Sri 2 yr
propccty located at.
fVQ'+TSr; v�
t✓
-�' D�, BtBlockRood, etc.)
On
(i'Varrrbody} . is
(Cowin and/ COliuty)' Kc,
He has described to We, as Shawn below, the development be is proposing at U7at IocatioA,
and, Ihavcno objcciions to his ,proposaL Iunderstgnd that a pieztmooring pi]ingslboatjMoathouse
must be set back a minimum distance of fifteen feet
waivers by me. (15) from my area o£ripariart access unless
-- I do not wish to waive the setback rcquireMcnt.
intrla�a
I do wish to waive that setback mquimment.
--._---- -----------------
DESCRIPTION A.NDJOR•�1R.A.i� ING or+' -..______----------------_---
DESCRIFRaa�asl�n nEvEI,o , , N•r:
(1'o be, f�uad in byallf1posmg development)
l2'
AJ
.- too,
X
r -
---------------- - -- -- ------------- -
`'Sigrian�rs
, Mint ur a Nerve
7 _ 5 2-7
Tcl4phonu Number — -'-
Date: d 7

JiUN-11-2007(MON) 15A 5 SEEGPRS FENCE COMPANY
(FAX)910 343 8475 P.004/004
ADJACENT RIPA.RUN PROPERTY OWNER STATEMENT ��IM001UNG P1LPVGS1R0ATUAV7`/DATffOU,S,E)(FOK A PI -5^ 2 1- a %
X hert:by certify that I own property adjacent ca ... 1. -
rName of i'reintrty Owner or ApP[ienn!)
Nlaiiia- address if different from, iocation address D �pK d $`1Sr
- ,
(town, stata and zip) _ . f:Ae Ao 44,1
phone numberq you can be reached at -3 VY ?2 4� �
property located at -- _ 1$$ Aleq re-
(Lot, 810844 Rond, ctc,) L. f f/-e
on , .•
(Watcrbady) (Tnwn and! County)
Ike has described to me, as showa below, the development he is proposing at that location,
and, i have nv objwdons to bas proposal. I understand that a pier/mooring pilings/baatiiftlbvathouse
must be set bade a rninimilm distance of fiftc= feet (15) from my azca of riparian access unlass
waived by me.
I do not wish to waive the setbnr-k requirement.
iril2inf� .
I rho wish to waive that setback requirement.
iairials
AESCRIMON AND/OR DRAWING OF PROVOSED D.EYELOPM , NT:
(To be filled in by individual proposing development)
(7r`a,D oz /U.2w,J �� lZ'� Ci(:.r�%�J Y• e ✓
�ytl�o7
--------
Signature
-&o L CVOAw
t'nat or'l Name
Ti;Il phone N❑mbcr
--------------

EUGENE C. DAVIS NCDL 657749
Deborah R. Davie NCDL 2750030
Ph 910-686-9023
6212 Timber Creek Lane
Wilmington, NC 28411
Pay to the ,��. ;
Order of "/
rl
U66
66-21/530
BRANCH 111.1
Date
WA.CHOVIA
Wachovia Bank, N.A.
wachovia.com����
For_ V Iv
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