40016_AVERY, MIKE_20041004

r'.=f CAMA / DREDGE & FILL
GENERAL PERMIT
New CModification L:]Complete Reissue ❑Partial Reissue
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�
Previous permit #
Date previous permit issued
❑ Rules attached.
Applicant Name ` "' r Project Location: County
Address /' ✓r "�`�? Street Address/ State Road/ Lot #(s)
City y -t✓ �'
Sta NC Z -1 FJ-0-
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Phone #
Fax # O —
Subdivision
Authorized Agent
�� �y '
City-'" `
ZIP f 6
_1 CW C3 EW aFTA ElES ElPTS
Phone # ( )
River Basin
Affected
AEC s : ❑ OEA F-
()
HHF ❑ IH ❑ UBA ❑ N/A
Ad'. Wtr. Bod ( (
1 Y
u / " c nat man unkn
ORW: yes / no
PNA yes /(no i Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Fingerpier(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 &noMoratorium: n/a yes
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
't�t1c
Agent or Applicant Pr ed Name r
Signature Please read compliance statement on back of permit"
�J
Application Fee(s) Check#
fIt ✓J1.F
lf.k,i ;..
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature f t fr OT
Issuing Date Expiration 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:
J Tar - Pamlico River Basin Buffer Rules ; Other:
J 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 howto 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: Fax: [phone]
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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

MICHAEL AVERY
PH 252-636-0386
2422 TURTLE BAY DR.
NEW BERN, NC 28562
^' 2507
66-770412531
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THIS MESSAGE 15 INTENDED ONLY FOR THE USE OF T'NF ADddIRESSE£ AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED AND CONFIDENTIAL IF
YOU ARE NOT THE INTENDED RECIPIENT, YOU ARE REMY tiNOTIRM TIIAT ANY DISSFMINATION Of THIS COMMUNICATION 15 SI KICTLY
PAOMBIT£0 IF VOID HAVF. RECEIVED THIS COMMUNICATlO*JH ERROR PLLA5C NOTIFY US IMMEDIATELY BY TELEPWINF. AT THE NUMBER
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ADJACENT RE ARIAN j R VMKI 1 V 1 T 1 \J. K tJM -EMLE \ Il
(FOR A PIERIMOORING PH.INGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjAcent to \ \�cNc, S ,-g
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property located at a kcyk
(Lot, BIoek," Road,
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(Waterbody) (Town and/ot• County)
He has described to me, as shown bejow, the development he is proposing at that
location, and, I have no objections to his Proposal. I understand that a pierlmooring
piHng5lboatiift/boathouse must be set back a mir4mum distance of fift=ri feet (15') from my area
of riparian access unless waived by me.
I do got wish to waive the setback requirement.
I do wish to waive that setback r�g*ement.
DESCRIPTION AND/OR DRAWING"! OF PROPOSED DEVELOPMENT:
(To be filled in by indiv&igc proposing development)
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ADJACENT RIPARIAN PKOP ' '1'Y U WMA STNI'EN'1'
(FOR A P)ER/MOORING PIZJ�/BOAMYTIBOATHOUSE)
I hereby certify that I own property adjacent to Lo a t�\Q 'r�c� o� r 1 's
(Name of Property Owner)
property located at
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(Lot; Block, �tostd, etc.)
on-T4,;- '\@'P,3N xe (--P�yg in 4eu, Q , N.C.
(Waterbody) a (Town and/or County)
He has described to me, as shown belgw, the development hr. is proposing at that
location, and, I have no objections to his p�oposai. I understand that a pier/mooring
pilings/boadiWb.oathouse must be set back a mir it u n distance of fifteen feet (IS) from my area
of riparian.. access unless waived by me.
do. not wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPN- =:
(To be filled in by individual proposing development)
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