48913_MILLER, ROBERT_20070501

CAMA / ❑ DREDGE & FILL
GENERAL PERMIT G/�
[]New❑Modification El Complete Reissue El Partial Reiss6e
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
"VP e. � L
it #
permit issued
! E/ / 'A
Applicant Name ` ' ' ' Project Location: County
Address i.X (� r' �� Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (�) Fax # (�) Subdivision
Authorized Agent ' '' Ci ZIP
Affected ,p CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s) r '
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
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes
(no
ynp
�nd
Waiver Attached: yes
I#rio
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name i
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
ty
Phone # ( ) River Basin
Adj. Wtr. Body G nat man /unkn)
Closest Maj. Wtr. Body
(Scale: �i✓ / J )
See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing Date piration 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
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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

NCDENR
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 1 �l
Applicant Name
Mailing Address Po.a+ /J G t39V 3
I certify that I have authorized (agent) to to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) f i c r� ► � 7�i��" 1� �o 1,e J
at (location) �� 6106h' C i V,,,
This certifica
Signature
is valid t
h u ( te)
v L;
L. rriz- a�'
�i IOU
homild City GM
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

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Ao agree to w?lve the Is, setback requirement.
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AIVAC vul NT RIPARIAN PROPERTY OWNER STATEMENT
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i hereby certify that l own properly adjacetlt to 4h .o-r 4, A.•�, �✓�,��,
kNamc of Pronori�y Ow
property located at _" 4_ P. J� •• GS
,Strect Address, Lot, Mock, Roa-y etc.)
on a ' C1 .ir. rY�r r` dcit17 N.C.
ffaterbodYi down and/or County)
Het"She has described to me, as shown below, the development he!she is proposing at that
iomfion and t have no objeotions to this proposal. I understand that a pier/mooring
pilings/boutlifUboathouse must be set back a -minimum distance of fifteen feet (1 Y) from my area of
riparialt access Unless waived by me. I have indicated my 1;Itentions by initialing below;
i do not agree to waive the 15' setback requiYcmen*.,
(ini4afs)
1 do ag=,O waive the 15' setback xequirer►leitt.
D SCRIPTIG
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C ANWOR DIWiVING GP PROPOSED-i EVEJ G6 �>� NTI ,
oe jilted in by individual propnwng development')(
s� �T (V1ecehe;_Rd City DGM
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-'runt or Type Name
Telephone Number
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TEL: P:01
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FORM
ltrarne of itirtivid I,jn
u�l app O t` rpI' PCrIlrit E, ,T'..¢r, �+*� 4: �7 .O rW ir'
Address of property:.ga-
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l l�er�'r.,y r.�� tiiy t:-.a" .� o'•ti';, p--n-rG,y &ijacer:t to the at,ave referenced pi'csperty. The
in;ji'ri6w; arr„—,
:[ -r,::, :as described to me ("as shown on the attached
}1,'opo.-Strig. A description or drawing, with
J.
ex 1 have no objections to this proposal,
.lf You have objections to wfatit is being proposed, please write the Dipision of Coagtat
Managgrnent, 400 Commerce Ails., Morehead City, NC 28SS7 or call (2S2) 808.2808
within .10 days of receipt of this notice, No response is considered the same as no
abjactien if you have been, notij ed by Cert fed Mail.
WA„IY`ER S.EC,r.,C)I
I understand that a pier, ��r�-k rnoring pilings, breakwater, boathouse, lift or sandbags
mast be sct back a anif imur , distance of 15, from my area of riparian access unless
waived by ire. (,Tf you'./16h to waive the serimck, you must initial the appropriate blank
below,)
_l tW wish to tikaive Lhc 15' setback requirement.
ff�Tf.
.,mr.W-dt not wish to wai to the 15' setback requirement.
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f� i l+ 7 � IL " ri UMNT RE .E UPS' �i2E )IJES C ED r I-
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PIRUO 'I;ZZf Y OW-iNER NOT U!C[3TION VAnT,R
FWkNI
Na'M' v of ii-AdivId�awl '[;1 phy-1Lb `` fJ , y
AVM° Cl'1i11t; /����/ � 4-e
Address of prope:•ty:,Io ` .7-4,9 / S V exevlc
(lot or s:;cc: X, atrx a� Ccat{3 L i24 S
Ir
& county)
I hereby certify that r o;uri proper, a �Ii celit to the above referenced piepecty. TI tic
individual applyi_ig for this permit has described to me (as shown on Eye attached
drawin4) the development ihey are proposing. A description or drawing, with
dimensions, should be provided with this letter.
• �V
I have fits objections to this proposal,
if yvu have objections to what is being proposed, please write the Divisinr. of Coastal
i�anagem6nt, 400 tiommerce Ave, ?forehead City, NC ,28557 or call (252) 808.2.808
within 10 dayof this notice. No resuonse is considered the same as no
o biect. on fyouhaY6 been notified by C.ertifzed ]Mail,
WAIVER SECTION
I understand that a pier, dock, innooriarg pilings, bzeskwater, boathouse, lilt or sandbags
must be set back a minimum distance of 15' Pram my area of riparian access unless
waived by me. (W you wish to waive the setback, you must initial the g.ppropriate blank
below.)
I do wish to waive the 15' setback requirement.
tNII_ I do not tiYISh to wazve the 15'setback requirement.
1
411f / 0�11
A.
Print Name
TOe}—horia vNUJTibtV Ith A -tea Cnae
D Irc� r-7n,
M®raheaa City, '
mLili s;Alla o mvipi rzt(�:Eiavi ari;:.��.�: t rid iwk;,,

LARRY G. ARNOLD
P O Box 2277
Morehead City, NC 28557
2077
66-21/630
BRANCH 77615
7 Date
Nay to the n /�.
Qrder ofr—
WACHOVIA
Wachovia B nk, N.A.
wachovia.co ^ ��
For-
um
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