41945_DARDEN, CHARLES_20050620

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GENERAL PERMIT Previous permit# �
ONew !Modification EComplete 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 a t'� �r �'��' Project Location: County i%. _
Address l 'V Lfi'� r / i Street Address/ State Road/ Lot #(s)
City H t- 'r I' State A/c' ZIP
Phone # ( ) ! ++ Fax # O Subdivision
Authorized Agent r • jtry City ; l 1J : r _— ZIP
CW CHEW l CTA El ES ❑ PTS Phone # ( ) River Basin r -' l c/I
Affected -1 OEA -i HHF ❑ IH ❑ USA ❑ N/A
AEC(s): Adj. Wtr. Body. X Crr<- !r nat�/mom an /unkn)
[_1 PWS: ❑FC:
ORW: 'yes,/ no PNA yes;/ no Crit. Hab. yes / no Closest Maj. Wtr. Body ;,
Type of Project/ Activity `,
(Scale: , /7 )
Pier (dock) length < t, ;+ ,1 t
Platform(s) t 1, ' •��
Finger pier(s) t `Y
Groin length
number �^
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
`Boathouse,) Boatliff: I Y R �-
Beach Bulldozing
Other
v �
Shoreline Length (t��
SAV: not sure yes Cn. \--
Sandbags: not sure yes &, )�
Moratorium: n/a yes eJ
Photos: yes
Waiver Attached: yes l —
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
UJA `�`'' V' ` L F See note on back regarding River Basin rules.
Signature Please read compliance statement on back of permit"
/ c W
Application Fee(s) Check #
PermitOfficer's Signature
Issuing Date Expiration ate
(117
Local Planningf urisdiction
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 consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
L _] Tar - Pamlico River Basin Buffer Rules [ ] Other:
i _J 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 / 1-8884RCOAST
Fax: [phone]
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza 11
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

• IQ�'s� �J��P� 2Sz -- gD�- ago �
STATEMENT
ADJACENT RIEpAPJAN PROPERTY OLWNE OAT OUSE
(FOR A PIERAWOORING PILINGS/BOA
1 hereby certify that I own property adjacent to
(Name of Property Owner)
property located at l d, etc.) Block, Road, �—j
,in ���l�o �-J , N.C.
on ��x ('own and/or County)
(NVaterbody)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his Prop°sari I understand that a distance f fifteen feet (15') from my looring
t back a nun�mun my area
pilings/boatlift/boathouse must be se
of riparian access unless waived by me.
I S n wish to waive the setback"requireent.
I lei «•ish to ,Waive that setback requirement.
----------- ----- --------------------------------------------------------
DE•SCRIPTION AND/OIZ DRANK ING OF I';;^POcrn DEVE- LOP��IENT:
(To be filled in by indi►•idual proposing development)
'SEF ATtA cHE1J DRAwinJG
a
Slpn Ire
Y I
x/ OCY I o Y t J t
Print o ype Name
'relephone Number

10'J
D I-X (Cee K 6M-T- -DusE7 PILES
Ito' �►� G �(z �) �R
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D��D� PIES / QQRTtiDl,15� Z

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ADJACENT PROPERTY OWNER AT AT BOATHOUSE)
IFTI
(FOR A PIER/MOORING PILINGS/BOATL
_ �,�-c ��s.✓ 's
I hereby certify that I own property adjacent to(Name of Property Owner)
property located at (Lot, Block, Road etc.
,
N.C.0 n
_
Of.
(�Yaterbody) (Town an or County)
He has described to me, as shown below, the development he is proposing at that location,
Proposal. I understand that a pier/mooring
and, I have no objections to his
pilings/boatliftJboathouse must be set back minimum distance of fifteen feet (IT) from my area
of riparian access unless waived by me.
I LID n t wish to waive the setback-requirei»ent.
1 d ,%-ish to «'give that setback r1. equirement.
_______ - - ------------------------------------------
--
DESCRIPTION' ANDIOR DRAIVVING OF PROPOSED DL�'LLOPitICN
(To be filled in by indir•i(lual proposing development)
�SEF A-TtAc%l�J �Rftwin�G-
----------- -----------------------------
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Print or Type Name
Telephone Number

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FOR
SHORELINE MARINE CONST. 2801 1906
ASHLEY BROOKS NCDL 7666496 66-21/530
PH (252)-646-3212 BRANCH 77814
601 PEL.ETIER LOOP ROAD D24 /_ Zp OS
SWANSBORC, NC 28584 DATE (,� 7
PTO THE
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ORDER OF / D�j�I\ s `D O . '�—
A)E- "DR'c-� s - DOLLARS
WACHOVIA
Wachovia Bank, N.A.
II'0 L L906ii' 40 S 3000 2 194 20 S 46 "SS '