40057_ASMAN, WILLIAM_20041001

r L-1CAMA / `J DREDGE & FILL t d PRO
GENERAL PERMIT
Previous permit #
❑New El Modification C'Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources j
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (� / �i
m1 Rules attached.
Applicant Name ✓/' �!u °"' Project Location: County
Address i A �' Street Address/ State Road/{ Lot #(s)
City +� ✓ ' ++ f < < StateKC ZIP
Phone #Fax # () _ Subdivision Igo f/ 'tee
Authorized Agent � City_ 7 iv _ ZIP
C! CW i EW 0-PTA CAS ElPTS Phone # ( ) — River Basin
Affected ❑ OEA ❑ HHF ElIH ElUBA El N/A l /c , I
AEC(s): Adj. Wtr. Body at man unkn
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / &i > Crit. Hab. yes / no
Closest Maj. Wtr. Body Z i
Type of Project/ Activity
Pier (dock) length —
Platform(s)
Finger pier(s) -
Groin length
number _
Bulkhead/ Riprap length ) / 0
avg distance offshore
max distance offshore 3
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
FJ(.vL.
-- -
Shoreline Length 1 C)
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
�',
i
V LI+Se note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing�Pate , 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:
�Tap4arnlico River Basin Buffer Rules 1F Other:
_
_i euse 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 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 / 1-888-4RCOAST
Fax: [phone]
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 Mail
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

WILLIAM L ASMAN _ a
ROBERTA L ASMAN 118
PO BOX 141
o 66-30/MERRF T, NC 28556 Date 472
My/tote
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' Dollars
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00 FYRST CITIZENS 472 EQufrvurJE
R y FlntCift— Bank 6 Trust Company
llJ �` �« Oriental, N.C. 28571
www.firstcitizens.com
For
�:05 3 �00300t:0047 1?564845us
0 1 i 88
OC'Wrke Amerkan

JUN-14-2004 MON 09:33 AM NC DIV OF COASTAL MGMNT FAX NO. 4
P. 02
Al-)JACl;N1:' IRR)ATUAN PRO%'L,RTY 0-WNT1.12 STATLNxEWl'
I hereby certify that I own property adjacent to Qi-1 s;Ao% - W04F&'4 �SHsJNS
(Name. of Property Owner)
prolx;rty located at L. a7L 7
(Lot, Block, Road, etc.)
on -- —! .V._ in N.C.
(Waterbody) (Town and/or ('-ounty)
lie has described to me as shown below, the development he is proposing at that location,
And, I have no objectionS to his proposal.
Z?ESC'MM'ION ANTWOR DRAWING OI' PROPOSED DEVELOPNIENT
(To be fillcd in by individual proposing development)
LP-1 .6
1�/000'/Jasceo
>3• Aala�
180 n a tjj re
Print or Type Name
C�
Telephone Nurnber

JUN-14-2004 MON 09:33 AM NO DIV OF COASTAL MGMNT FAX NO. 4 P. 03
c.ER11HERAIA - . E T .MY 1UXE1PT KEQUI,S1LP
DIVISION OFCOASTAL MANAGEME'N'I'
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/NVAIVER FOYRNI
Name of IfWividu.tl applying for Permit:— a'`' •- ��b`r'e7�o s"'�'s� •-•
A(idress of Property:-- Lot* 7 i3�y ��`''l'os fA cl� ,, .At-17`vS
(Lot or Street k, StrNt or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this hermit has described to meas shown on the attached drawing the development
they are. proposing. A description or drawing, with dimensions, should be provided with this
later.
,�Z.— I have Tit) objcctions to this proposal.
1f you have objections to ►vhot is being proposed, please write the Division of Coastal
Alrr,ingentent, 110VIOff 1'10:n 11, 151-11, 11►vy. 24, Uorehead City, NC, 28557 or call (252) 808-
2803 ►vilhin 10 days of receipt of this notice. No response is considered the same as no objection
if you have hem notified by Certified Mail.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set hack a minimunt distance of l5' front my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
C I do wish to waive the 15' setback requirement.
_ _ --. 1,.,11 do nor wish to waive the 15' setback requirement.
Si;tiature ate
print 7-71
Telephone Dumber With Area Code