47281_THOMPSON, DEMUS_20060913

0CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous per it
E]New ❑Modification DComplete Reissue ❑Partial Reissue Date previous p mit 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 f R
Address >�� K-�'' /•:. s % / --� T Street Address/ State Road/ Lot #(s)
City `'! i t State : VC ZIP
Phone #
Fax # O
Subdivision
Authorized Agent
c'
_;:- '',; ±'' ' ' : ,
City
ZIP 4 2
❑ CW
❑ III
❑ PTA ❑ ES ❑ PTS
Phone # ( )
River Basin h
Affected
ElOEA
AEC(s):
ElHHF
❑ IH ❑ UBA El N/A
Adj. Wtr. Body
(nt /man /unkn)
❑ PWS:
El FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: /U 7 % )
Pier (dock) length
Platforms)__
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/. Boatlift
Beach Bulldozing
Other
i
-+—� —
+---
-_. -
j � r
I
- !—L L I 1
-.—_� I_
Shnrelina I moth 1 - i I-�
SAM not sure yes (no/- !
Sandbags: not sure yes /no - j -
Moratorium: n/a yes d—i, — !
Photos: yes -
Waiver Attached: yes - --
A building permit may be required by: ' ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
te
Signature Please "read compliance statem i I
Application Fee(s) Check #
r
uing Date I Expirition Date
Local 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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
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

I, Demus Thompson, give Scott McAnulty my permission to apply for a boat lift on my property
at 205 Atlantic Beach Causeway, Atlantic Beach, North Carolina 28512,
pme 1 1p 13 S�- .
(a tea) - a -3q-1 —i
off"
Demus Thompson

I
I,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILLYGSBOATLIFTBOATITOUSE)
J
I hereby certify that I own property adjacent to 1 F /
property located at
(Naine of Property Owner)
s- 1 7 z AV 7-1 C 13,E4 c
(Street Address, Lot, Block, Road, etc.)
on iC1�U&,�_ -S&c/la NAB-., in 7't/4 Av 7'/C RCH' A/C ,N.C.
aterbody) (Town and/or County) 2 '� 5 > 2
He/she has described to me, as -shown below, the development he/she is proposing at that
location and I have no objections to this 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 have indicated my intentions by initialing below -
{ ,- j
,7
I do not'agree to waive the 15' setback requirement.
(initials)
, -�) [0 . I do agree to waive the 15' setback requirement.
(initials)
------------------------------------------------------------------------------------------ - - =
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
o I 3'4
Signatur
Soh`,k W_%Wts
Print or Type Name
L22;2)2 �q-1-2'�3�
Telephone Number
Date: 7 12— -5 �© w

DIVISION OF COASTAL MAN AGENIENT
r
ADJACENT RIPARIAN PROPERTY- OWNER NOTIFICATIO--Nn AINTER
FORM
Name of individual applying for permit:
Address of property:
(lot or street #, street or road)
(City & County)
I hereby certify that I own. property. adjacent to the above'referenced property. The,
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
I have no objections to this proposal.
Ifyou have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION Ct
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
S Vj I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
A-) Db�- '712 /0 (c,
Signature Date
SO V-1
Print Name
Telephone Number With Area Code

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PIL INGSIBOATLIFT/BOATHOUSE) I
6 VV('-'LS �l l ,J
I hereby certify that I own property adjacent to � �`B�t r`o
property located at
(Name of Property Owner)
2-0 S t_ R P3 7- i 69 CA cqj-ks
(Street Address, Lot, Block, Road, etc.) `
on D �c�c�, in a f LAA3 i / L j6`—" , �2zN.C.
(Waterbody) (Town and/or County)
He/she has described to me, as -shown below, the development he/she is proposing at that
location and I have no objections to this . 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 have indicated my intentions by initialing below:
.I do not"agree to waive the 15' setback requirement
(initials)
fj I do agree to waive the 15' setback requirement.
(initials)
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
X'0'� z�
ignature
Print or Type Name
(2sZ) 2y6- 033' 1
Telephone Number
Date: "Ac

l.L N A AT 1.Ga./ ly1�_.11_j — xVU I UD-1 N INI 1-L1.r 1 MFJV UF'o 1 EL
• DIVISION OF COASTAL :CIA-iAGENIENT
ADJ A CLNT RIP ARL-�_N PROPERTY OWNER N OTIFICATION'A-VAB"E, R
FOR -NJ
Name of individual applying for permit.AU Q `' -2 _
Address of property; -
(lot or street #, street or road)
(City & County)
I hereby certify that I own property. adjacent to the above'referenced property. The
individual applying for this.permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this -letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call [phone]
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
2 )
ignature V D to
Print Name
. 2 ._�5— Z — Z- VO -- G � 2f
Telephone Number with Area Code
;.`r.-t�...ti Z;Sii� C'c' _. �_.r�:r.'...# :i,�t:�r��.'.t: :�•..;_ r, +.rvL.

`eIiI:E e_�2 �qI-y%6(-/ I
V
fi�� �-e , Tko npSo 4
ow t1�1 r l mus

SCOTT MCANULTY NCDL 3431075
252-247-0503
2507 EMELINE PL 1768
MOREHEAD CITY, NC 28557
91 66-7704/2531
Date
Pay to the
Order of �C P IO 1$
State Employees' Credit Union
62 % Morehead City, North Carolina
For�v`6
e:2531770491:0Ei6271236410 1768
SCOTT MOANULTY NCDL 3431075
252-247-0503
2507 EMELINE PL
MOREHEAD CITY NC. 28557
Pay to the
r of C �r'n!oe
CvVF nu -40—
v
1766
66-7704/2531
Da et
State Emplo ees' Cre
dit
U7110n - Dollars B o.,.,...
62 MoreA- �+=k.
ad City. North Carolina
For
1:253177049l'
•08627123641n
' 1766