47196_BOXMEYER, DAVE_20070118

❑CAMA / ❑ DREDGE & FILL
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 I SA NCAC
❑ Rules attached.
Applicant Name
U4 3,
x'. ►1 i
Address
k
IP i 6A
City
State U ZIP
Phone # ( )►
Fax # (_)
Authorized AgentC
c
Affected J CW
❑ EW
A ❑ 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_
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 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 #
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
E See note on back regarding River Basin rules.
Permit Officer's Signature
l /L?_07 ( .�f��Gt
Issuing Date Expiration Date
CCAIArIt4 C yoIi�'I�A
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
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 F ] 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
(Serves: Camden, Chowan, Currituck,
2728 Capital Blvd.
Dare, Gates, Pasquotank and Perquimans
P
Counties)
Raleigh, NC 27604
919-733-2293
Morehead City District
Fax: [phone]
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

0*1V
CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATIONANAIVER FORM
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
Name of individual applying for permit: William David Boxmeyer
Address of property: 103 Tarpon Way Lot 15 South River Subdivision
Beaufort 28516 Carteret County North Carolina
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
included drawing) the development they are proposing. A description and
drawing, with. dimensions is provided on the other side of this notice.
0 V l _- 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 ten (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, boat house, lift or
sandbags must be set back a minimum distance or fifteen (15) feet 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 fifteen (15) foot setback requirement.
C J 1 do not wish to waive the fifteen (15) foot setback requirement.
S gnature
� n
Print Name
Telephone Number with Area Code
lo- ii����
Date

LOT 14
103 TARPON WAY
BEAUFORT, NC 28516
SOUTH RIVER SUBDIVISION
LOT 16
00#, 4 piling lift.
To South River
Note, 50' dimension is approximate. Adjust so that outside of dock provides a
minimum of 5' of water depth.
Dock specifications:
Concrete decking: 4' X 10' X 4" pre -cast.
All pilings: 2.5 marine grade.
Cross braces: 4' X 10" pressure treated @ _8 grade.
Bolts: 5/8 hot dipped, galvanized.
Minimum piling depth shall be 10'.
Tie off pilings shall be 5' above decking.
Dock surface shall be 3' above nominal water level.

L✓dt
CERTIFIED MAIL RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER
NOTIFICATIONIWAIVER FORM
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
Name of individual applying for permit: William David Boxmeyer
Address of property: 103 Tarpon Way Lot 15 South River Subdivision
Beaufort 28516 Carteret County North Carolina
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
included drawing) the development they are proposing. A description and
drawing, with dimensions is provided on the other side of this notice.
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 ten (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, boat house, lift or
sandbags must be set back a minimum distance or fifteen (15) feet 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 fifteen (15) foot setback requirement.
I do not wish to waive the fifteen (15yfoot setback requirement.
Signature
W'm V'rcyi
Print Name
Telephone Number with Area Code
>i/4�
Date

103 TARPON WAY
BEAUFORT, NC 28516
SOUTH RIVER SUBDIVISION
z
� I
N I
o I
1 I I
Z
I
I I w
I I o
I
LOT 14 i LOT 15 j w
I I I 5---{
1 1 1 - - -------- —54'
I n
BIG CREEK
LOT 16
Lift US, 10,000#, 4 piling lift.
9 I
---- To South River
Note, 59 dimension is approximate. Adjust so that outside of dock provides a
minimum of 5' of water depth.
Dock specifications:
Concrete decking: 4' X 10' X 4" pre -cast.
All pilings: 2.5 marine grade.
Cross braces: 4' X 19' pressure treated @ .8 grade.
Bolts: 5/8 hot dipped, galvanized.
Minimum piling depth shall be 10'.
Tie off pilings shall be 5' above decking.
Dock surface shall be 3' above nominal water level.