49830_MILLER, ROBERT_20070802

❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New El Modification ❑Complete 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 f, o ber A-
Address i' c .C�- 'V00ods Ur - � k.-
City State ZIP - (' 2
Phone #�/�z Fax # ( )
Authorized Agent &Lit gc s l`E , I t c.-
Project Location: County L (A,&-) C. �r ,
Street Address/ State Road/ Lot #(s)
Subdivision i
City ZIP
❑ CW El EW E PTA El ES ElPTS Phone # ( ) River Basin
Affected ElOEA ❑ HHF ElIH ElUBA ❑ N/A
AEC(s): Adj. Wtr. Body
❑ PWS: ❑ FC:
ORW: es /._no.% PNA es / \\ Closest Maj. Wtr. Body -- yes y l io Crit.Hab. yes / no
Type of Project/ Activity J �. r '- r J 6- T
(Scale:
Pier (dock) length
Platform(s) l ?
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
cubic yards I
Boat ramp
Boathouse/ Boatlift i `! ,t i • -- —
Beach Bulldozing
Other
1
1
Shoreline Length
/ `J
i
SAV: not sure
yes
no
Sandbags: not sure
yes
C no,
Moratorium: n/a
yes
Photos:
yes
llltaaa�al
Waiver Attached:
yes
no
A building permit may be required by: <~ `�'%
C <D
Notes/ Special Conditions
Agent or Applicant Printed Name
® See note on back regarding River Basin rules.
's Signature
8 -a?
SignaturePlease read compliance statement on back of permit Issuing Date r Expiration Date
, - � I L- `� 1 c C.,,. L 0 3 o2 O 9A
ApplicationFee(s) Check# Local Planning Jurisdiction Rover File Name

p 4
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 (910-796-7215) 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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
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)
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

Jul 31 07 08:17a p'1
Jul 30 07 03:53p Bob gaskervill 252-249-3S37 p-2
0
ADJAczw RwAR.LAriT PROPERTY OZWI+ m STATEIIomr
(FOR A PIE WOORING PJUNGS/BOATL PMOATXOUSB) .
I hereby Certify that I own property adjacent to 1� eb _t t A.} c. 1 t Ci_`s
(A'ame oMruperty Owner)
property located at 3 fy 5 (R ewl I t i l d o OtS -Vx tLp'r-
(Lot, Block, Road•, ,eft.)
on f 12P i 11�C�--- , in gal Wads e "
(Wsterbody) (Town an& Cotmty)
He has dess -DW to me, as shown bekxw, the dt vlapmealt he °s _proposing at that
location, and, I have no objections to his proposal. I understand that a piedmooring
pilingvloadift/boathouse must beset backa Minimum &SUMoe of fry feel (151 fmro my area
of riparian access unless waived by me. -
I sie not wish to uaive the setback requirement.
I sJo wish to waive that setback requirement.
DESCRUM014 A►sWIOR DRA%NWiG OF PROPOSED DEVELOPMENT --
(To be jWed in by indiudad PIVOSixg dere100"W)
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'Telephone Number

Aug,02 07 02:26p Bob Baskervill 252-249-3537 p.2
ADJACENT RUI ARTArT PROPERTY Oft STATEMENT
(FOR A PIE)ZIMOORING PILINGS1B0A7LTM80ATH0USE}
I hereby certify that I own property adjacent to kleRt S
(Name d roperty Owner)
property located at
(Lot, Block, Road, Lek.) -
on I emf R , �[ f�Ct. , in a g/ U s kA v`e, N.C.
(Waterbody) (Town andla County)
He has described to me, as shown below, the development Be D+oposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boathfUboathouse must beset back a minimum distance of fifteen feel (IS') from my area
of riparian access unless waived by me. -
t/ I dQ not wish to waive the setback requirement.
I do wish to waive that setback requirement.
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DESCRIPTION AL°D/OR DRAINT iG OF PROPOSED DEVELOYMENM. ~_
(To be f Ued in by indiridual proposing devdapment)
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P nt or Type Name
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Telephone Number

RDB, LLC 1257
384 BEARDS CREEK RD �' 4
ARAPAHOE, NC 28510-9554 Date 66-112/531
01901
Pay to the/ `� V C7 F �
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BRANCH BANKING AND TRUST C MA
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