41377_CONLEY, SCOTT_20050512

CAIV A % DREDGE &FILL
GENERAL PERMIT
F-INew (Modification LComplete 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_
Applicant Name Project Location: County
AddressStreet Address/ State Road/ Lot #(s)
City State ZIP
� 1
Phone # ( ) t Fax # (_)'a Subdivision
Authorized Agent -='� `� '" �` •' !
Ag City_
❑ Rules attached.
ZIP
Affected
❑ CW C3111fW QPTA ❑ ES ❑ PTS Phone # () _ _ River Basin
❑ OEA ❑ HHF 1-1IH ❑ UBA El N/A AEC(s): Adj. Wtr. Body_ nat,/man /unkn)
El PWS: El FC:
ORW: yes / no PNA yes / no,oi 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 !� w
avg distance offshore X)
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
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required
by:
Notes/ Special Conditions
PC'tcr✓PY hn�
Agent orApplican Pr' tamei _
Signature Please read compliance statement on back of permit
�- ,-o a
Applica�fon Fee(s) Check #
/55�
c.
I-
' II _
7-See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Local PlanningJurisdiction
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:
�� Tar - Pamlico River Basin Buffer Rules LJ Other:
U 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
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
151-13 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

nuja%,jr Lv i turH fc a►Lv rKVrjt&Ki Y V W1v A &.tA1'11Y1 f1'
(FOIL A PMR/MOORRVG PILINGSIBOATU BOATHOUSE)
i4ubs(,
I herby certify that I own property ataceni to 5 Co-tT Cv v-) ( & � . 's
(Name of Property Owmer)
PmPecfy located at 00 H 0 s 0 e I 1 (�,2 may, sc,�-) . OLyao .
(L 4 Boe 4 Road, etc-)
- , in N.C.
(Waierhody) I- (Town andfat County)
He has demalx d to me, as shown below, the dev I he is proposing at that
Iocaii,on, and, I nave no objections to his pmposal. I understand that a Elul'
muss be set backa nmmum diswnce off feet 051 my area
of riparian access unless ar.&ed by me.
I do oat wish to waive the setback requirement
I #—a wish to waive that setback
DESCRIMON AMID/OR DRAWING OF PROPOSED DEV KLOPMOENT:
(To be jMd in by vuiividual Pmpodxg devek. )
4
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Vi E i..i G 1n L �oU ,ice � l
Print or Type Name
L.)> /�),-- �L-{(
Telephone Number
Date: 0 1J
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�v tag. ctv i mjLrA.c. a ,4 YKVYLKJ. I V wPtJK n I"AIMALM'
(FOR A PMWM00M2VG Pff"GSBOATI.TFTBOATHOMI)
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I hereby certify that I own property adjacent to 5 Cc)-vT Co v, I & ,--I 's
(Name of Property Owner}
property kmiedat _ �� �-I b s uG L t (?>-z T4-tsC,�-) . 0,6 V:�o . 61 r • ,
(I., Bloch, Road, etr.)
on , in ey� �rz� TT , N.C.
Materbody) ('Town andlor Cou>ty)
He has described to me, as shown below, the he is proposing at that
kcadon, and, I have no objections to his pruposaL I understand tbat a pier/mooring
mzrsi be set backs minimun dim offd= feet (M from my am
of riparian access unless waived by me.
I do nat wish to waive the setback requirement
I &— wish to waive that setback requirement
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMMNT:
(To be JMed in by in&Mud proposing d mdopment)
i 4
1
L.: C, VA
Print or Type Name
L,3 &- s i v Cra ZE P ,2 qu u
1)1A,3.;-vLtp 1u Qu T
Telephone lYwmber
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. (FOR A PIE MOORi2VG PILINGSBOATiIFI'BOAT'SOUSE)
4ubx
I hereby certify that I own ply 4aceut to 5 Cy, -Tr C v v-) I c �1 IS
(Name of Property Owner)
property located at 0 S w e t l r,,�
(DA, BlocJ, Read, etr-)
on is ry) P N.C.
M ody) (Town and/or Cowaty)
He has desk to me, as shown below, the development be is proposing at that
location, and, I have n¢- objections to his proposaL I d that a11
pierlmoaring
must be setbackammimum distance offitb=fed (M from my area
of riparian 'ualess waived by me.
I do not wish to waive the setback requirement
I do wish to waive that setback requirement
DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPSiEN :
(To be filled in by indiviri proposing development)
7 qt
rout or Type Dame
Telephone Number
M
t i70

. , (FOR A PIERIMOORING Pff"GSIBOATUFTBOATHOUSE)
4u} )S(--
I hereby certify that I own property az}jacent to 5-vT C-o vi l c- 's
(Name of Property Owner)
property kmted at 00 '-1 b - � L- I 1 r�,2 s��� . 0,
(bit, Bhw36 Road, ete.)
on , In Y YI_ F �2 2�+ -T (. • , N.C.
Materbody) " (Town andlor County)
He has descri1ied to me, as shown below, the development he is proposing at that
kca ion, and, I have no objections to his proposaL I understand that a pier/>nwamng
malst be setback minim= disftmce off ften, feet (15') from my,
of riparian access unless waived by me.
I do not wish to waive She setback requirmnent
I &A wish to waive that setback rapmement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEMPACM:
(To be filled in by individual pmposixg development)
1 Uo'4
Pant or Type Name
2-) z- 7q�" 3 2- `f ,
Telephone Number
Date: 3 % 1 � -1

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INNERBANKS MARINE CONSTRUCTION, INC. 1868
P.O. BOX 190 PH. 252-249-1429
ORIENTAL, NC 28571
55-30/sal
DATE — S�1_�-_ V '7 412
PAYTO THE
(� ` -- t
ORDER OF � v�1`,
DOLLARS
FYRSTCITIZCNS472 )
13ANK First alizans Bank 8 Trust Company /
I �' f� Oriorital, N.C. 28571
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