41932_ESPOSITO, BERNIE_20050617

CAMA / - DREDGE & FILL
ENERAL PERMIT
ONew L !Modification ]Complete Reissue CPartial 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
T
Previous permit #
Date previous permit issued
Applicant Name 2l Adi e ts,AK5 D Project Location: County_
Address T.0 c tL Street Address/ State Road/ Lot #(s)
City�!�L.� State %`} ZIP
Phone # (``%/`I)'i�{Z'r��f Fax # ( ) Subdivision
Authorized Agent ti F C,+G O City /1ii>tc 1L;i:.1• ZIP__
Affected ' CW I EW 0 PTA ❑ ES ElPTS Phone # (�) _ River Basin
OEA I HHF ❑ IH C UBA ❑ N/A
AEC(s): - Adj. Wtr. Body_ _ _____ _ _gnat /man /unkn)
-IPWS: FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)_ k
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
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
2
Agent or Applicant Printed,) Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: ) I
E See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
Li11�y
Local Planning Jurisdiction 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
[_i Tar - Pamlico River Basin Buffer Rules
L � 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
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-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

AiJ ACEPWN PROPF R-y Y OWNERAr:NGT
XBONUS
rF01 ps/J—f
tIT
I hereby certify that I own property adjacent to Lac —L4ner)
(Namty
e of Prop U
n n , d d
located at /"/ 1 , �/ ✓_vr�= - —i
proF,crt}' Block, Roast, etc.)
in
on _1 !(-rTn and/or Catiaty)
Yaterbady)
He has described to me, as shown below, the development � ►s proposing at that location,
proposal. I understand that a pierlmooring
and, I rave no objections to his prop from m asea
p►.lings:')oatlift/boathatse must be set back a minimum distance of fifteen feet (15) Y
of riparian access unless waived by me.
I o nM wish to waive the setback requirement.
l dU wish to wa;ve that setback requirement.
- -- -- -
pf:SCRl1''f lON AND/OR pKAtiY1NG OF PROPOSED DEVELOPNIENT:
(To be filletl in by individ,.af Proposing development)
T/
r-
'Pj�
STe N5
------------------------------------
� , Signature
rint or Type N me
Telephone Number
Date:--

ADJAC1�N-r AIUAN PROPEKI � O" it
OUS
(Foot 0�! ' VMOORINC PILJIV �S1HOATL = ;�/ - - (� k'
i hereby cartifY that 1 own property adjacent to �-5- t�ctr� " ._�
(Marne es1 Pro Y
propoerly�63Ca'it� �t i 1 ,. � r y;._- _..•�--�-'-- t
Orl _ �_� ,. ,T n aridl'os �ettanty}
0`a/er'bBdY)
1de has descnb� to me. as spawn below. the de�clop nen# he: t3 proposing at that lracxttton,
alai. i un�icrs;a,ncl that a Pier/mooring
and, 1 have no objcctians to his P"OP ) from m a�
piiing,s/00atlifVbOathO,'j3C gust be set back a rr.in"Murr drs4nce of ftfi n fit 1 Y
of riparian a:cess unless Nhaive:d by n
daDWIrish 10 ,vaivz the setback raclUitc�Y.ent.
wish to wA/ yr thAt stthUk fGCjlllfl inGRt.
F ;CFtj. TiO` ANDIOR i)RAWitiG OF PROPOSED p,yvEj OpNjEN :
(To be falletl in by proposing dt)'eiormen')
rr e
r
a
Q/ o
✓�`_�
e
„�- Y3
STD 15
Zr
wrt
Print or PC
Telephone hluynt
r

05/23/2005 09:56 2522379133
may-20-2906 07:46 From-BBANOT
HARRIS & 'SSOCIATES
2SZ2403243
PAGE 02
T-114 P.002/002 F-611
ADJ AC A�tiN'� �'iitt�►l8Rlr v Owmm $fJ1►i' l' '
tp.0 ooierwv i+taNas.18oA
1 ntre0y �Irr Nat 1 own otwpercy a�accnt A- --A
lN&m of Pro Y O nerl
w1 . /
per^ y loeitsr,= at
44C.1
an �, .�.-�'�' • 1n
_�Ms+loiy (MIN andlorGoody)
N• ! d tt►Md to nw. u Mown Oolow. ►be doplapresrnt to is proposi+t� Nt tnas >acsstan,
and, 1 Aavt !t0 aboctaons t0 his pr1jpOsat i understtand v+�t a p�.r/mooring
p�iln=s�baialiftlb�olJ�oufae �rdtl bee bk a rr1w-MuT do►Ats s of APAN ful (is �'' 11ty 1tM
of r�prrtan acre! ur+lt�� w&fiv*d y
Iz—i *Ash to w4wr the Wbh,.-k (Eau40frient.
1 aaiatl to wave that 141back requireMent.
V ELD"IE
1��,tiGlttp'f'IOI� ANp�ON f1RAWi�IGotif�� i�BL) meet)
NT-
fir• 1e Jlufd iM by ,nd��arr P /► t
� Pr
Jj
$ijr►ature
rt't•aiht ut T)pf Not"
'I'etepRo+le Numbtr

. ...... .............
r�� UNITED STATES POSTAL MONEY ORDER ,s 800
I/ P(? SERVICE® w•.... o00
SERIAL NUMBER YEAR MONTH, DAY P(�1 U.$. DOLLARS AND CENTS
084773192621 2005-06-17 , \�, PITU"a 4�
ONE HUNDRED Dn�� 5 & Qt� ** as
AMOUNT,
PAY TO NEGOTIABLE;QNLY IN THE U.S. AND POSSESSIONS
SEER ERSE NING
CLERK
FROM
ADDRESS
ADDR
�.
C.O.D. NO. OR
USED FOR �
�\
,
\� 000EM 21: 013 7 7 3 19 26 21