41398_DANTZLER, H LEE_20050601

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-C%kMA / I' DREDGE & FILL
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GENERAL PERMIT
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Previous permit P '
FI'New JModification ❑Complete Reissue I._1Partial 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
�� t �)' r � � � �
C tP !v
ales attached.
'
Applicant Name
Project Location: County
Address ����r �f1
Street Address/ State Road/ Lot #(s)
tyi State' IJ ZIP
�T� U wl - ItiJ- I _
Phone # () Fax # ()
Subdivision �,,/� t elir..,/ �,
XJ
`'"* 1 4` i% � � �
Authorized Agent iC���
City ZIP
CW E-tM L7VTA [I ES ❑PTS
Affected
Phone # ( ) River Basin
AEC(s): - OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body' nat man)/unkn
ana )
ElPWS: ❑FC:
ORW: yes / no,) PNA yes / �� 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 G
Sandbags: not sure yes 0
Moratorium: n/a yes no
Photos: yes Copi
Waiver Attached: yes no
A building permit may be required _,.
Notes/ Special Conditions
Agent or Applicant Printed Name
0 (, -A r,,i PA +1� �-
Signature Please read compliance statement on back of permit **
Application Fee(s) Check #
(Scale: k J +'
Permit Officer's Signature
is 1 ./1 � •
Issuing Date
• a.
Local Planninglurisdiction
sin rules.
Expiration Date
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 I) 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 (910-395-3900) 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: [phone]
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 (0/05/01

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE)
I hereby certify that town property adjacent to 4 . tee_d n A L i 4a D 4t 7_i a r-
(Name of Property Owner)
Property located at L9+ 1 q� 53g lruner rive, �%►�prw�tys a?_ ►/pleL�%V�
On AAaw s Cree k , in
(Waterbody)
(Lot, Block, Road, etc-)
lkayelo(_k , Cfmgver► Cb YNc.
(Town and/or C.onntv)
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 have a 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 1
(To be filled out by individual proposing development)('/VC t fE eu /e
!Kx 12 deck on
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Naas�vc)
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kvdi
Mete ; g X 12reXi��e n (c `4--o sh;v-e_
igxlsfl"'5 VJAW) y- vv,de
dock
/ marsh l/
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Lei 2,0 Lo-f i
6-4�41%to1 --V 'D4ntz1er ��� �1 owr+i n i
Print or Type Name
Telephone, Number
Date:

Janssen Pharmaceutica 440-236-6S60 P.1
ADJACERT RLPAR[AN PROPERTY OWNER STA-17 MENT
(FOR A P- ,flOORRVG PlLlNr,.VW,4 77JFTIBOA,-Ho(IBE)
1 herubv certify that I own property 4acent to )LeP- en
f a L1n a _D�.n�-zler
Proptxty Ineated at t- D I Q L 3 �O �. (Name of Pr0I iTu cri
Clot. slack t�q
On Aaaw� Cr>�>mt , L7 veiock� Y4
3vert �yNC.
,�L'atobody) rTrnc� nnAlnr Cnnan � J
tie }tag described to me. as shown below, the development he is proposing at that
location, and, 1 have no obju'tions to his proposal. 1 understand that a pierlmooring
pdmgs/boatllft/boathouse rrrust have a set back a minimum distance of fifteen feet (15') from m_v
area of riparian access unless waived by me.
] n t wish 1e waive the setback requirement.
I L* wish tD waive tbZ1 setback requirement.
DYSCREMON AND/OR DR�yVTNC OF PROPQgM DE ELO11111M f J
+To heJi/ledxr.'byindividualnrO'Vnng
f t
(is'xl�deck an rU�f�: �Xi2.'eAfv ?an
la1xzd�x;sf1,,S
r Li04�'(
If
5+'J!
Tdeptwoc fvurubrr _ __
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Miranda S. or Eason R. Hill
NC07 21718067 Ncd18929001
499 Crump Farm Rd 252-637-1595
New B n, NC 285(62
Pay to theCj%IT
Order of
Dale
4100
66-7538/2531
03
$ ILcL;_ CI C�
Dollars
�, Fmst Fl.
New Bern, NC 560 .
fir fl' htf r 3
For t• � ��
t: 2 S 3 L 7 S 384t: 1080 L S 2 L L8090 4 L00
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