40911_CASPER, JOSEPH_20050217

I'CAMA / I -I DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification ('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
Previous permit #
Date previous permit issued i
Applicant Name Project Location: County
Address 1 `� Z ("� + �/ IV, I:Lz Street Address/ State Road/ Lot #(s)
City I ✓` ")', i . ✓ State 'U ` ZIP r' e `/
Phone # Fax # ()
Authorized Agent
Affected 0 CW AW ;KPTA 4S ElPTS
AEC(s): ❑ OEA 0 HHF I-1 IH UBA D N/A
❑ PWS: -FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Rules attached.
- j
Subdivision
/ d
City "'' ki e ,4 C, r U ZIP
Phone # c - Z 3 River Basin J�' J, 6,1�
j
i 1 / j Lam' at/ n /man /unk Adj. Wtr. Body � � (.�
Closest Maj. Wtr. Body
Type of Project/ Activity OF C
�i ra (Scale• N
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/ Boatli
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes /no)
-- — - -- --
- --- -- - -- - - - -I
- -- -
— `--
Sandbags: not sure yes
Moratorium: n/a yes nd
�, 0
Photos: yes
Waiver Attached: ye�
A building permit may be required by: l/
E' See note on back regarding River Basin rules.
Notes/ Special Conditions
S / U P/
/�
,: F c fir+
r (-,,t % re,
fY�
Agent or Applicant Printed -Nam
Signature Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature
issuing bate rxpiration Date
Local Planning,lurisdiction 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:
_j 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 (910-395-3900) 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
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

v:r
a 4682
JOSEPH M.CASPER
SUSAN M. CASPER 66-21/530
1912 Hillsboro Rd / Z QS BRANCH 50001
Wilmington, NC 28403 Date
0
Pay to the c-
C,
Order of
.� Dollars t ua �• �
-" WACHOVIA j
Wachovia Bank, N.A.
wachoyia.col
For
I:0530002191:10861552273 7682

ADJACENT RIPARIAN PROPERTY OWNER STATEMENr
(POR A PIEWMOORING PILINGS/QOATI,IPIYBOATHOUSA)
I hereby certify that I own property adjaoen '
t � Jn�n�dd Cys�n ('_�anar s
(Name of Property Owner) -
property locabd at _1 �2 Boat Basin, Svaneboro, NC ,
(Lot, Block, Roved, etc.)
On Pettiford Bal , in Carteret County , 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
must be set back a minimum distance of fif en fleet (151) from my as+ea
of riparian access unless waived by me.
I bout wish to waive the setback requirement.
✓, f' I I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENP:
(To be filled ix by iwdivi d P^aPosiRd dee►eloprwswtl
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Signature
Print or Type Name
,�s-� - Y /� -- 6 /
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(POR A PIER/MOORING PIUNGS/BOATIJFT/30ATHOUSB)
I hereby certify that I own property adjacent to 's
Jas�6 and Suaa� .�-Q�_
(Naree of Property Owrser)
property localed at It2 Boat Basin, Swanaboro, NC ,
(Let, Block, Road, etc.)
(M _ Pettiford Bar , In Carteret Counter , N.C.
(Wate rbody) (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
must be set back a minimum distance of fifteen feet (15') from my area
Of riparian access unless waived by me.
_ + I deAd wish to waive the setback requirement.
I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOMU T!':
(To be Jelled is by i"vMsW Prop"ial derdoprwswt)
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J_ 13461(2N, TZ-
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Print or Type Name
Telephone Number
Date: / — /�i ._ C S

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