47864_DENNIS, JOHNNIE_20070219

❑CAMA / El DREDGE &FILL 7 `§-a`1�`"
GENERAL PERMIT ' Previous permit#
❑New ❑Modification ❑Complete ReiReissue Date previous permit ssued
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 ! v I
(t I❑ Rules attached.
Applicant Name "'� , r, r�' ` " �`� J Project Location: County
Address i i I e't All °" f Street Add r s/ State Road/ Lot #(s)
City State ZIP.fJ) / 6 /
Phone # O r " %� Fax # ( ) Subdivision
Authorized Agent '' City ZIP
Affected ❑ CW ❑ EW .fl PTA ❑ ES ❑ PTS
ElOEA ❑ HHF ElIH ❑ UBA ❑ N/A
AEC(s):
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s) __ 1
Finger pier(s)
Groin length
number ---
Bulkhead/ Riprap length1
avg distance offshore
max distance offshore `
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
yes
no -_
Sandbags: not sure
yes
Csno
Moratorium: n/a
yes
�nb
Photos:
yes
Waiver Attached:
yes�'no
no --
A building permit may be required by:
Notes/ Special Conditions
IL I
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit **
Application Fee(s) Chec
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
i
{
❑ See note on back regarding River Basin rules.
Permit Officer's Signature``
Issuin Expiration Date
Local PlanningJurisdiction
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, certifythatthis 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 complywith 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.
(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

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ADJACEIY'[' '.:� 'ice+ '1"Y 0 WN �R 5 I-A/s' , r
(TOR A PIEFJUNCO IER
�D BOII I'll
IF7)
I hereby
Y.,.. i c-'I ti Fy that I ownpropertyadjac-rit to%JY' rt,�- J mmos
.s
Inie of Property 0I'll er)
prr)Perty located at
(Lot, Block, Road, etc.)
on C-b � in �1`FD'�T Q,
(Waterbody) +.C.
(Town a d,`��Countyj
He has des: ;ibed to me, as shown below, the developr;tent he, proPostn ac that
location, and, I have no obj�tions to his r oposal. a
P I unde _ rs�rnd r' ,
1tata -
must be setback a mini
murn distance of nrt=n rat ( i5') fto�, my o<tiipalian ac ;bvn� ss
waived by
F
Ile
I do not wish to waive the seiback requirement.
r j I do wish to waive that setback requirement. J A�� +�l)Cl' 1 .
--------- - - - - - - - - - -
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CRIPITON. �r�7/OR DRAVy�'vG OF PROPOSED &EVE OPT
V (To befined in by indivzdur.I pr posing dgi-ell,pment}
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Print or TyF.2 N-lddle
Telephone Nurnhj r
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Date: `�' o
1

- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERJMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Ta h yt rt 1-C + (4-14 `/ -1 t /1 A 1 S 's
(Name of Property Owner or Applicant)
Mailing address if different from location address (�(���'( f pt7! ✓l C ,
(town, state and zip)
C
phone numbers you can be reached at CQ (9, ny go7'6- ,
property located at t S� acrovi PO i ►'1 r I C 1
N°• -� ,
(Lot, .Block, Road, etc.) 310� 71J j3o& K d 7- j P " IE
O O �g
on 2 C ~2 toe , in CPc Kr7V N.C.
(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/boatliftlboathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived me.
TF 7 r
I do not wish to waive the setback requirement. Yiii + 'L'
q •�,
initials '
I do wish to waive that setback requirement. JAN 3 1 2007
initials
----------------------------------------------------------------M-GrGh adQ'%L-DW
SCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
1
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---------------------
--------------- e� --- ------
Signature
Print or Type Name
Cq lq) S- Vg- qc?7
Telephone Number
Date: ! O
www.nccoastalmanagement.nedPermits/ADJACENTRIPARIANPROPERTYOWNERSTATEMENT.r) f r

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