47173_FLAHERTY, JIM_20070131

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❑CAMA /XDREDGE & FILL '
GENERAL PERMIT
DNew ❑Modification El Complete Reissue El Partial Reissue
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
Applicant Name
Address c, c::`; Rail 0
City -
State ZIP
Phone # ( )
Fax # ( )
Authorized Agent
ElCW N EW
❑ PTA LUS ElPTS
Affected
AEC(s): ❑ OEA ElHHF
❑ IH ElUBA [IN/A
❑ PWS:
❑ 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
1
Bulkhead/ Riprap length1��
avg distance offshore;
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length 7�
SAV. not sure yes hod
Sandbags: not sure yes
Moratorium: n/a yes 1--nPhotos: yes
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Previous permit # v
Date previous permit issued
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
❑ Rules
ZIP
Phone # ( ) River Basin i t-y�-C
Adj. Wtr. Body at Oman /unkn)
Closest Maj. Wtr. Body
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
b`'A V.% I ; C - C-,f,
Local Planning Jurisdiction
Rover File Name

C ,
4
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
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Postal
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CERTIFIED MAIL,.-, ECEIPT
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(Domestic
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Postage $ 3
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C:1
Certified Fee
7
Return Receipt Fee
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tv �_ Postma*
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— Here
(Endorsement Required) .�
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Restricted Delivery Fee
(Endorsement Required)
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Total Postage & Fees
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�fri;ir - ---
. No.;
or PO Box No.
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City, S e, ZIP+4
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Postal Service
CERTIFIED MAIL,,: RECEIPT
-. (Domestic Mail Only; No Insurance Coverage Provided)
U.S.For delivery information visit our website at www.usps.coma
it
DeliveryPostage
Gertified Fee
E3 =�—§ K—P..'ark,
M Return Receipt Fee
E3 (Endorsement Required) ID
El RestrIcIed
Ln
ees
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171
or PC Box No.
PS Form 3800, Junc 2002 See Reverse for Instructions

AUG-03-2005 WED 01:46 PM NC DIV OF COASTAL MGMNT. FAX NO, 4
P. 02
ATb,1`AC1�N'l' RTPA.Rli*AlV PROPERTY OtiVNER STATEME. N'f
�POR A ]V R/MO ORING Pll.lNGS/U0A7'X_IF1%ItOAT110USE)
I hercby certify that I own proNrly adjacent to V/M_
(Nanic of Property Owner)
prup-Arty lot:ttcil at e' 23 _ 7 ,�'lN A _----
(Li 1, Block, Road, etc.)
on —A - —6 _ _ -.-' in 4 N.C.
er1)1)dy) (Tower ancl/ r County)
IIc h;s.s dcscrilxd to mc, as shown below, the development fie is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
(�ilin�s/L�� tli(t/h��aihou must be s;t back a minimum distance of fiftccn feet (15') from my area
of riparian acccs� unlos.s waived by inc.
I do-u-, wish to walvc the setback requirc!incnt.
- ! tlg,, ��ish tn v,live th-m s.:lback requirement.
DFSCRIPTION AND OR' DR:\Wf G OF PROPOSED DEVFLOPNllI NT:
(To be fillet/ in by individual proposin; developrnem)
/i O/OCL 9 /Uww S�Iq L4 -
Print or Typc Name
Tclephont Number
Datt:

AUG-03-2005 WED 01:46 PM NO Div OF CWTAL MGMNT FAX NO, 4 P, 02
A1).ThCJ-!,'NT RTPAR1'A1q PROPERTY OWNER STA,I'Elvr.ElwT
VOI: A I'IERIAM ORING PI1,IiYCiS11?Q,{7'I,IF'7%IIOrtI"IIUtJ,S�j
.ter
i hereby certify that i' own property adjacent to VIAJ
(Manic of Property Owner)
pNl.'%rty located at 3 _ _ _ ( ..
(Lu(, ]flock, Rorld, etc.)
on in
(1�';stttbntly} �(TowIi anti! tr County)
11c h-,m descrilxd to nic, as shown below, the development lie is proposing at that location,
_. anti, 1-���,..l.1AVC no ot�jUtiars to his proposal, i undc;stan� t`at a pi r!`tno ring
liili,tgS/Ut ulif lbinalhokir : must b,� sc.t t)aLk a ininimum distance- of fit (ice n Feet (15') from my ario
of tipirian, ac<•e.e ttnlas.i %vaive;d by m,!.
I S}.4-17L! wiSk to W'Aivc tl+� WdMck rc tluir�st�cslt.
_ I do wiAh to v' livc (h,it Setbac` requitc:rncn;.
1)17SCIt111-1 jNn;O[� DR:%.14'LNG 01' PR0POSL1) DZVFI-0PNf NI.-
('!o be filled in by iiahvidual proposing de�elopmeirt)
p#WA%Z;b AWW 405;IWAL4
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Print or Type Name
2S2- 2-4 �_ 1':--
Tetephone IvumE�zr
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AUG-93-2005 90 01: 48 PH NO D I V OF COASTAL MGMNT FAX NO. 4 P. 62
AY?JA(:I:;W RTRAIATAN PROPERTY U`VNFit STA1'EI4ryN'Y'
(FOR, A 1'IL•'R/bMORINC PILINCSIBOA7'LIF'?%iIOATFIOUt,p
I horo)y certify tlsat I own property adjacent to-�„��A
s
("Name of Property wnor)
Isruivrty Ioc:ticYi at�_ 0/14240�
Ttlock, Road, etc.)
on
,. �
(1�,slerbrt[ly) (Town and/or County)
Ile ha-i tk wrilxkd to mc, as shovm Lu low, the development he is proposing at that location,
anti, T liavc: no obje-ctiorls to hi., proposal, i understand Ehar a pier/rnoorinn
IlUitl.WUNIUMAIM,'house must be &c bees` it Flinirnurrl (Ni - ncc Uf tifroen Feet (15') rrom my v4a
of [i tri.Lrt aCci,i trr,Ias., 6vaivCd by jr;:.
I tW_UA1wiSil to wctiVC 111.: gQLba,:k r�.'CStRi21T1C�1t.
_-.,..., l 0o) �%15h (o 1+,1:vC that S'nl -1C{ requir.,fi-.m.
............... .--------------- --- ............ - - ---- - ..........
M-SCRIM IO A D;ORI T)R:kwf\;G UI, PitopoSE1) DF1,F--
(!'o be fill"d in by individual nroposeng deseropene,rr)
t
4 2
S �ture
Print cr'rypc'Name L
i elcphone tti umbe-