41998_ADAMS, ANGELA_20050715

[]CAMA / ! DREDGE & FILL Cdd 13 A13
GENERAL PERMIT Previous permit # j
ONew :]Modification ❑Complete Reissue ❑Partial Reissue Date previo s permit issued i
As authorized fay the State of North Carolina, Department of Environment and Natural Resources i
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC x
❑ Rules attached.
Applicant Name 1 r �i �� /� r Project Location: County
Address E �' �. Street Address/ State Road/ Lot #(s) j
City - - (�•"< 1G`t StateP( ZIP �;� �,� / / ( r . ' i` 1
Phone # (`) Fax # () Subdivision j
Authorized Agent '1 r %�L ,� City ( i 1 i ZIP I J
-I CW ❑ EW 2,P'rA ❑ ES ❑ PTS Phone # ( ) River Basin
Affected
]
AEC s : OEA _ HHF ❑ IH UBA ❑ N/A Adj. Wtr. Body�� ma ,/man /unkn
CPWS: FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body !'' t--
1
rType of Project/ Activity
Pier (dock) length j
Platform(s)_
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length _
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp Boathous Boatli ` / �/ 3 P / 3
Other
Shoreline Length I
` L
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
r^ L 4 �; ✓ I
Agent or Applicant Printed Name
Signature *4 Please read compliance statement on back of permit
�i71 r11 11
Application Fee(s) Check #
(Scale: /L)
r-.
1
!1
i
E See note on back regarding River Basin rules.
Permit Officer's Signature
Issui g Date Expiration Date
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 �J 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 (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888ARCOAST
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
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
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
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01

Vd
I
t

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to /4- 0 -'s
(Name of Property Owner)
r�
property located at 7� C �J�a� ,-?/A" Z'/),UG ,
(Lot, Block, Road, etc.)
on -& 614L; fS?l ✓b- Z , in _ �2 ;y>2[—� ���.y r ram. , 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.
I dD wish to waive that setback requirement.
------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
Oct,-
Telephone Number
Date: 7— 1 —

O, l� z
Ila(V& GS-Z- 63S' -Z761
G ALL 2-5-0 -
G rsw Z,-z -

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to,,�c �L� ,Q�� 's
(Name of Property Owner)
property located at /A( G c'=� "g, ,
(Lot, Block, Road, etc.)
on L.� tf i i'� c' t� i�t tl��L , in i 2�2�; � � , , 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.
I do wish to waive that setback requirement.
------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
/19/ei5, %t . {1,4R'�:)
Print or Type Name
;2 -3-1 71c6
Telephone Number
Date:

L
e ; : !1 t�1 VN ! f
I

JAMES E. DAVIS NCDL 5446287
DBA DAVIS MARINE CONSTRUCTION
PO BOX 1264
SWANSBORO, NC 28584
Pay to the AV C LLl
Order of _
2280
�J �
Date I o 5
$ d0D-O'D
66-30/531
341
FYRST CITIZENS 341$ V
SWansbo,o, N.C.28 8a � Compan
'rstcitize com C07-7 C-r
For--- ---------------- _------
i:0 5 3 L00 300l:00 3L. L 2 290 34 7ii' 2 280
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Gexetaf Permit:: Activity Data Entry
Page 1 of 1
Username: LowanaB
Project Actvities
Main Menu
J
Current Activities for the permit's collection.
REiU'A" signiPics Modified
F'ermNo
ActDesc
WorkType
GP-41998 s
r
Boat lift
NW
�R'epl�ace'
C;P-41998
GP-41998 I
—J
Pier or dock
Platform
NW
NW
IN
In
LL�
1
F O Acrivrry CHANGES
r ADD NEW Activities or CHANGE
dimensions on Current Activities
http://dcm2.enr.state.nc.us/DCMCDAITS/general/modify/gen_actM.aspx 8/2/2005