44728_WARREN, JULIAN_20060327 (2)

4CLACAMA / DREDGE & FILL J
; -NERAL PERMIT ' �
Previous permit #
ew ❑Modification `1Complete 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
Applicant Name �'" I,' J �'.� ✓, �^ Project Location: County __
.-I
Address_ l �') Street Address/ State Road/ Lot #(s)
City State AJ C. ZIP , l
[] Rules
Phone # 1 Fax # Subdivision
()
Authorized Agent CityZIP
Affected Cw Ew ❑ PTA El ES ❑ PTS Phone # ( ) -- River Basin
AEC(s): ElOEA HHF IH ❑ USA El N/A Adj. Wtr. Body _ gnat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body --
Type of Project/ Activity
(Scale: )
Pier (dock) length
{
Platforms)
Finger pier(s) _
Groin length
number
Bulkhead/ Riprap length I _
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes no --- — —--------_--_ -- ---- --
Sandbags: not sure yes no -
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes po - -- -- — -- -
A building permit may be required by: C See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name t f�� "' {4!4VIritOfficer's Signature
MAR 2 7 2006
Signature Please read compliance statement on back of permit Issuing Date Expiration Date
_ Morehaa,d (City 0CM
ApplicationFee(s) Check# 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
Iandowner(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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules Ll Other:
U 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
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, INC 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 06/29/05

MAR.21.2006 6:25PM NB INTERNAL MEDICINE 252 6339443
N0.6472 P. 1
A Dj,&CENT rtYPAltLAv rRoPMTX oWr J= STATETrr ,
(FOR A PjF"00jt &W PIIJIV $N0A7ZJF=0ATV0VSfD - -
I i,et�y oortitjr utae I owo pwpaty ad�t�enc to �� I�i_ "(' bJ�► �nlrUtae,r - 's
04 me dt Property Owner)
proputylocatedat r7
(Lot, Block, Road, etc.)
�inA4��N C.
(Waurbody) (Taxn and/or County)
- He has descrgied to m, as Aum WOW. dre dcvdopm mt be is prposlPg at that
location, and, I haft no objmlimu to his pmopouL I uodustand that a picdmooring
must be. set bade a a i I m St ance of 'them fed (I5' fmm my am
of ripitmn access wkz waived by roe.
I ,fie not wish W waive the setback requirement.
1 dQ wish to waive that setback requirement.
DESCRVTION AD/OR DRAWLNG OF PROPOSED DEVELOP:HFM:
(To be jUUd is by iadiWud pW@Ava depdopmrO
j305V.t SoU-J�
I
---
9 M°QRw5 Q� 350
oFFs4„�►k kzD ►
I Belk -
Signature {,
PWll�(W w�D
Print or Type Name
(� s)� 6 3 -3
TckphAe- Number

? ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(TOR A PIERIMOORING PILJNGSBOATLIFT/BOATIIO[ISE)
I hereby certify that I own property adjacent to wa%ment - 's
(Name cif Property Owner)
property located at / I -7 -- �/ OV
�J
(Lot, Block, Road, etc.)
on _k oe ippt.P J O u, i r% , in Ne uv d %T-� CAI-1 eR 2t N.C.
(Waterbody) own anEo-r 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 beset back a minimum distance of fifteen feet (151) 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.
-- ----------
DESCRIPTION A'L\9D/OR DRANNDiG OF PROPOSED DEVELOPMENT:
(To be Id -led in by indiridual proposing development)
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---------------------------- -
---------------------------------------------
Signature
Print or Type Name
Telephone Number
IV 1 ck;

DOR•MOR, Inc. �11 som xavyj�
Nary---�S is N 1,-- Phone #
Boat Size Type LengthZ Draft Beam �`U Oe Displace
Approx. Wind Load 64 kts. 100 kts. Bottom Type —
Depth
Anchoragell) ,� Harbormaster
Comments
Scope_-d
Dor- r Anchor Site
Buoy Type ^-�,Z5 ' Buoyancy S-S,
Shackles $ C
Swivel, Eye to Eye $9
Top Chain Weight Z'i`%- $ ___55
rwmr+�t
s Rhq l
Bottom Chain W tC�D k-:;a,6 S _14D Sfl__
de 4
Pennant Type y ya $ +� F.. oA.r
Chafe Guard floats
47911
Z
Pick-up '1� _�-;;Z_— 3 %,�
Total Weight- 'C Ship & Handling $ �s�'I �v :•�`-`
Total Pricet6�
L.C'y
Sentinel Weight —
DOWWR--
S
sM"10011 She
g 0\
Swfwl
shscm
LVa Rory c�In
Sim
Lamp _RZ
MWOMO __:�
So" Wire AN Shacklw
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.... PO Box 461 . Claremont, NN 03743 9 Phone/Pax: 603-!5 412-7696

RD8, LLC
384 BEARDS CREEK RD
ARAPAHOE, NIC 28510-9554""X\e,` Date OZ 66-112/531
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