47874_BARRTETT, GERRY_20070221

❑CAMA / ❑ DREDGE & FILL 4V,74 -
r. GENERAL PERMIT Previous permit #
❑New �lpdification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Reso rces
and the Coastal Resources Commission in an area of environmental concern pursuant to 15 N C
0 Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City
State ZIP ,
Phone # O
Fax # ( )
Authorized Agent
Affected ElCW
ElEW 0,PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ HHF '❑ IH ❑ UBA ❑ N/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
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boatramp
Boathouse/ Boatlift
Beach Bulldozing
Other
r
Shoreline Length i I
SAV: not sure yes no -----
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
I
t —
J
(Scale: )
I i '
1
I_ J
� 1
❑ See note on back regarding River Basin rules.
t ��y
PermitOfficer's Signature i
t
Issuing Date Expiratibn 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
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Property Owner)
`L
property located at u'1 z
(Lot, Block, Road, etc.)
on Gore �D1A1 ,in al"fic' ,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/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
AfIz I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Gere S
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G'
MoTlahead City
1142 5ca'�,k� Tar-:
---------------------------------------------------------------------------------------------------------- - - - - - -
Signature
Print or Type Name
Z l,. 2 - Z Z )--
Telephone Number
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Date: L

02/06/2007 TQE 8:17 FAX [phone] Hovis Precision Products
FE8-0�-2HH7 11:25 AM 43F3.AP3T 94Z 573 0431
11001/001
P. 92
CERTJ MAIL M ggCEIPT.9EQUE$TR
DIVISION VL4' UUAb'1AL iv1ANAGiLiviENT
kDJACF-NT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER
FORM
Name of Judividual applying for the permit: 61
Address of property: ---
(Lot or street#, street of road)
Mailing address:�4.:;�C--
(City & County)
phone nunnlier you can be reached at--, M., 916. 01H
I hereby certify the I own property adjacent to the above referenced property. The
Indlvidaai applying for this permit has described to we (as shown on the Attached drawing)
the development they are proposing. A description or drawing, with dimensions, should be
provided whit this letter. .
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 tail [phone] within
10 days of receipt of the notice. No response is considered the same as no objection If you
have been notifked 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 nap area of riprap access unless waived
by me. ' (If you wish to waive the setback, you must initial the appropriate blank below.)
ILI Agw'tsh to wave the 15' setback requirement
I a n wish to waive the. 15" setback requirements
Z tip
Stgnatum Date •�"DJ
Print Name
lileph&e number with area code
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Wachovia Bank, N.A.
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