43157_VENEER, ATLANTIC_20050929

[' CAMA / C DREDGE & FILL
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GENERAL PERMIT Previous permit#
DNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issu d
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
/j / / ❑ Rules attache
Applicant Name A-4 4/1I ( V f ►l elf- Project Location: County nit J
Address �` `� (.,�,� x t f' J ` / (o 1f —Street Address/ State Road/ Lot #(s)
City 1) („ r� Y State,/ ( zip
Phone # O (i ''.l (a . Fax # O Subdivision
Authorized Agent ' ✓' �',ii�n�d City I �l'i L' ✓`�- zip 2
ElCW ZEW YPTA -DES ElPTS Phone # ( ) River Basin ✓ ' (/,�
Affected ❑ OEA ❑ HHF ❑ I ❑ UBA ❑ N/A j
AEC(s): Adj. Wtr. Body 7 n ' l I %/ �c 6natr /unkn)
❑ PWS: ❑FC: ®ram
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s) Asa
Finger pier(s)
Groin length
number }
Bulkhead/ Riprap length !4 C�
avg distance offshore Z
max distance offshore
Basin, channel
cubic yards
Boat ramp { K V
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length Z
SAV: not sure Yes (9 -- --- - - - -
Sandbags: not sure yes
I
Moratorium: n/a yes 'n �
Photos: es
Waiver Attached: yes nol --- -- - - - - -
(��A �Gr i
A buildingpermit may be required b : V r-- Se note b e
P Y 9 Y
❑ e on back regarding River Basin rules.
g S
Notes/ Special Conditions
ent or Applicant Printed Name
Signature Please read compliance sta ement on back of per it
Application Fee(s) Check #
Permit Officers Signature
�f aC11 t_ /� � /
Issuing[ to ExAirationlDate
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:
D 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

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ADJACENT RI'AR'(AN PROPERTY OWNER STATEMENT
(tW A I'MR/M00RING PIhINGSII)OATLIFTIBOATIIOUSE)
C% Akl" t_
hereby certify that I own property adjacent to 15IQ_ Moeh-j;Na 's
(Name of Properly Q ner)
proprty located it 0415-7 I-e/YNOXV i ll Rol.
(Lot, Block, Road, etc_)
on TA oi'S CreQ , in SeOQutFor� N.C.
(dVrticrbady) (Town and/or County)
Hu has dcscrlbcd to MC, as shover► below, the ticvolopment he is proposing at that location,
and, f have no objections to his proposal. I understand that a pier/mooring
pMn,,.�itlift/bryuhousc mast be si-t lack a minimum distance of fifteen feet (15') from my area
of rip;rri; r, access untrss waived by me.
_ l slant wish to waive the setback requirement.
_._. T sib wish to waive that s4tb,jck requirement.
-------------------------------------------------------------------------------------------------------
UT'S-Ck'll" ION ANT)/OR DRAWING of mo>rOsrn DEVELOPMENT;
67o he filled in by i+idlt-idtial proposing dce ,clopmeat)
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allure
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Print or Type Na►ne —�
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-v vl�X t/1 '& R� 'i'eleplione Number
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
( "OR A )"'ISRAVOORING PIT,INGSIROATLIFTIBOATIIOUSE)
1 hereby cerdry that 1 own proporty at1)leent to ZS1e MOK2—hr ['101 vewep—
(Nnule of Properly ner)
yropl rty located at ay5--7 41—EA-.10y
(Lot, Block, Road, etc.) ^
on I T%1 I o t- S C-ree—k , in I3ea"- o''+ ___._> N.C.
(Waterbady) (Town and/or County)
fIc rizs dcscrlbcd to me, as shown below, the dcvclopment he is proposing at that location,
an r havo no objections to his proposal. I understand that a pier/mooring
pilircAls/boldift/boalliousc must be set hack a minimum distance of fifteen feet (15') from my area
of r►panan nccess unloss waived by me.
1 t16u10t wish to wwve the secbaek requi�emenc.
T IN wish to waive lh;.lt Setbhek requirement.
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urS-Ck'IMON AND/OR DRAWING OF PROPOSED DEVELOPMENT;
ire 5} (116 be filled in by i►,diridual proposing de►elopmerct)£-AS jt
__________________________________
s;gnzture
A-S-ee - C sin i t Cf
Priot or Type Natne
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Telephone Number
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AVATLANTIC VENEER CORPORATION
WES MANSPEAKER
MAINTENANCE MANAGER
P.O. BOX 660 TEL: [phone] EXT 231
BEAUFORT, N.C. 28516 FAX: [phone]
U.S.A.

66-101-1
531
WACHOVIA BANK 8, TRUST CO. 09087
ATLANTIC VENEER C
0
ORPORATION MORj11V AD CITY. N.C. 28557 P.O. BOX 660 . BEAUFOR 2f15 I r,
Two Hundred Dollar`, And
NC DEFT OF ENVIRONMENI- AND AT Ti MEER CORPORA TION
NATURAL RESOURCES TH - 0 ATURE
1641 11AIL SERVICE CLNILH
NC 27699-3,643. --AUTHORIZED SIG -NATURE
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