41336_DREXLER, DAVID_20050520

11 CAMA / !,DREDGE & FILL
GENERAL PERMIT � �� PAW
Previous permit #
]New Modification [--Complete Reissue C iPartial Reissue Date previous permit issued_
As authorized by the State of North Carolina, Department of Environment and Natural Res urces
and the Coastal Resources Commission in an area of environmental concern pursuant to A NCAC
i O Rules attached.
Applicant Name J/ °' Project Location: County
7
Address %�? o (,r{<
Street Address/ State Road/ Lot #(s)_
City Jli- r /?. l� State - / C ZIP
Phone # (' ) Fax # ( ) Subdivision___
Authorized Agent 4 Dye - J ) City _ C
P_'l
__ r-
/ , ;, v K ,
ZIP
❑ CW -1 EW CtfiA ❑ ES ❑ PTS Phone # ( ) River Basin
Affected
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body o ✓! c ' �' " (nat /man /unkn)
❑ PWS: ❑ FC:
Closest Maj. Wtr. Body
ORW: yes A'no PNA yes /(no) Crit. Hab. yes / no
✓' e~� �- Jr {
Type of Project/ Activity
Pier (dock) length — a °. J } W 44^ P1 j
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards .4c
Boat ramp
Boathouse/ Boatlift
Beach B T
Oth
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes
A building permit may be required by: _
Notes/ Special Conditions
i
(Scale: )
1�7—see note on back regarding River Basin rules.
Agent or Applicant Printed Name Permit Officer's Signature
Signature Please read compliance statement on back of permit Issuing Date Expiration Date
ApplicationFee(s) Check# 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, certifythat 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 IO/OS/0I

Donald Oxendine NCDL 35810*9-
Donna Molina li 8050154 — - 66-7704/2531
5114 Kershaw
Rd. EZSh,eld 110 6
%t Fraud Protection
Oriental, NC 28571-8723
Ph. 252-249-1301 Date
Pay to the
Order
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04/20/2005 10:03 FAX [phone] MONA KAY SADLER PC Q001
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A pJWM00PJNG P1MGS1B0A77JFT1N0ATH0USE)
I hereby certify that I own property adjacent to 5
(Name of Property Owner)
property located at 01
(Lot, Block, Road, etc.)((
on O t'z-&�— , in ALa4 hn N.C.
(Waterbody) (Uwn 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
pilings/boadiftfboathouse must be set back a minimum distance of fifteen fea(I-Y) 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 filled in by individswi proposing development)
EI) old P'-'-�-
Signature
Print or Type Name
,A5�,714 S -)6 07
Telephone Number
Date:

ADJACENT RIEPARLAN PROPERTY OWNER STATENIEI�11
(FOR A PIERIMOORING PILINGSIBOATLIFTIROATHOUSE)
I hereby certify that I own property adjacent to � c� 6 t c� `p r'c x , C- f— s
(Name of Property Owner)
property located at
(Lot, Block, /Road, etc.)
on -D&t J�o rn r fie, —,in /`f �`�Gt h � �'I �� �' 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
pilings/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 DEVELOP_MENTT:
(To be filled in by individual proposing development)
pa r
Signature
Print or 'Type Name
Telephone Number
Date: LJ— 1 1-6

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