40941_CARR, ROBERT_20050217

—I CAMA / �11 DREDGE & FILL
GENERAL PERMIT
C New ❑Modification 12Complete Reissue L iPartial 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_
/AA1
Previous permit #
Date previous permit issued
Ej Rules attached.
Applicant Name Project Location: County_________
ff i tY-----
Address e �u c !i (j Street Address/ State Road/ Lot #(s)
City j` c ,y i !" C State .' �. ZIP
Phone # ( ) Fax # ( ) Subdivision �'
Authorized Agent 'a City r ✓.. r. /�/ ! ZIP a `�
Affected -1 CW [VIEW E�PTA ES 51 PTS Phone # (_) —_ River Basin
1V
AEC(s): _ OEA ❑ HHF ElIH n UBA N/A Adj. Wtr. Body_ gnat lMan /unkn)
J 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)__
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 yes
no
Moratorium: n/a yes
no
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 compliance statement on back of permit
Application Fee(s) Check #
i
(Scale: )
See note on back regarding River Basin rules.
Permit Officer's Signature
' J
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
f J Tar - Pamlico River Basin Buffer Rules r1, 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 (910-395-3900) 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: 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
15 I -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

INNERBANKS MARINE CONSTRUCTION, INC. a
P.O. BOX 190 PK 252-249-1429 1818
ORIENTAL, NC 28571
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TO THE nr ^ DATE t' 7 /05 66-30/53
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FirstLitfzans Bank 8 Trt Company
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N.C. 28577
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(FOR A PZERIMOOR17VG PILINGSBOATLIFTBOATBOUSE)
I hereby certify that I own property adjacent to 12QY-C-2T 0—yAv-(2 . is
(Name of Property Owner)
property located at i 4 -1 Y")I u r F ►� rz a
(Lot, Block, Road, etc.)
on YIE05-6 QN-u E2, , in i'n��r�hvi , 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
pi ings/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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be JWed in by individual proposing development)
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Signature
Print or Type Name
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Telephone Number
Date: / -- 2 z/- d ,��

rsuJrX%-1rAt'4 1 XUrIlI A l r cVr1!AK1 Y V WP! H;K 61A11'jiYlUN'1'
(FOR A PIERIMOORING PILINGSBOATI.IFlBOATHOUSE)
I hereby certify that I own property adjacent to Y�C�� ii C.�e c 's
(Name of Property Owner)
property located at L-1 � n C-Sl u r r
(Lot, BIock, Road, etc.)
on rlev�c V-100?, in 10k-lpv�C'r� 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
piiings/boadiit/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 ff—o wish to waive that setback requirement.
DESCRIPTION AND/OR DRAPING OF PROPOSED DEVELOPMENT:
(To be , !Ued in by individual proposing development)
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S1gn3t1lre
tyA y N r L, A A
Print or Type Name
Telephone Number
Date: / Z L d 5-