47896_LUMSDEN, HUNTER_20070502

71
❑LAMA / ❑ DREDGE & FILL
GENERAL PERMIT
[]New ❑Modification ❑Complete Reissue ❑Partial Reiss
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
Date ore
t
p mit #
vi us permit issued
Applicant Name Project Location: County '
Address `' + ' / Street Address/ State Road/ Lot #(s)_
City ' <. + State ZIP
G
Phone # (f /)
` / Fax # ( )
Subdivision
Authorized Agent
City
ZIP
CW
O EW ❑ PTA El ES ❑ PTS
Phone # (�)
River Basin
Affected
ElUBA El N/A
AEC(s): ElOEA
ElHHF ❑ IH
Adj. Wtr. Body_,
+ (nat /man /unkn)
❑ PWS:
❑ FC:
Closest Maj. Wtr. Body
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
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
no
Sandbags: not sure yes 1
no -
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
(Scale: /L/ `)`' s ) I
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date Expiration Date
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
landowners).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify thatthis 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: [phone]
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06

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AlldAUV IN I KIYAMAIN YKVYhK I Y V WAER NTA I'EINI IN*1
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSF)
I hereby certify that I own property adjacent to dwTr* d- Rice,* L. u mspe?i ,s
(Name of Property Owner or Applicant)
Mailing address if different from location address 3D SAS CH,xC+V1 LL JOP
(town, state and zip) RALVlfog Ili C 2%lo071
phone numbers you can be reached at $7- 0"5- 77 9 - aZ-7 1(W) ,
property located at tor
NT
(Lot, Block, Road, etc.)
J
on 64tl Co $A y -,in jV00toGA-D err!I N.C.
(Waterbody) (Town and/or County) —T
He. has described to me, as shown below, the development he is proposing nt that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be setback 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,
initials
I do wish to waive that setback requirement.
initials
---------------------------------------------------------------------------------------------------------
DESCRIPTION .AND/OR DRAWING OF PROPOSED DEVELOPMENT:
�\ (To be filled in by individual proposing development)
48,096 SQ_F .
1.104 ACRES
304T
41 r"r
Signature
Print or Type Name
91,� 6 �,
Telephone/Number F�
Date:
www.nccoasWmanagementnet/Permits/ADJACE.Nr'RIPARTANPROPERTYO WNERSTATEMENT. pdf
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A1JJ AU 1N 1 K1YAKIAIN YKVYEK 1 Y U W 1NEK J 1ATEIV1ElN 1
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to AMJPe 4- &5PCC,4 L (>M s
(Name of Property Owner or Applicant)
Mailing address if different from location address-3 �Cfft1R��#I C.C.. JFD
(town, state and zip) jRALVIfc. 4 Iy C 271oo'j
phone numbers you can be reached at �l �f-'i87- �(o6S �H) 91 y - �"]�
property located at CaT
NT-
(Lot, Block, Road, etc.)
66
on CAA C o BA y in _ Note ocxp �'rt-� 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 setback 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.
i initials'
--------------------------------------------------------------------
-----------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
I �
�\ 48,096 SQ.FT.
1.104 ACRES • 1 f
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m
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------------------------------------------------------------------------------------
Signature
M LVJZ
Print or Type Name
Te hone Number
Date:
www.accoastalmanagementnet/Permits/ADJACENTRIPARIANPROPERTYO WNERSTATENMW. pdf

, AM. A
INE
RUN
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date Z— / L 0
Applicant NameyvT
Mailing Address 30 y,e
I certify that I have authorized (agent) Al'A) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) P/E-R— A+N-?) Doc, ,
at (location) L-07- 2 C
This certification is valid thru (daft)
Signature
2- 3/-D
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www.necoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper

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BLUE WATER MARINE 4167,�r�;
CONSTRUCTION INC.
PO BOX 93 f
MOREHEAD C", NC 28557-0093 ��.
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PAY n o2so1�!
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BRANCH BANKING AND TRUST
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