48984_BOONE, CHARLES_20070601

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F,1CAMA / ❑ DREDGE & FILL O/I� •�l l9 "vC-07 fS
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete 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 i. / ��—'✓
Rules attached.
Applicant Name - ?>f�i--- +�Q ' \t'� � 4Z P oject Location: County d�
Address I CI�t i l L` y ��cy) Z. l . Street Address/ State Road/ Lot #(s)
City U CV t iv, StateW ZIP � � 1
Phone # () f Fax # () Subdivision O j t /
Authorized )' Agent hF: 1 City % t �': 1 Gt ZIP f �= - I/
Affected CW'/ ❑EW [/PTA fJS Phone # ( ) "� �V ,,�- �RrB in �cC.�`
AEC(s): El SEA ElHHF ■ IH ■ UBA El N/A ❑ PWS: El FC: '/m Adj. Wtr. Body - t n an /unkn)
//��,,�
ORW: yes / no PNA yes; / no Crit.Hab. yes ./ no Closest Maj. Wtr. Body Me U se
� Type of Project/ Activity '� �� I r w L
�{
(Scale: AI_ )
This Facility is located within a Primary Nursery
Area, and is not for boating use. No slips are
permitted for vessels -motorized, sail, or other.
Any kicking or prop wash will be considered a
violation of this permit, and of the CAMA and
'W&F Act.
Pier (dock) length-, - x
Finger pier(s)--T—
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
Shoreline Length
SAV: not sure t ye no
i
Sandbags: not sure yes �f
Moratorium: n/a yes
Photos: yes n
Waiver Attached: no
A building permit may be required by:\
Notes/ Special Conditions a
0
F See note on back regarding River Basin rules.
Agent or Applicant Printed Name q 77ffiOcer's Signature �j !
Signature s Please read compliance statement on back of permit a Issdi!� date ,v Jxpir4tion Date
Application Fee(s) ' Check # 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, 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 ❑ 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
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/ 1-888ARCOAST
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

'r.- ;c;—•tea - 1
STATE
E EMPLOYEES'
CREDIT UNION
MOREHEAD
CITY BRANCH
MONEY ORDER
4037 €€1��'
REMITTER =1
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1 �f
PAY TO THE
ORDER OF_ DATE K r�� / 66-7704/2531 q
State Em to ees' Credit Union DOLLAR S
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62 Morehe tty, North Carolina VOID AFT R 180 AYS
` 7 v AUTHORIZED SIGNATURE FI
II■00 40 3 711' i•
•2531770
0 8 6 0 4 3 0 0 3 8 5 u■

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE?
I hereby certify that I own property adjacent to max\ (�_ ' )> r ��� 1 's
(Name of Property Owner
Party located C7 k", d
(Lot, Block, Road, etc.
on
(Waterbody) (Town and/or County)
i
He has described to me, as shown below, the developm p� sir"that location,
and, I have no objections to his proposal. I d cbat a 'er/mooring
pilings/boadift/boathouse must be set back a minimum distance n feetg5l my area
of riparian access unless waived by me. /�
I do not wish to waive the setback requirement. �ee
I � wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
r—�-- f�>ON,cA
Print or Type Name
d-S�) - � C/�- 955q
Telephone Number
Date: S 6-7

Y. 9. 2007, 11,05AM VTNA COMMUNICATIONS DEPT No.0378 P. 2
May (JJ U r 111.16d Don UNCf9UIII vuii � ,idrin 252-248-3714 r.
. ADJACENT RIPARIAN PROPERTY Owl , STATENX, NT
(FOR A PIERWOORING PIGINGS/BOA7UFTIBOATHOUSB)
t
I hey cxnify that I own property adjacent to C v�r �-e
(Name or Property Owner)
r o, pr (� //wC r e
1 4 J
Lot,
Block, Read, etc.)
in �a G+.,11� C;.yyr��i' N.C.
;y 3�. (waterbody) (Town and/or County)
N
N%as described. to mc, as shown below, the development he is proposing at that
tion,, I have no objections to his proposal. I understand that a pier/mooring
s/boatlift/boaftm must be set backa minimum distance of fifteen feet (I5') frtmn my area
4;oj'ripari access unless waived by me.
I do not wish to waive the setback requirement.
I & wish to waive that setback requirement.
---------------
DESCREMON AND/OR DRAXtT;C OF PROPOSED DEVELOP.MEN"r:
(To be filled in by indi►ulual proposing de1eloprnent)
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5at� S;�eS of �1,vr (Apt:
0 t1'c ✓ t ��1 �`aw• g tore
13�nt or Type Name
Telephone Number
Date: f-IjIo