43568_CANNADY, QUINCY_20051114

f ///� a�iG ,b �
7CAMA / 7 DREDGE & FILL
- 'ENERAL PERMIT `r
Previous permit #
iNew I_ Modification ]Complete Reissue ❑Partial Reissue Date previous permit issued
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
/ - Rules attached.
Applicant Name :,F= .. k;(' i/ C_ G d, r. •, i Cllf Project Location: County
Address %'%s';'lg; j — Street Address/ State Road/ Lot #(s)
City i,a. t > z. ice,. '� State ZIP'
Phone # ( ) "-! Fax # (,) Subdivision
Authorized Agent City ZIP
Affected CW EW El ❑ ES _I PTS Phone # ( —) ..7 River Basin
f OEA -. HHF L' IH C UBA ❑ N/A /
AEC(s): - Adj. Wtr. Body __ "' -�� t� (nat /man /unkn
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit. Hab. yes / no
> �'
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
—.. ---- — -----
-- —
�� T r
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
{
V i 7f
Basin,
channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
I
•1,'
Shoreline Length \ I
v �
SAV: not sure yes �no
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes no
Waiver Attached: yes no%
,A. building permit may be required by:
Notes/ Special Conditions
Agent or'Applicant Printed Name
Signature "Please read compliari. •tatement on back of permit"
Application Fee(s) Check #
(Scale:
\t _
E See note on back regarding River Basin rules.
Y
Permit Officer's Signature
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:
❑ Tar- Pamlico River Basin Buffer Rules ❑ 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 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
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]
(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

ADJACENT RIPARIAN
PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINOS/BOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to
--
- - (Vanit�oprop
erty Owner)
property located at _7� % �'~� %S� S S- 3
(Lot, Block, Road, etc.}
on
(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 ism wish to waive that setback requirement. j
----------- - - ------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by indi►•idual proposi ,D development)
3
------------- 'Oorly — ------
-------------------------------------
Signature
Print or Type Name
Telephone Number
n't.-

t
r
r
%-74
Off'Tf�a'fs'"
oe
r
d
'

Page 1 of 1
. r
. v
visible active
Layers
PIN
Parcel Dimensions
Parcels
Acreage
Noise Contour
Roads
Accident Potential Zone
Water
Grid Lines
Voting Precincts
Fire Districts
Flood Zones
Core Banks
City Limits
Firm Panels
Townships
Zoning
Land Use
Commissioner Districts
Rescue Districts
Soils
Wetlands
Aerial Photos
http-.Hmaps.co.carteret.nc.us/ibutton.htm 11/8/2005

ADJACENT RIPARIAN
PROPERTY OWNER STATEMENT
.(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
property located at
(Lot, Block, Road, etc.)
a . I N.C.
/ ' in
on mown and/or County)
- -
(Waterbody) _
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 pierlmooring
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 li4 wish to waive that setback requirement.
z----------------------------------
- -- -----------------------------------------
------------
--
DESCRIPTION AND/OR DRAWING OF PROP SED DEVELOPMENT:
(To be filled in by individual proposi g development)
\
1
n
Signature /
Print or ype Name
Cl / ? —
Telephone Number

REBECCA SPIVEY CANNADY
OUINCY P CANNADY
207 BROWN ST 140
MARSHALLBERG, NC 28553-9700 �� �/L 66-112/531
PH [phone] rz/e 7 02201
�3
BWMONEY
BRANCH BANFUNG AND TRUST COMPANY RATE
BEAUFORT, NI RTy Cr OLINA SAVINGS
':0 5 3 10 1 12 11: 5 19933 i606i1.00'