42992_CACCIOLA, JOHN_20050929

-1CAMA /-1 DREDGE & FILL
GENERAL PERMIT
Previous permit #
-'New ❑Modification i 1Complete Reissue ❑Partial Reissue Date previous permit issued '
As authorized by the State of North Carolina, Department of Environment and Natural Resourw�'-'
and the Coastal Resourc(Z ,Commission in an area of environmental concern pursuant to 15A NCAC
O Rules attached.
Applicant Name Project Location: County ✓GIs
Address �? U./ ' , r ` y Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (' ) ` ' , / Fax # (_) Subdivision )
Authorized Agent r1 r (� r ' f City �f �i y .>' ' �✓ ZIP-------
CW ©.EW DATA ❑ ES ElPTS Phone # ( ) River Basin
Affected OEA ❑ ❑ El IH ❑ UBA N/A
AEC(s): Adj. Wtr. Body ��^ � ` ___(nat /man /unkn)
PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body —
Type of Project/ Activity
Pier (dock) length _-
Platform s x'
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
SAV: not sure.yes no
Sandbags: not sure yesj nod
Moratorium: n/a yes no
Photos: yes (na'
Waiver Attached: yes (}nq�
A building permit may be required by:
Notes/ Special Conditions
i
J
Name
Signature Please read compliance statement on back of permit
Q
Application Fee(s) Check #
ffjj J I
i `t
(Scale: )
t -IIISee note on back regarding River Basin rules.
Permit Oci sSignature
Issuing Date
Expiration Date
P
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
landowners).
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 r !, 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
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
400 Commerce Ave
Morehead City, NC 28557
202.-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Ser(es: 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

AwACFN'T iuFAR AN PROPERTY OWNER STATEMENT
(FOR .A PIERIMOORING PILINGSIBOAIUMBOATHOUSE)
I hereby certify that I own property adjacent to J b h � e ACC.1 o�.Ca 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on in , 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
pilingslboatlifUboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
M
I dgnot wish to waive the setback requirement:.
I do wish to waive that setback requirement.
DESCRWn0N AND/OR DRAWING OF PROPOSED DEVELOPN�:
(To be filled in by individual proposing development)
-Dccx 4 �E P1.Acc
tv�T }1 � '►�tc� 'Qoc.�
4 uaTCt � o� (:, S`,i,
signature
Print or Type Name
,,(6 \5f ) 72
' Telephone Number.

ADjA(JENT RIPARIAN PROPERTY OWNER a I`ATEMIEN '
(FOR A plERIMf 0juNCx PLUNGSIBOM .,+TTIRGATHOUSE)
12
I hereby certify that I own property adjacent to 0
(Name of Property Owner)
property located at
(Lot, BlmcMR, c.)
I.C.
on CountY_ tat (Town and/"
14e hsss 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 pierimooring
set baek a ininimizu distance of fifteen feet (15') from my area
r iLngslboatlift%boafiha�usc must be
of riparian access urdew waived by rne.
I Ag_AM wish to waive the setback requiminent.
I do wish to waive that setback requirement.
DESCRIk''I` ON AND/OR DRAWING OF FROPOSED DEVELOPtO+IV`M'
(To be f Ued in by iruividual proposing development)
ACC iktou C piti�
i
c>r-K
Print or Type Narne
Telephone Number
Date:

SPRING CREEK CONSTRUCTION
Ph 252-249-1819
2398 Whortonsville Rd
Merritt, NC 28556
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66-211530
BRANCH 77512
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